ASSESSMENT FORM
Citizen/Permanent Resident/On Temporary Visa
(if applicable)
COUNTRY & YEAR
DATES OF WORK AND JOB DETAILS
DATES & DETAILS
mm/dd/yy
mm/dd/yy
mm/dd/yy
It must have been full-time (or an equal amount in part time).
If you do not have any Canadian work experience during this period, please choose "None of the above".
It must have been continuous, paid, full-time (or an equal amount in part-time), and in only one occupation.
(the job must have been NOC Skill Type 0 or Skill Level A or B).
I hereby state that the information contained in this form is, to the best of my knowledge an accurate and truthful statement of my past and current situation.