City/ Country residing now:
Your citizenship – nationality :
Children # and ages:
How did you hear of us?
Highest Canadian Education completed and the school:
Highest number of years completed in Canadian education:
Highest Canadian Education Date of Completion:
Your earned Canadian Degree:
Do you have a Post Grad Work (PGWP) permit now:
When was your PGWP issued?
For how many years?
When does it expire:
Your job titles for past 3 years / How long worked at each position in years:
Did you get a T4 from employer?
Did you file your taxes, and have your Notice of Assessments?
Job offer from Canadian Employer:
Have a LMIA?
English (or French) Language test completed, name – type of test taken:
Date of Language Test results report:
Are you still in Canada?
If not, when did you leave?
What was the last date worked in Canada?
Do you or any family member have any medical condition:
Do you or your family have any police record:
Special circumstances you want us to know about:
Type the characters you see in the picture below (required)
Ferreira-Wells Immigration Services Inc.
Immigration is for lovers™
By appointment only, booked in advance by email.
1377 Bathurst Street, Toronto,
ON Canada, M5R 3H8
Hours: Monday to Friday, 9-5 (Eastern)
By appointment only at other times.