Information Request Form | WayMaker Immigration

1.8) Do you have dependent children? Required

Yes

No

2.3) Highest level of education completed Required

2.5) Who will sponsor your travel to Canada Required

Myself

Parent/Guardian

Spouse

Other

3.1) Do you have a valid English proficiency result? E.g. "IELTS" Required

Yes

No

4.1) Within the past two years, have you or a family member ever had tuberculosis of the lungs or been in close contact with a person with tuberculosis? Required

Yes

No

4.2) Do you have any physical or mental disorder that would require social and/or health services, other than medication, during a stay in Canada? Required

Yes

No

5.1) Have you ever remained beyond the validity of your status, attended school without authorization or worked without authorization in Canada? Required

Yes

No

5.2) Have you ever been refused a visa or permit, denied entry or ordered to leave Canada or any other country or territory? Required

Yes

No

5.3) Have you previously applied to enter or remain in Canada? Required

Yes

No

6.1) Have you ever committed, been arrested for, or been charged with or convicted of any criminal offence in any country or territory? Required

Yes

No

6.3) Did you serve in any military, militia, or civil defense unit or serve in a security organization or police force ( including non obligatory national service, reserve or volunteer units) ? Required

Yes

No

6.5) Are you, or have you ever been a member or associated with any political party, or other group or organization which has engaged in or advocated violence as a means to achieve a political or religious objective, or which has been associated with criminal activity at any time? Required

Yes

No

6.6) Have you ever witnessed or participated in the ill treatment of prisoners or civilians, looting or desecration of religious buildings? Required

Yes

No

6.7) Have you ever held any government positions ( such as civil servant, judge, police officer, mayor, member of parliament, hospital administrator? Required

Yes

No

Personal Information Request Form

Please complete the following form for your assessment

Section 1 – Personal Information

Section 2 – Education/Employment

Section 3 – English Proficiency

If you answered yes to question 3.1, please enter your test scores.

Section 4 – Background Information

Section 5 – Background Information

Section 6 – Background Information

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