A DEMOGRAPHICS
Ethnic group:	Faith/Religious affiliation:
Age :	Principal language of communication:
Gender: □ Male □ Female
B STATUS IN CANADA
Country of origin:	Date of immigration to Canada (approximate):
Immigration status:□ Canadian citizen□ Permanent resident□ Convention refugee□ Other:_____________	Immigration class:□ Independent—Professions/skilled trades class□ Family sponsored□ Independent business class (Investors, entrepreneurs and self-employed persons)□ Convention refugee□ Canadian experience class□ Provincial nominee□ Other:_________________________
Did you arrive to Canada□ Alone?□ With your family?
C EDUCATION
Highest level of education:□ High school □ College □ University-Bachelor □ University—Master □ University—Doctorate
Field of study:	Country:
D CAREER
Main occupation in country of origin:	Current work status in Canada:□ Unemployed□ Employed (in same Occupation as in country of origin)□ Employed (NOT in same Occupation as in country of origin)
Main occupation in Canada:
E COMMUNITY SERVICES
Have you ever used any of the following community services and resources available to you (check all that apply):□ Settlement agency□ Multicultural organisation□ Employment and/or career counselling agency□ Language training□ Other:___________□ I have never used any of these services.