Global Residency & Citizenship Free Immigration Evaluation QUESTIONS? CALL: +1 (514) 487-2011 English English Français English Français QUESTIONS? CALL: +1 (514) 487-2011 Skilled Worker Start-up Visa Business Sponsorship Study Business Start-Up Free Evaluation Questionnaire Complete the following form and we will contact you to discuss your business start-up immigration options. Fields marked with * are required. Personal Information First Name: * This field is required. Last Name: * This field is required. Email: * Please provide valid email address. Confirm Email: * Email addresses doesn't match. Phone: Age: * Please Select 17 or under 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 and older Age is required Sex: Male Female Country of residence: Please Select Afghanistan Albania Algeria Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan 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 Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo, Democratic Republic of the Congo, Republic of the Costa Rica Croatia (Hrvatska) Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Ivory Coast Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Lao Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka St. Helena St. Pierre and Miquelon Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States minor outlying islands Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands (U.S.) Wallis and Futuna Islands Yemen Zambia Zimbabwe Ability in English and French English Read: Please Select Expert - (CLB 10 or more) Very good - (CLB 9) Good - (CLB 8) Competent - (CLB 7) Modest - (CLB 6) Limited - (CLB 5) Very Limited - (CLB 4) None at all - (Less than CLB 4) This field is required. Write: Please Select Expert - (CLB 10 or more) Very good - (CLB 9) Good - (CLB 8) Competent - (CLB 7) Modest - (CLB 6) Limited - (CLB 5) Very Limited - (CLB 4) None at all - (Less than CLB 4) This field is required. Speak: Please Select Expert - (CLB 10 or more) Very good - (CLB 9) Good - (CLB 8) Competent - (CLB 7) Modest - (CLB 6) Limited - (CLB 5) Very Limited - (CLB 4) None at all - (Less than CLB 4) This field is required. Listen: Please Select Expert - (CLB 10 or more) Very good - (CLB 9) Good - (CLB 8) Competent - (CLB 7) Modest - (CLB 6) Limited - (CLB 5) Very Limited - (CLB 4) None at all - (Less than CLB 4) This field is required. French Read: Please Select Expert - (CLB 10 or more) Very good - (CLB 9) Good - (CLB 8) Competent - (CLB 7) Modest - (CLB 6) Limited - (CLB 5) Very Limited - (CLB 4) None at all - (Less than CLB 4) This field is required. Write: Please Select Expert - (CLB 10 or more) Very good - (CLB 9) Good - (CLB 8) Competent - (CLB 7) Modest - (CLB 6) Limited - (CLB 5) Very Limited - (CLB 4) None at all - (Less than CLB 4) This field is required. Speak: Please Select Expert - (CLB 10 or more) Very good - (CLB 9) Good - (CLB 8) Competent - (CLB 7) Modest - (CLB 6) Limited - (CLB 5) Very Limited - (CLB 4) None at all - (Less than CLB 4) This field is required. Listen: Please Select Expert - (CLB 10 or more) Very good - (CLB 9) Good - (CLB 8) Competent - (CLB 7) Modest - (CLB 6) Limited - (CLB 5) Very Limited - (CLB 4) None at all - (Less than CLB 4) This field is required. Personal Net worth in CAD$ This refers to the total value of all assets of an investor (combined with spouse or common-law partner), minus the total debts owed by the investor. Assets primarily include real estate, shares of publicly traded companies, and cash deposits in banks. Real estate must be supported by market appraisals. To participate in the program there is no requirement to liquidate assets beyond the amount of the government investment. Do you have a minimum net worth of $100,000 CAD? * Yes No Your total Personal Net Worth in CAD$ (cash and assets): * Please Select Less than 4,999 5, 000 - 9,999 10,000 - 19,999 20,000 - 29,999 30,000 - 39,999 40,000 - 49,999 50,000 - 59,999 60,000 - 69,999 70,000 - 79,999 80,000 - 89,999 90,000 - 99,999 100,000 - 199,999 200,000 - 299,999 300,000 - 399,999 400,000 - 499,999 500,000 - 599,999 600,000 - 699,999 700,000 - 799,999 800,000 - 899,999 900,000 - 999,999 1,000,000 - 1,500,000 2,000,000 - 2,500,000 3,000,000 - 3,500,000 4,000,000 - 4,500,000 More than 5,000,000 This field is required. Business information What is your current business activity and for how long? * This field is required. Do you have any current or past involvement with a start-up business? * Yes No If yes please give details: This field is required. Have you ever applied for a start-up visa in Canada or any other country? * Yes No If yes where and when? This field is required. What is your highest level of education? Please give relevant details. * This field is required. Do you have at least intermediate abilities in the English language (speaking, reading, writing and understanding)? * Yes No Do you have any experience working with venture capital, angel investors, or incubators / accelerators? * Yes No If yes please give details: * This field is required. Do you have a specific business concept that you believe could support a project to Canada? * Yes No If yes please give details: * This field is required. If no, would you have interest to collaborate with our business advisory team to create a viable business project to support a credible project under this program? * Yes No Upload CV Choose file Allowed file formats: PDF, DOC, DOCX, TXT, RTF, PPT, PPTX This field is required. 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