Family Sponsorship Assessment Form

What is your status in Canada?*

Name *

First

Last

Email *

Phone

Country of Residence *

Nationality *

Place of Birth *

Date of Birth *

What is your marital status?

Single
Married
Common-Law

If you are married or in a common-law relationship, how long have you been together?

Who do you want to sponsor ? (CHECK ONE OR MORE)

Spouse (husband or wife)
Common-law partner
Conjugal Partner
Child
Parent
Grandparent
Orphan
Adopted Child

Name – (Sponsored Person) *

First

Last

Email *

Phone

Country of Residence – Sponsored Person *

Nationality – Sponsored Person *

What is your relationship to the person who will sponsor you?

Spouse
Common-Law Partner
Parent
Child
Grandchild

If you are married or in a Common-Law relationship how long have you been together? – (Sponsored Person )

Have you ever been refused a visa to any country? *

Have you ever applied for residence visa to your destination country and been refused? *

Are you or any one of those accompanying you, currently subject to investigation by a law enforcement agency or civil legal proceedings in any country? *

Been charged and/or convicted with ANY offence in any country

If you have answered yes to any of the above, please give the details in space provided.

Please disclose all information even if you consider the matter to be minor or the conviction considered “spent”.

PLEASE NOTE: If the Canadian Spouse is living outside Canada you must prove your intention is to move back or to Canada.

THANK YOU