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Family Class Assessment Form – Dependent
Assessment Form – Dependent
Name of Canadian citizen or Canadian Permanent Resident (Sponsor):
Date of birth (day/month/year):
Name(s) of dependant child being sponsored:
Age of child being sponsored:
Relationship to sponsor:
What is your marital status?
If you are not sure, please describe your situation:
Are you a Canadian citizen or a Canadian Permanent Resident?
Where are you living now?
If you chose Other Country when do you expect to return permanently to Canada?
Are you receiving social assistance or welfare?
Have you currently, or in the past, declared bankruptcy?
Have you paid all required support payments to your former spouse or children?
Have you previously sponsored anyone? Or co-signed a sponsorship with a spouse or partner?
If Yes, did they or their family members receive welfare or social assistance during the time you were legally responsible for their support?
Do you owe the Immigration Department any money?
Is the Canadian government attempting to revoke your citizenship?
Are you the subject of an immigration report on inadmissibility?
Has the Canadian government ordered you to leave Canada?
Are you currently detained in a jail, prison, penitentiary or reformatory?
In the past five years, have you been convicted of a crime against one of your family members?
Have you been charged with anything under Canadian Federal law?
Sponsor's annual income:
If there is anything you think may affect your qualifications to sponsor that we have not asked about or you have concerns about, please note them here:
How did you hear of us?