Family Sponsorship Free Assessment Form All information submitted is kept strictly confidential. View Privacy Policy 1. QUESTIONS ABOUT THE SPONSOR (CANADIAN CITIZEN OR PERMANENT RESIDENT)A. SPONSOR PERSONAL DETAILSFull Name*Email address*Phone Number*Gender*MaleFemaleDate of Birth*(If the calendar icon does not work, please manually enter the date using YYYY-MM-DD format)Place of Birth*Citizenship*Address*City*State/Province*Zip/Postal Code*Are you a Canadian citizen?*YesNoAre you a Canadian permanent resident*YesNoCountry of Residence* B. WHO DO YOU WANT TO SPONSOR? (CHECK ONE OR MORE)Person(s) to sponsor:*Spouse (husband or wife)Common-law partnerConjugal partnerChildParentGrandparentOrphanAdopted childPlease provide details about who you want to sponsor including the number of people you want to sponsor and their relationship to you and to each other:*If you need more information about the types of relatives you can sponsor, please refer to the Family Class page. C. SPONSOR ANNUAL INCOMEAre you employed?*YesNoWhat was your total income for the last year in Canadian dollars?*Are you married, or do you have a common-law partner?*YesNoHow many children under the age of 22 do you have?*How many people do you intend to sponsor?*What will be your total family size, including yourself, when the person(s) you want to sponsor arrive in Canada?*Please provide any important details about your family size and income here: D. SPONSOR ELIGIBILITY DETAILSHave you yourself been sponsored within the past 5 years?*YesNo Have you sponsored anyone else within the past 3 years?*YesNoAre you subject to a removal order?*YesNoAre you detained in any penitentiary, jail, reformatory, or prison?*YesNoHave you ever been convicted of a criminal offence in any country?*YesNoWhat were you convicted of?*When were you convicted?*Which country were you convicted in?*Have you been convicted of a sexual offence within the past 5 years?*YesNoHave you been convicted of a violent crime or a crime that resulted in bodily harm within the past 5 years?*YesNoAre you in default of any previous undertaking or any support payments ordered by a court?*YesNoAre you an undischarged bankrupt?*YesNoAre you in receipt of social assistance for any reason other than a disability?*YesNoIf you answered yes to any of the above questions, please provide details here: 2. QUESTIONS FOR THE APPLICANT (PERSON TO BE SPONSORED)A. APPLICANT PERSONAL DETAILSFull Name of Person to be Sponsored*Gender of Person to be Sponsored*MaleFemaleDate of Birth of Person to be Sponsored(If the calendar icon does not work, please manually enter the date using YYYY-MM-DD format)Place of Birth of Person to be Sponsored*Citizenship of Person to be Sponsored*Country of Residence of Person to be Sponsored*Full Address of Person to be SponsoredEmail address of Person to be SponsoredPhone Number of Person to be SponsoredAre you married or do you have a common-law partner?*YesNoDoes the person to be sponsored have any children?*YesNoIf yes, how many children and what are their ages?Business Email* B. APPLICANT ADMISSIBILITYHas the person to be sponsored, their spouse, or any of their children had any serious disease or physical or psychological disorder?*YesNoBeen convicted of or are currently charged with a criminal offence in any country?*YesNoApplied previously for a temporary visa to Canada?*YesNoApplied previously for permanent residence in Canada?*YesNoBeen refused a visa to Canada or any other country?*YesNoBeen refused admission to or order to be removed from Canada or any other country?*YesNoBeen involved in the commission of human rights violations, acts of subversion, espionage, terrorism, or organized criminality?*YesNoIf you have replied “yes” to any of the above questions, please provide details: C. FINAL DETAILSIf there is anything else that you believe is important in relation to your case please note it here:How did you find us?*Google SearchGoogle AdSocial Media (Facebook, Instagram, Twitter etc.)Through a family or friendOther DECLARATIONI certify that the above information provided by me in the Free Assessment is true and I agree to Matthew Jeffery's Privacy Policy & Terms of Use.*Yes, TrueFurthermore, I consent to the law office of Matthew Jeffery, contacting me in relation to the above Free Assessment.*YesSend