Consultation Form Consultation Form To get started, fill out the form below and we will contact you shortly. Required fields are marked with asterisk (*) Title: Mr. Ms. Miss. Dr. First Name: * Last name: * Date of Birth: * Marital Status: * Married Single Divorced/Separated Spouse’s Date of Birth (if married) Contact Phone number * Alternative Phone number Email Address: * Best time to Contact: Morning Afternoon Evening Preferred Method of Contact: Phone Email Education Highest Post-secondary Degree Achieved: Certificate Diploma Bachelors Masters Doctorate Spouse’s Highest Post-Secondary Degree Achieved (if any): Certificate Diploma Bachelors Masters Doctorate Professional Certification: Yes No If yes, please specify Professional Certification: Spouse’s Professional Certification Yes No If yes, please specify: Have you previously studies in Canada: Yes No WORK EXPERIENCE Do you have any full-time work experience: Yes No If yes, Duration of Work Experience (months): If Any, Does your spouse have work experience: Yes No If yes, Duration of work experiences (months): Do you have family relative who is a Citizen or permanent resident of Canada (Father, Mother, Brother, Sister, Aunt or Uncle): Yes No If yes, please specify: If Any, Do your spouse have family relative who is a Citizen or permanent resident of Canada (Father, Mother, Brother, Sister, Aunt or Uncle): Yes No If yes, please specify: Do you have a job offer in Canada: Yes No If Any, Does your spouse have a job offer in Canada Yes No ADDITIONAL INFORMATION Paragraph By submitting this form you agree with the privacy policy, Consultation fee of $100 applies. Submit If you are human, leave this field blank. Top 20 Tips on How to Prevent Immigration Fraud