加拿大技术移民申请表

Howtocompletethisform?Answerallquestionsaccurately.Ifyourunoutofspace,pleasefinishyouransweronaseparatesheetmarkedwiththenumberofthesectionoftheformtowhichitrefers.Whoisrequiredtofilloutthisform?Theprincipalapplicantandtheaccompanyingspouseordefactospouse,ifany,whoareapplyingunderoneofthefollowingsubclasses(definitionsonpage2):•skilledworker;•self-employedworkerorentrepreneur;•foreignnationalinaparticularlydistressfulsituation,withinthemeaningofsection18coftheRegulationrespectingtheselectionofforeignnationals:thisclassdoesnotincluderefugees,personsinasimilarsituation,norprotectedpersons.Dependentchildrenaccompanyingyouwhoareaged22orolderorwhoaremarriedordefactospousesmustcompletetheformApplicationforSelectionCertificate–Dependentchildaged22orolderorwhoismarriedoradefactospouse.Appendices,supportingdocuments,feesandplaceofapplicationsubmissionYoumustsendthisform,alongwiththeappendices,necessarysupportingdocumentsandfeespayable,totheimmigrationofficeresponsibleforfilesoriginatinginyourcountry.Closelyexaminethelistofdocumentstoappendtoyourapplicationforaselectioncertificate,basedonyourcountryofresidenceatwww.immigration-quebec.gouv.qc.ca/en/biq/index.htmlifyouareapplyingundertheskilledworkersubclassoratwww.immigration-quebec.gouv.qc.ca/en/forms/index.htmlifyouareapplyingundertheself-employedworkerorentrepreneursubclass.FormoreinformationonimmigrationtoQuébec,pleaseconsultthewebsiteoftheMinistèredel’ImmigrationetdesCommunautésculturellesatwww.immigration-quebec.gouv.qc.ca.Toaccessthepagesoftheofficethatcoversyourcountry,selectyourcountryofresidenceonthewebsiteoftheMinistère.Question8:Education–Indicatethenameofthediplomaor,failingthat,thecertificateofthelastschoolyearsuccessfullycompleted.–IfyouarestudyinginQuebectowardsadiplomagrantedbyalegallyauthorizedQuebecinstitution,givethenameofthediplomaandtheexpectedcompletiondateofthesestudies.Question9:WorkexperienceIndicatefull-timeorpart-timeworkexperienceacquiredthroughremuneratedemploymentoverthepastfiveyears,includingmilitaryservice.Includefull-timeorpart-timeremuneratedornon-remuneratedworktermscompletedoverthepastfiveyearsduringapprenticeship,trainingorspecializationthatledtoadiploma.Question11:LanguageskillsTospeeduptheprocessingofyourapplication,enclosewithitanattestationforassessingfrenchlanguageknowledge–eitheraTestd’évaluationdufrançaisadaptépourleQuébec(TEFaQ)oraTestdeconnaissancedufrançaispourleQuébec(TCFQ).Youmayalsosubmittheresultsofanyofthefollowingtests:theDiplomed’étudesenlanguefrançaise(DELF),theDiplomeapprofondidelalanguefrançaise(DALF),theTestdeconnaissancedefrançais(TCF)ortheTestd’évaluationdufrançais(TEF).IfyouchoosetheTCForTEF,youmustenclosetheresultsofboththecompulsorytestandtheoptionaltest.Youcanlearnwhatcentresgivethesetestsfromthefollowinglinks:•TCFQ,TCF,DELFandDALFtests:www2.ciep.fr/tcf/centres/liste.aspx•TEFaQandTEFtests:www.fda.ccip.fr/tef/centresCommonvaluesofQuébecsocietyQuébecwelcomesimmigrantswiththeirknow-how,skills,language,cultureandreligion.QuébecprovidesservicestohelpthemintegrateandparticipatefullyinQuébecsociety.IntegratinginQuébecsocietymeansbeingpreparedtolearnaboutandtorespectitscommonvalues.PleaseconsultinformationonthecommonvaluesofQuébecsocietyat:www.valeurscommunesduquebec.gouv.qc.caSectionphotographsTheprincipalapplicantmustenclosephotographsofhimself,hisspouseordefactospouseandtheirdependentchildren.Ifthespouseordefactospouseisfillingouttheform,heorsheneedsonlytoattachhisownphotograph.INSTRUCTIONSApplicationforSelectionCertificatePrincipalApplicant–SpouseordefactospouseA-0520-AA(2009-10)Ministèredel’ImmigrationetdesCommunautésculturellesA-0520-AA(2009-10)SignaturesItisveryimportanttosignthisformintheplacesindicated.Otherwise,thefilewillbereturnedtoyou.•CommonvaluesofQuébecsociety:TheCommonvaluesofQuébecsocietysectiononPage5mustbesignedbytheapplicantandbyanyaccompanyingdependentchildrenaged18orolder.•Declaration:TheDeclarationsectiononPage6mustbesignedbytheprincipalapplicantandaccompanyingspouseordefactospouse,ifany.•Declarationbyspouseordefactospouse:MarriedordefactospouseapplicantsmustfillouttheDeclarationbyspouseordefactospouseappendixattheendoftheform.UseofanimmigrationintermediaryTheformsandinstructionsaredesignedsothatanyoneinterestedinimmigratingtoQuébeccanfillthemoutthemselves,withoutassistance.Consequently,thereisnoneedtousetheservicesofanintermediaryinordertobegintheimmigrationprocess,andthedecisiontousesuchservicesisuptoeachapplicant.TheMinisterofImmigrationandCulturalCommunitiesdoesnotgivespecialorprioritytreatmenttoapplicationsfromindividualswhousetheservicesofanimmigrationintermediary.Allapplicationsaretreatedequally.DEFINITIONSFamilymember–aspouseordefactospouse,whomustbeatleast16yearsold;–adependentchildand,ifapplicable,thatchild’sdependentchild.SpouseAmarriedpersonwhoisatleast16yearsofage,andwho:–wasnotthespouseofanyotherpersononthemarriagedate;–isnotdefactospouseofanyotherpersonwhilelivingapartfromhisspouseforatleastoneyear.DefactospouseApersonwhoisatleast16yearsoldandwho:–hasbeencohabitingforatleastoneyearwithanopposite-sexorsame-sexpartnerwhoisatleast16yearsofage;or–hashadaconjugalrelationshipforatleastoneyearwithsuchapersonbut,sincethepersonisbeingpersecutedortheobjectofacertainformofpenalcontrol,cannotlivewiththatperson.DependentchildThebiologicaloffspringofeitherparent,whohasnotbeenadoptedbyanypersonotherthantheirparent’sspouseordefactospouse;ortheadoptedchildofeitherparent.Oneofthefollowingsituationsappliestothischild:–he/sheislessthan22yearsold,andneithermarried(he/sheissingle,widowed,ordivorced)noradefactospouse;or–he/sheisstillsubstantiallydependentonthefinancialsupportofaparent,and-is22yearsofageorolder,isstudyingfull-time*,andisneithermarriednoradefactospouse;or-becameaspouseordefactospousebeforetheageof22,andisafull-timestudent*;or-is22yearsofageorolder,andhasbeenunabletosupporthimself/herselfatleastsincehis/her22ndbirthday,owingtoaphysicalormentaldisability.Thisdefinitionalsoextendstothechildofadependentchild.*Inordertobeconsideredafull-timestudent,thechildmustbeenrolledonacontinuousbasisinapostsecondaryinstitutionthatisaccreditedbytherelevantgovernmentauthorities;mustbeattendingthisinstitution;andmusthavebeenactivelytakingacademic,professional,orvocationaltrainingcoursesthereonafull-timebasisandwithoutinterruptionatleastsincehis/her22ndbirthday,orsincethedateonwhichhe/shemarriedorbecameadefactospouse.SkilledworkerForeignnationalcomingtosettleinQuebectoholdemploymentheislikelyabletohold.EntrepreneurForeignnationalwho:•ComestoQuébectocreateoracquireanagricultural,commercialorindustrialcorporationwiththecontrol,aloneortogetherwithhisaccompanyingspouseordefactospouse,ofatleast25%oftheequity,suchpercentagehavingavalueofatleast$100,000CA.Hemustparticipateactivelyinitsmanagementanddailyoperationsandinthecaseofabusinessorindustrialenterprise,employ,onapermanentbasisandforaminimumof30hoursaweek,atleastoneQuébecresident,otherthanhimselfandfamilymembersaccompanyinghim.•Hasaminimumnetworthof$300,000CA,legallyobtained,withhisaccompanyingspouseordefactospouse,ifany.•Hasatleasttwoyearsexperienceintheoperationofanentrepriseinwhichhecontrols25%oftheequity,aloneorwithhisaccompanyingspouseordefactospouse.Self-employedworkerForeignnationalwho:•ComestoQuébectocreatehisemploymentbyworkinginanoccupationdefinedintheNationalOccupationalClassification.•Hasaminimumnetworthof$100,000CA,legallyobtained,withhisaccompanyingspouseordefactospouse,ifany.•HasatleasttwoyearsexperienceworkingintheoccupationortradethatheintendstopracticeinQuébec.Ministèredel’ImmigrationetdesCommunautésculturelles1.IdentificationFamilynameatbirthOthernamesthatyouhaveusedorbywhichyouareknownPassportoridentitycardnumberSexFMDateofbirthYearMonthDayFirstnameFamilynameaftermarriage(ifapplicable)CityProvince/RegionCountryPlaceofbirthCitizenshipApplicationforSelectionCertificatePrincipalApplicant–SpouseordefactospouseReservedforAdministrationIndividualReferenceNo:FileNo:3.Residenceaddress4.FamilymemberswhomayormaynotbeaccompanyingyouinQuébec.Itisimperativethattheprincipalapplicantdeclareallthemembersofhisfa-mily.(forthedefinitionoffamilymember,spouse,defactospouseanddependentchild,seeinstructionsonthedetachablepage)NumberCountryPostalcodeProvince/RegionCityStreetApp.Mailingaddress,ifdifferent(givethenameofthepersonlivinghereifthisaddressisnotdirectlyrelatedtoyou)Telephoneno.HomeFamilynameatbirthFirstnameRelationshipPlaceandcountryofbirthAccompanyingyouDateofbirthTelephoneno.WorkE-mailaddressOther(specify)Other(specify)Faxno.HomeFaxno.Work2.Presentmaritalstatus(notifyusimmediatelyifyourstatuschanges;forthedefinitionofdefactospouse,seeinstructionsonthedetachablepage)Haveyoubeenmarriedmorethanonce?YesNoSingleMarriedDivorcedSeparatedMarriageannulledWidowedDefactospouseYearMonthDayYesNoMinistèredel’ImmigrationetdesCommunautésculturellesA-0520-AA(2009-10)Page1DateorderreceivedIapplyas:PrincipalApplicantAccompanyingspouseordefactospouseIfyouareapplyingintheeconomicimmigrationclass,specifyunderwhichprogram(orsubclass):Skilledworker(permanent)EntrepreneurSelf-employedworker5.Nameandaddressofyourdependentchildren(ifdifferentfromyourresidenceaddress)Ministèredel’ImmigrationetdesCommunautésculturellesA-0520-AA(2009-10)Page2NameAddressTelephoneCountry6.HaveyoueverappliedForatemporarystayinCanada?ForpermanentresidenceinCanada?ForrefugeestatusinCanada?NoYesProvinceAcceptedWaitingforadecisionDeniedDateNoYesProvinceAcceptedWaitingforadecisionDeniedDateNoYesProvinceAcceptedWaitingforadecisionDeniedDate7.Listeveryplacewhereyouhavelivedinthepast10years(useaseparatesheetifnecessary)YearMonthFromytiCemitfohtgneLProvince/RegionCountryTo8.Education,excludingelementaryschool(startwithyourmostrecentdiploma)amolpidfoemaNyrtnuoC/noitutitsnifoemaNmorF(seeinstructionsonthedetachablepage)YeardiplomaobtainedSpecializationToYearMonthYearMonthYearMonthMinistèredel’ImmigrationetdesCommunautésculturellesA-0520-AA(2009-10)Page39.1Principaltasksyouperformed(startingwiththelastjob;useanadditionalsheetifneeded)JobtitlePrincipaltasksperformedaspartofyourduties—————————————————————————9.Employmentduringthepast5years,includingmilitaryservice(startwithyourmostrecentjob;useaseparatesheetifnecessary)YearFromExpe-rienceExpe-rience1234567812345Nameofcompanyincludingyourownandcountrywhereitislocated(enterfullname-noabbreviations)JobtitleHoursworkedperweekMonthDayYearToMonthDayPhotographsAttachhereapassport-sizedphotographofyourselfandaccompanyingfamilymembers(yourspouseordefactospouse,yourdependentchildrenorthoseofyourspouseordefactospouse,andanydependentchildofthosechildren).AddressinfullTelephoneno.FamilyandfirstnameRelationship12.FamilyinQuébec(permanentresidentsorCanadiancitizensresidinginQuébec)13.InwhichcityorregionofQuébecdoyouplantolive?17.HowdidyoulearnaboutimmigratingtoQuébec?(checkoneormoreanswers)14.IntendedoccupationinQuébecOtheroccupationsconsideredrelatedtoyourareaofeducationorpastexperienceMinistèredel’ImmigrationetdesCommunautésculturellesA-0520-AA(2009-10)Page4RelativesorfriendsInformationseminargivenbytheQuébecgovernmentEducationalworldProfessionalassociationWebsite,blog,ordiscussiongroupAdvocate(lawyer)orimmigrationconsultantEmbassyorGovernmentofCanadaQuébecemployersNewsstoriesAdvertising11.Languageskills(seeinstructionsinthedetachablepart)16.Areyoupresentlyastudentemployedunemployedother(specify)French•Understandspoken•AbilitytospeakEnglish•Understandspoken•Abilitytospeak0123456789101112NoneBeginnerIntermediateAdvanced10.StayinQuébecoverthelast10yearsFromToFromTo•forfull-timestudies•toworkfulltime•forbusiness•otherreasons(specify)__________________________________15.HaveyoureceivedanofferofemploymentinQuébec?Ifyes,hastheemployeraskedtheMinistèredel’ImmigrationetdesCommunautésculturellestovalidatethisofferofemployment?Ifyes,indicatethetitleoftheemploymentalongwiththeemployer’snameandaddressYesNoYesNoYearMonthDayYearMonthDayYearMonthDayYearMonthDayMontréalInternationalMinistèredel’ImmigrationetdesCommunautésculturellesA-0520-AA(2009-10)Page5DECLARATIONONTHECOMMONVALUESOFQUÉBECSOCIETYQuébecisapluralistsocietythatwelcomesimmigrantswhocomefromthefourcornersoftheearthwiththeirknow-how,skills,language,cultureandreligion.QuébecprovidesservicestoimmigrantstohelpthemintegrateandparticipatefullyandcompletelyinQuébecsocietyinordertomeetthechallengesofamodernsocietysuchaseconomicprosperity,thesurvivaloftheFrenchfactandopennesstotheworld.Inreturn,immigrantsmustadapttotheirlivingenvironment.AllQuebecers,whethertheyarenative-bornorimmigrants,haverightsandresponsibilitiesandcanfreelychoosetheirlifestyle,opinionsandreligion;however,everyonemustobeyalllawsnomatterwhattheirbeliefs.TheQuébecstateanditsinstitutionsaresecular;politicalandreligiouspowersareseparate.AllQuebecersenjoyrightsandfreedomsrecognizedbytheCharterofHumanRightsandFreedomsandotherlawsandhavetheresponsibilityofabidingbythevaluessetforthinthem.COMMONVALUESTheprincipalvaluessetforthinthisCharter,whicharethefoundationofQuébecsociety,areasfollows:Québecisafreeanddemocraticsociety.PoliticalandreligiouspowersareseparateinQuébec.Québecisapluralistsociety.Québecsocietyisbasedontheruleoflaw.Womenandmenhavethesamerights.Theexerciseofhumanrightsandfreedomsmustrespecttherightsandfreedomsofothersandthegeneralwell-being.QuébecsocietyisalsogovernedbytheCharteroftheFrenchlanguage,whichmakesFrenchtheofficiallanguageofQuébec.Accordingly,Frenchisthenormalandusuallanguageofwork,instruction,communications,tradeandbusiness.DECLARATIONUNDERSTANDINGthescopeandsignificanceoftheforegoingandAGREEINGTOrespectthecommonvaluesofQuebecsociety,IDECLAREthatIwishtoliveinQuébecwithintheframeworkofandabidingbyitscommonvalues,andthatIwanttolearnFrench,ifIdonotspeakitalready.yyyyyySignatureoftheapplicantDateSignatureofthedependentchildaged18orolderDateSignatureofthedependentchildaged18orolderDateSignatureofthedependentchildaged18orolderDateProtectionofpersonalinformationThepersonalinformationappearingonthisform,andinanydocumentsthatmustbeappendedtoit,isrequiredforprocessingyourapplicationforaselectioncertificateandtheapplicationoftheActrespectingimmigrationtoQuébec,theRegulationrespectingtheselectionofforeignnationalsandtheiradministrativeregulations.ThisinformationmayalsobeusedbytheMinisterforthepurposesofstudies,statistics,programevaluationortoconveytoyouanyinformationthatmightaffectyourapplication.Yourpersonalinformationisconfidentialandmaynotbedisclosedwithoutyourconsentunlessauthorizedbylaw.Inparticular,thelawallowspersonalinformationtobecommunicatedwithoutyourconsentundercertainconditionsifsuchcommunicationisnecessaryto:–theapplicationofanActinQuébec;–theexerciseoftherightsandpowersofanagencyofthegovernmentofQuébecorCanada,includingfederalimmigrationauthorities;–thepurposesofaservicetobeprovidedtoyoubytheMinistèreorforperformingacontractforservicesentrustedbytheMinistère;–prosecuteanoffenceagainstanActapplicableinQuébec,orbecauseoftheurgencyofasituation.WithintheMinistère,accesstothisinformationisrestrictedtopersonnelwhoisqualifiedtoreceivepersonalinformationwheresuchinformationisnecessaryforthedischargeofhisduties.Withtheexceptionofoptionalsections,anyrefusaltoansweraquestionoranyomissionmayresultintherejectionofyourapplicationormaydelayitsprocessing.YoumaybeinformedabouttheinformationconcerningyouintheMinistère’spossessionand,ifapplicable,requestinwritingthatthisinformationbecorrected.Formoreinformation,contacttheofficethatisprocessingyourapplication.Ifthisofficeisunabletoprovideyouwiththeinformationrequested,contactthedepartmentalofficerresponsiblefortheprotectionofpersonalinformationattheSecrétariatgénéral,Ministèredel’ImmigrationetdesCommunautésculturellesatthefollowingaddress:ÉdificeGérald-Godin,360,rueMcGill,4eétage,Montréal(Québec)H2Y2E9.DeclarationIdeclarethattheinformationcontainedinthisapplicationandappendeddocuments,ifany,iscompleteandaccurateandIwillnotifytheMinistèredel'ImmigrationetdesCommunautésculturellesofanychangeinanswersgivenonthisformwithinthirty(30)daysofthechange.IacknowledgethatIhavereadthenoticeontheprotectionofpersonalinformationinthesectionabove.Ifurtheracknowledgethat:–ImayhavedifficultyfindingajobinQuébecthatmatchesmyeducationorexperienceandthatlabourmarketconditionscouldchangebeforeIarriveinQuébec.–Theprincipalapplicantisresponsibleforcoveringthefinancialcostsassociatedwithsettlinghimselfandanyaccompanyingfamilymembers.IunderstandthattheMinisterofImmigrationandCulturalCommunitiesmay:–confirm,orhaveathirdpartyconfirm,theaccuracyofinformationprovided,andthatIambreakingthelawandamliabletoapenaltyifIgivetheMinister,aninquiryofficerorrevieweranyinformationthatIknoworshouldknowisfalseormisleadingwithrespecttoanapplicationforaselectioncertificate.–rejectanyapplicationthatcontainsfalseormisleadinginformationordocument.–refusetoconsideranapplicationforacertificatefromapersonwhohasprovidedfalseormisleadinginformationordocumentationwithinthepastfiveyearsrelativetoanapplicationundertheActrespectingimmigrationtoQuébec.–cancelaselectioncertificateiftheapplicationcontainsfalseormisleadinginformationordocument,whenthecertificatewasissuedbymistake,oriftheconditionsrequiredfortheissueceasetoexist.Inwitnesswhereof,IhavesignedinSignatureMinistèredel’ImmigrationetdesCommunautésculturellesA-0520-AA(2009-10)Page6YearMonthDayCity/CountryPrincipalapplicantSpouseordefactospouseDECLARATIONBYSPOUSEDeclarationoftheprincipalapplicantI,theundersigned______________________________________________________________________________________________,declarethatIamthespouseof_________________________________________________________.Pleaseindicateifthestatementsbelowcorrespondtoyoursituation.DeclarationofthespouseaccompanyingtheprincipalapplicantI,theundersigned______________________________________________________________________________________________,declarethatIamthespouseof_________________________________________________________.Pleaseindicateifthestatementsbelowcorrespondtoyoursituation.Inwitnesswhereof,Ihavesignedin____________________________________________________________,____________________________________________________________________SignatureoftheprincipalapplicantInwitnesswhereof,Ihavesignedin,____________________________________________________________________SignatureofthespouseaccompanyingtheprincipalapplicantYesseYoNseYoNAtthetimeofmymarriagetothisspouse,Iwasmarriedtoanotherperson.Ihaveadefactospouse,andhavebeenlivingseparatedandapartfrommyspousesinceNoIliveconjugallywithandcohabitwith______________________________________________sinceIliveconjugallywith__________________________________________________________________sincebut,beingsubjecttopersecutionorpenalcontrol,wecannotlivetogether.Atthetimeofmymarriagetothisspouse,Iwasmarriedtoanotherperson.Ihaveadefactospouse,andhavebeenlivingseparatedandapartfrommyspousesinceDeclarationoftheprincipalapplicantI,theundersigned_______________________________________________________________________declarethatPleaseindicateifthestatementsbelowcorrespondtoyoursituat