This form is for skilled workers, work permits and business/inventor applicants.

To assess your case meaningfully, please complete the simplified assessment form below. There is no cost and no-obligation to fill-up this form. Upon completing and submitting this assessment form, one of our consultants will carefully assess your case.

Before completing this assessment form, please keep the following points in mind:

1. The information provided will be kept strictly confidential by BLISS
2. If we find that you are eligible to immigrate to Canada or if more information is required of you, correspondence will be sent to your e-mail address. Please ensure that you provide us with a valid e-mail address.

Principal Applicant
* Title:	Mr. Mrs. Ms. Dr.
* First Name:
* Last Name:
* Marital Status:	Select Marital Status Single Married Divorced Separated Common Law
* Your Age:	Select 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60
Contact Information
* Telephone:	(Country, City, Area Codes)
* Mailing Address:
* Country:	Select Country Other Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Australia Austria Azerbajan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Chile China Colombia Costa Rica Cuba Cyprus Czech Republic Democratic Republic Congo Denmark Djibouti Dominican Republic East Timor Ecuador Egypt El Salvador England Eritrea Estonia Ethiopia Faroe Islands Fiji Finland France French Polynesia Gambia Georgia (Sakartvelo) Germany Gabon Ghana Greece Greenland Kalaallit Nunaat Grenada Gouadeloupe Guam Guatemala Guernsey Guyana Guyane Haiti Honduras Hong Kong Hrvatska (Croatia) Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Korea Republic Kosovo Kurdistan Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia Malawi Malaysia Mali Malta Marshall Islands Mauritania Martinique Mauritius Mexico Micronesia Moldova Monaco Mongolia Morocco Mozambique Namibia Nepal Netherlands Netherlands Antilles New Caledonia New Zealand (Aotearoa) Nicaragua Nigeria Niue Norfolk Island Northern Ireland Northern Mariana Islands Norway Oman Pakistan Palau Palestina Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation (AsianPart) Russian Federation (European Part) Rwanda Saint Kitts and Nevis Saint Vincent and the Grenadines Samoa (American Samoa) Samoa (Western Samoa) San Marino Saudi Arabia Scotland Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia Somaliland South Africa Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tanzania Thailand Tibet Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Uganda Ukraine United Arab Emirates United Kingdom Uruguay USA Uzbekistan Vatican City State Holy See Venezuela Viet Nam Virgin Islands (British) Virgin Islands (U.S.) Wales Yemen Yugoslavia Zambia Zimbabwe
* Email:
Education and Work Experience
* Education:	Select Your Education Level None 1 yr diploma, trade cert of apprenticeship AND min 12 yrs full time study 1 yr diploma, trade cert of apprenticeship AND min 13 years full time study 1 yr univ degree at Bachelors level AND min 13 yrs full time study PhD or Masters and min 17 yrs of full-time study PhD or Masters and less than 17 yrs full-time study Secondary School Educational Credential 3 yrs diploma, trade cert of apprenticeship AND min 15 yrs full time study 2 or more univ degrees at Bachelors level AND min 15 yrs full-time/equiv study 2 year diploma, trade cert of apprenticeship AND min 14 yrs full-time study 2 year univ degree at Bachelors level AND min 14 yrs of full-time/equiv study
* Current Occupation:
* Employment:	Select Employment/Business Experience 1 year of recent skilled work experience 2 years of recent skilled work experience 3 years of recent skilled work experience 4 years or more of recent skilled work experience None
* Current Work Related Skills:
* English Skill:	Select Your English Language Skills No ability in English Basically functional - English skills Moderately functional - English skills Highly functional - English skills
* French Skill:	Select Your French Language Skills No ability in French Highly functional - French skills Moderately functional - French skills
* Arranged Employment:	Do you have pre-arranged employment? HRDC confirmed temporary work permit Within Canada exempt from HRDC validation HRDC confirmed permanent offer of employment None
Immigration Category
Please choose the appropriate immigration category and complete the pertinent questions for that category
Professional/Skilled Worker Immigration or Work Permit
Business Immigration ( Entrepreneur/Investor/Self Employed)