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Start Up Visa Assessment Form
Start-up Visa Program for Entrepreneurs
City of residence
Date of birth
Children (number of and ages)
Applicant’s education – highest credential earned
Applicant's business experience
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Do you intend to live in Canada? If yes, where?
Would you like a work permit for the beginning period of setting up your business in Canada?
Support from designated organizations
What percentage of shares will you own in the new start-up venture?
Have you recently done English or French language tests?
Education and experience
Funds: Do you have sufficient personal funds to support self and family while they establish their business in Canada?
Net Worth: What is your estimated net worth in CAD currency?
Settlement funds available to cover application cost, incubator fees, living expenses etc.
Do you or any family member have any past police or criminal record?
If yes, provide details:
Have you or any family member ever been refused a Visa from any country? If yes, provide details: