(a)
Personal Information
* Surname:
* First
name:
Other
Names:
* Date
of Birth:
Your
permanent address is:
* Current
address:
* City:
State/province:
* Country:
Zip
Code:
Citizen
of:
Phone
* Home:
Business:
Fax:
* Email:
Languages
Ability
in English
* Speak:
*
Write:
* Read:
Ability
in French
* Speak:
* Write: * Read:
Education
Details
* I
have a three or four year Bachelor Degree:
Major:
Minor:
Details
of my Post Secondary Education
Employment
History
Provide
your work history for the past 10 Years.
* Name
of current employer:
* Position:
* Date
Started (Month/year):
* Present
Occupation:
* Duties:
Please provide a brief description of your duties in the box
below:
Previous
Employer 1
Employer
Name:
Position:
Date
Started (Month/year):
Date
Left (Month/Year):
Occupation:
Previous
Employer 2
Employer
name:
Position:
Date
Started (Month/year):
Date
Left (Month/Year):
Occupation:
Previous
Employer 3
Employer
Name:
Position:
Date
Started (Month/year):
Date
Left (Month/Year):
Occupation:
Previous
Employer 4
Employer
Name:
Position:
Date
Started (Month/year):
Date
Left (Month/Year):
Occupation:
Relative
in Canada
Must be
a permanet resident or Canadian citizen living in Canada and
over 19 years of age.
Relative
in Canada
If
yes, specify either:
My intended occupation in Canada is:
My destination in Canada is:
(City or Town,
Province)
Cash
to be transfered to Canada:
If you are not filling out Section B ,
click here to go to the end
of the questionnaire to submit your information.
(b)
Business Applicant Summary
Information
will be used to gauge your ability to meet the requirements
of the Canadian Immigration Act and regulations as it
applies to applicants in the entrepreneur, investor
or self-employed categories.
Category
of application: Choose one
*
Name of investment fund project, if known:
*
Amount of investment to be made CDN$:
Experience
in Business Management
In this
section tell us, in your own words, about your past and
present business management experience. Please include
details as to how you started out, the type or nature of
businesses in which you have been involved, giving specific
details of your responsibilities and duties within the
company(ies). Specify your percentage of ownership, if any.
Your
Business Plan
To
be completed by entrepreneur and self-employed applicants
Have
you decided upon a specific business venture:
If yes,
please provide details in the space below of the location,
type of business, number of employees, amount of capital to
be invested, activities of the company, your position and
responsibilities.
If no,
please tell us in your own words in the space below of your
plans. Please identify the sector in which you plan to be
involved, if known, the amount of capital you have available
for investment and outline the nature of the business you
plan to establish.
Business
Activity
If your
business activity in Canada will not be a sole
proprietorship, please indicate your percentage (%)
ownership and the share of ownership of remaining partners,
identify those partners who are not Canadian citizens or
permanent residents, use a separate page if necessary.
What
steps have you undertaken to research the Canadian business
environment to ensure your success?
Have you
ever been involved in a business failure, or associated with
a company that went into liquidation, receivership or
bankruptcy?
If
yes, give details:
Please
detail any formal business training or education you have
had:
Personal
Net Worth Statement
A
complete and current statement of your total personal net
worth is required. All assets and liabilities must be be
identified. However, do not include personal items such as
jewelry, furniture, etc., as the ownership of such items is
difficult to verify.
All assets listed
must be your own personal holdings and must be documented.
The sources of any funds or assets in your possession for
less than one year must be identified.
You may be asked to
present financial documents to support the information
provided in this statement.
Net
Worth
Which
is distributed as follows:
Funds in my
possession on my arrival in Canada:
Funds to transfer to
Canada at a later date:
Funds already in
Canada:
Subtotal:
Funds remaining
abroad:
Total
CDN$:
