1.Name, Age and Contact (E-mail address)

2.What is the highest level of education you have completed?

None, or less than secondary school (high school)Secondary Diploma (high school graduation)1 year program at a university, college, trade or technical school2 year program at a university, college, trade or technical schoolBachelor's degree (3 year or more program)Bachelor's degree in one of the following: Medicine, Law, Veterinary, Dentistry, Optometry, Chiropract Medicine, Veterinary Medicine) 2 or more degrees, certificates or diplomas. One must have been for at least 3 yearsMaster's DegreeDoctoral Degree (PhD)

3.Have you taken any English or French language tests? If so, please specify the scores by abilities (Speaking, Listening, Writing, Reading)

4.Provide an estimate of the investment you and/or your company is willing to make in Canada?

Between $ 150,000 and $ 300,000 CADBetween $ 300,000 and $ 500,000 CADBetween $ 500,000 and $ 1,000,000 CADMore than $ 1,000,000 CAD

5.In which province of Canada are you looking to invest?

I have not yet decidedAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon

6.How much experience do you have as a business owner or in a senior managerial position?

Less than 1 year1 to 2 years3 or more yearsN/A

7.Please specify the sector you and/or company is willing to invest?

8.Have you made any exploratory visits to Canada to gather information, network with the purpose of launching a business in Canada?

Yes

No

9.If the investment is to be made by a foreign company that wishes to expand its operations to Canada, then please specify for how long the foreign company has been in the business?

Less than a year1 to 2 years3 years 4 years5 years or more