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? 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.*YesSendThis field should be left blank