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Assessment Form

Please complete the following form, and we will get back to you with the result of our preliminary assessment as soon as possible


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Yes/No
Canadian Citizen/Permanent Resident
City/Province
Spouse/Common-law partner
Please provide job title, and job main duties
Yes/No
Canadian Citizen/Permanent Resident
City/Province
I am submitting this information voluntarily and I agree that the personal information I am providing is to be used for assessment purposes by MCICS, and no other party shall have access to this information.