Free Preliminary Assessment Complete the following form for a FREE 48 hour preliminary assessment! Names Principal Applicant (PA): Spouse: Email: PA DOB: Spouse DOB: Telephone: Nationality: Education - PA Highest Level Years of full time study Education - Spouse Highest Level Years of full time study Language Proficiency PA IELTS Score Reading Writing Listening Speaking Test Date Spouse IELTS Score Reading Writing Listening Speaking Test Date Managerial Experience List duties, years, and business sector (specify products and/or services) PA's Resume Business Owner & Manager YesNo No. of years, last / 5 years or / 7 years Employee as Manager YesNo No. of years, last / 5 years or / 7 years You and your spouse's estimated Net Worth (Cdn) (excluding business assets) What is its source(s) of funds? Is any of it from gifts? YesNo History of immigration Applications to Canada (both PR & TRV) Any Rejections? YesNo If Yes, please explain Do you, your spouse, or dependent(s) have: Chronic Medical Condition(s) YesNo Criminal Convictions YesNo Family in Canada YesNo Dependent child/ren enrolled in school in PEI for the last 6 months YesNo Close family members living in PEI for at least 12 months YesNo Spouse has a minimum of 3 years work experience in the past 5 years YesNo Have you signed a contract with an immigration consultant? YesNo The free 48 hour assessment Profiling Assessment process is without obligation: neither CIBI or you are obliged to contract for service with CIBI.