Core / human capital factors Do you have a spouse or common-law partner? YesNo How old are you? What is your highest level of education? less than secondary school (high school)Secondary diploma (high school graduation)One-year degree, diploma or certificate from a university, college, trade or technical school, or other instituteTwo-year program at a university, college, trade or technical school, or other instituteBachelor's degree OR a three or more year program at a university, college, trade or technical school, or other instituteTwo or more certificates, diplomas, or degrees. One must be for a program of three or more yearsmaster's or entry-to-practice professional degreePHD/doctoral certificate Do you have a second official language CLB score? If so, what is it? Reading Less than CLB 4CLB 5CLB 6CLB 7CLB 8CLB 9CLB 10 or more Writing Less than CLB 4CLB 5CLB 6CLB 7CLB 8CLB 9CLB 10 or more Listening Less than CLB 4CLB 5CLB 6CLB 7CLB 8CLB 9CLB 10 or more Speaking Less than CLB 4CLB 5CLB 6CLB 7CLB 8CLB 9CLB 10 or more Do you have a second official language CLB score? If so, what is it? Reading Less than CLB 4CLB 5CLB 6CLB 7CLB 8CLB 9CLB 10 or more Writing Less than CLB 4CLB 5CLB 6CLB 7CLB 8CLB 9CLB 10 or more Listening Less than CLB 4CLB 5CLB 6CLB 7CLB 8CLB 9CLB 10 or more Speaking Less than CLB 4CLB 5CLB 6CLB 7CLB 8CLB 9CLB 10 or more How many years of Canadian work experience do you have? None or less than a year1 year2 years3 years4 years5 years or more Skill transferability factors Education Check the item that matches your education status Secondary school (high school) credential or lessPost-secondary program credential of one year or longerTwo or more post-secondary program credentials AND at least one of these credentials was issued on completion of a post-secondary program of three years or longer Check the item that matches your foreign work experience status No foreign work experience1 or 2 years of foreign work experience3 years or more of foreign work experience Check this box if you have a trade occupation cerfiticate of qualification Additional points Brother or sister living in Canada who is a citizen or permanent resident of CanadaScored NCLC 7 or higher on all four French language skills and scored CLB 4 or lower in English (or didn’t take an English test)Scored NCLC 7 or higher on all four French language skills and scored CLB 5 or higher on all four English skillsPost-secondary education in Canada – credential of one or two yearsPost-secondary education in Canada – credential three years or longerArranged employment – NOC 00Arranged employment – any other NOC 0, A or BProvincial or territorial nomination Please fill out your contact info so we can email you the results Name Email Contact Number Country of Residency