Temporary Resident Application Form

Personal Information

If a question has an asterix (*) but does not refer to you please put n/a.

If there is no asterix (*) and the question does not refer to you please leave blank.

Names as they appear in your Passport
Names as they appear in your Passport
First
Last
Have you taken a test from a designated testing agency to assess your proficiency in English or French?

Family Information

If the question doesn't apply please put N/A in the box

Mother's Name
Mother's Name
First
Last
Mother's Address
Mother's Address
City
State/Province
Zip/Postal
Country
Father's Name
Father's Name
First
Last
Father's Address
Father's Address
City
State/Province
Zip/Postal
Country
Do you have siblings?
Sibling's Names (all step/half brothers or sisters should be included)
Sibling's Names (all step/half brothers or sisters should be included)
First
Last
Siblings Address
Siblings Address
City
State/Province
Zip/Postal
Country
Sibling's Names (all step/half brothers or sisters should be included)
Sibling's Names (all step/half brothers or sisters should be included)
First
Last
Sibling's Address
Sibling's Address
City
State/Province
Zip/Postal
Country
Sibling's Names (all step/half brothers or sisters should be included)
Sibling's Names (all step/half brothers or sisters should be included)
First
Last
Sibling's Address
Sibling's Address
City
State/Province
Zip/Postal
Country
Sibling's Names (all step/half brothers or sisters should be included)
Sibling's Names (all step/half brothers or sisters should be included)
First
Last
Sibling's Address
Sibling's Address
City
State/Province
Zip/Postal
Country
Do you have more than 4 siblings?
Do you have children?
Children's Name
Children's Name
First
Last
Children's Address
Children's Address
City
State/Province
Zip/Postal
Country
Children's Name
Children's Name
First
Last
Children's Address
Children's Address
City
State/Province
Zip/Postal
Country
Children's Name
Children's Name
First
Last
Children's Address
Children's Address
City
State/Province
Zip/Postal
Country
Do you have more than 3 children?
Applicant Employment History:

EMPLOYMENT HISTORY PAST 10 YEARS WITH NO GAPS: PLEASE ENSURE TO INCLUDE RETIREMENT, UNEMPLOYED. IF THERE ARE GAPS OR THIS IS INCOMPLETE IT CANNOT BE PROCESSED.

START WITH THE MOST RECENT.

Applicant Education History:

PLEASE ENSURE TO INCLUDE ALL EDUCATION FROM ELEMENTARY TO HIGHEST LEVEL OF EDUCATION.

START WITH THE MOST RECENT.

Applicant Address History:

ADDRESS HISTORY PAST 10 YEARS WITH NO GAPS: IF THERE ARE GAPS OR THIS IS INCOMPLETE IT CANNOT BE PROCESSED.

START WITH THE MOST RECENT.

Address
Address
City
State/Province
Zip/Postal
Country
Address
Address
City
State/Province
Zip/Postal
Country
Address
Address
City
State/Province
Zip/Postal
Country
Address
Address
City
State/Province
Zip/Postal
Country
Address
Address
City
State/Province
Zip/Postal
Country
Address
Address
City
State/Province
Zip/Postal
Country
Address
Address
City
State/Province
Zip/Postal
Country
Address
Address
City
State/Province
Zip/Postal
Country
Address
Address
City
State/Province
Zip/Postal
Country
Address
Address
City
State/Province
Zip/Postal
Country
Address
Address
City
State/Province
Zip/Postal
Country
Address
Address
City
State/Province
Zip/Postal
Country
Applicant background information
Within the last 2 years have you or a family member ever had tuberculosis?
Do you have any physical or mental disorder that would require social or health services, other than medication, during a stay in Canada?
Have you ever remained beyond the validity of your status i.e allowed your permit to expire and entered into restoration period?
Have your ever been refused a visa or permit, denied entry or ordered to leave Canada?
Have your ever been refused a visa or permit, denied entry or ordered to leave any other country?
Have you previously applied to enter or remain in Canada?
Have you ever committed, been arrested for or been charged with or convicted of any criminal offence in any country or territory?
Have you ever served in the military?