Personal Background Information / Onboarding Information / Assessment and Onboarding

Applicant Name: *

Email address *

Current Country of Residence: *

Current Job *

Marital Status *

Single
Married
Widow
Common Law

Height (in Centimeters) *

Weight (in Kilograms) *

Eye Colour *

During the last 5 years, have you lived in any country other than your country of citizenship or your current country of residence for more than six months? *

Yes
No

If yes, please provide details: COUNTRY/STATUS/Inclusive Dates. Type N/A if you answered NO *

Do you have a National ID? *

YES
NO

If YES to National ID, Please Upload:

Addresses:

Provide all of the address where you have lived in the past 10 years or since your 18th birth, whichever is most recent. Do not exclude any period of time during this timeframe. Do not use PO Box addresses.

Current Address: *

From *

To: *

Address 2:

From

To:

Address 3:

From

Address 4:

From

If you have lived on more than 5 Addresses in the last 10 years, please provide details on the "More Information" space at the bottom of this form:

Background Information:

Have you (Principal Applicant) or any of your family members listed in your application ever been convicted of a crime of offence in Canada for which a pardon has not been granted under the Criminal Records Act of Canada? *

Yes
No

Have you (Principal Applicant) or any of your family members listed in your application ever been convicted of, or are you currently charged with, on trial for, or party to a crime or offence, or subject of any criminal proceedings in any country? *

Yes
No

Have you or any of your family members listed ever made previous claims for refugee protection in Canada or at a Canadian visa office abroad, in any other country or countries, or with the United Nations High Commissioner for Refugees? *

Yes
No

Have you or any of your family members listed ever been refused status, or an immigrant or PR visa or visitor or TRV to Canada or any other country? *

Yes
No

Have you or any of your family members listed ever been refused admission to, or ordered to leave Canada or any other country? *

Yes
No

Have you or any of your family members listed ever been involved in an act of genocide, a war crime or in the commission of a crime against humanity? *

Yes
No

Have you or any of your family members listed ever used, planned or advocated the use of armed struggle or violence to reach political, religious or social objectives? *

Yes
No

Have you or any of your family members listed ever been associated with a group that used, uses, or advocated or advocates the use of armed struggle or violence to reach political, religious or social objectives? *

Yes
No

Have you or any of your family members listed ever been a member of an organization that is or was engaged in an activity that is party of a pattern of criminal activity? *

Yes
No

Have you or any of your family members listed ever been detained, incarcerated, or put in jail? *

Yes
No

Have you or any of your family members listed had any serious disease or physical or mental disorder? *

Yes
No

If you answer YES to any of these questions, please provide details: (N/A if No) *

Membership or Association with Organizations: Have you ever been a member of an organization, such as a trade union, professional association, or political, social, youth or student organization? *

Yes
No

Government Positions: Have you ever held any government positions? *

Yes
No

Military and/or Paramilitary Service: Have you served in the armed forces of any country? *

Yes
No

1.a. Within the past 2 years, have you or a family member ever had tuberculosis or been in close contact with a person with TB? *

Yes
No

1.b. Do you have any physical or mental disorder that would require social and/or health services, other than medication, during a stay in Canada? *

Yes
No

1.c. If you answered Yes, please provide details: (type N/A if No) *

2.a. Have you ever remained beyond the validity of your status, attended school without authorization or worked without authorization in Canada? *

Yes
No

2.b. Have you ever been refused a visa or permit, denied entry or ordered to leave Canada or any other country or territory? *

Yes
No

2.c. Have you previously applied to enter or remain in Canada? *

Yes
No

2.d. If you answered Yes, please provide details: (type N/A if No) *

3.a. Have you ever committed, been arrested for or been charged with or convicted of any criminal offence in any country or territory? *

Yes
No

3.b. If you answered Yes, please provide details: (type N/A if No) *

4.a. Did you serve in any military or civil defense unit or serve in a security organization or police force (including non obligatory national service, reserve or volunteer units? *

Yes
No

4.b. If you answered yes, please provide dates of service and countries where you served. (N/A if No) *

5. Are you, or have you ever been a member or associated with any political party, or other group or organization which has engaged in or advocated violence as a means to achieving a political or religious objective, or which has been associated with crim *

Yes
No

6. Have you ever witnessed or participated in the ill treatment of prisoners or civilians, looting or desecration of religious buildings? *

Yes
No

More Information:

Family Information

Education and Employment History

Travel History