expression of interest form - entrepreneurial stream · new brunswick provincial nominee program...
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NB-001ES Page 1 of 7 Jan 2019
Expression of Interest Form - Entrepreneurial Stream New Brunswick Provincial Nominee Program (NBPNP)
Candidates applying under the Entrepreneurial Stream must indicate their interest by submitting an Expression of Interest (EOI) as their first step toward immigrating to New Brunswick. An EOI is not an application; It is an expression of your interest in the New Brunswick Provincial Nominee Program.
To be considered for entrance into the EOI pool, you must have an eligible connection to New Brunswick; meet minimum eligibility requirements; score at least 65 points; and present a business concept that demonstrates the potential to provide significant economic benefit to the Province. Candidates will be ranked against others in the pool using a point system based on the information provided in this form. On a regular basis, only candidates with the greatest ability to become economically established in New Brunswick will be selected. Only those selected will receive a written Invitation To Apply (ITA) for immigration to Canada through the NBPNP.
Note: Candidates who meet entry requirements based on their EOI are not guaranteed an Invitation To Apply
Email this completed form to: [email protected] Email subject line: EOI – Entrepreneurial Stream Email body: LAST NAME, First Name and Date of birth (mm-dd-yyyy)
Documents to attach: 1. Expression of Interest Form 2. Color copy of the passport page with your photo, or government photo ID issued within two years prior to submitting an EOI
CANDIDATE INFORMATION Family name(s) exactly as shown on your passport or travel document Date of birth (mm-dd-yyyy)
First name(s) exactly as shown on your passport or travel document Passport no. (if applicable)
Middle name(s) exactly as shown on your passport or travel document Passport expiry (mm-dd-yyyy)
CONTACT INFORMATION FOR ALL CORRESPONDENCE
E-mail address (used for all correspondence) Telephone number ( )
Alternate telephone ( )
Personal mailing address (do not provide a third party or business address)
PO Box Apt./Unit Street no. Street name District
City/Town Province/State Country Postal code
Immigration representative name (if applicable)
Organization
ICCRC No.
CONNECTION TO NEW BRUNSWICK Candidates must identify at least one connection listed below. You must have a verifiable connection prior to submitting an EOI.
Connection Location Date (mm-dd-yyyy)
o
Candidate has participated in an Entrepreneurial Stream information session offered by an official representative from the Government of New Brunswick within the previous 24 months prior to submitting the EOI.
o Candidate had an exploratory visit to NB for at least 5 business days within the previous 24 months prior to submitting the EOI.
o Candidate, or spouse or common-law partner, has been awarded a diploma or certificate that required at least 2 years full-time study at a post-secondary institution in NB after completion of high school.
o Candidate, or spouse or common-law partner, has worked 30 hours per week for at least 12 consecutive months in a high-skilled occupation (NOC O, A, B*) for a company located in NB.
o
Candidate, or spouse or common-law partner, have family (son or daughter over the age of 18 years, brother, sister, mother, father, grand parent, aunt and/or uncle) residing in NB for at least 1 year. The family member must be a permanent resident or citizen of Canada, or dependent children studying in NB.
* For more information about National Occupations Classifications (NOC): Government of Canada (Find your NOC): http://www.cic.gc.ca/english/immigrate/skilled/noc.asp
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FAMILY MEMBERS
Family name Given name(s) Relationship Birth date (mm/dd/yyyy) City and Country of residence Will be included in
your application?
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
PREVIOUS AND CURRENT IMMIGRATON APPLICATIONS Including work permit, study permit, refugee status, temporary resident visa, immigration visa, provincial nominee program
NAME (PRINCIPAL APPLICANT) PROGRAM NAME PROVINCE / COUNTRY DATE APPLICATION
SUBMITTED (mm/dd/yyyy)
PURPOSE, CURRENT STATUS, OUTCOME (If refused, provide
reason for refusal)
PREVIOUS VISITS TO CANADA
NAME LENGTH OF STAY (START / END DATE)
CITY / PROVINCE / TERRITORY PURPOSE
NB-001ES Page 3 of 7 Jan 2019
Age Age (years) Points Proof of birth Max points Score
Candidate’s age will be locked in the day a complete application is submitted to The Department in response to an Invitation to Apply (ITA), and an NBPNP number is assigned
21 or less 0
Date of birth: (mm/dd/yyyy)
10
22-34 5
35-50 10
51-55 5
FAMILY MEMBERS AND RELATIVES LIVING IN CANADA Name
(Last, first) Relationship to
Principal Applicant Status in Canada
Residential address (include postal code) Occupation
Number of years in Canada
FAMILY MEMBER OWNING A BUSINESS AND/OR A PROPERTY IN CANADA (use one line for each business / property)
Name of the Owner (Last, first) Name of the Business Property Detail
(residential/commercial)
Percentage of Shares
(%)
Address (include postal code)
Purchase Date
CANDIDATE SELF ASSESSMENT PROFILE
Key Eligibility requirements Maximum points
Candidate score
Age 10
Language 25
Education 25
Business ownership, or senior management experience 20
Business plan – economic benefit to New Brunswick 15
Adaptability – spouse or common-law partner 5
Total Score (minimum 65 points required) 100
NB-001ES Page 4 of 7 Jan 2019
Education – Canadian, or equivalent Points Proof of education Max points Score
Post-Graduate Master’s degree or Ph.D.
Awarded by a graduate school of a college or university, after completion of a Bachelor’s or Master’s degree
25 Credential:
Major/specialization:
Year completed:
ECA agency:
Canadian equivalency:
25
Post-Secondary Academic degree
Awarded by a college or university for completion of an undergraduate curriculum that required at least three years of full time study
20
Post-Secondary Diploma
Awarded in a specific trade that
study after high school
15
Eligible English language tests: CELPIP-General; IELTS General Training; Eligible French language test: TEF Canada. Language test equivalency charts are available at http://www.cic.gc.ca/english/resources/tools/language/charts.asp. Language test results must be valid (written in the last two years) at all times during the application process. Language test scores must be valid for at least six months as of the day a complete application is submitted to PGD in response to an ITA, and an NBPNP number is assigned.
required at least two years full time
An Educational Credential Assessment (ECA) is required for foreign degrees, diplomas and certificates. ECA’s are valid for five years Recognized assessment agencies: Comparative Education Service (CES); International Credential Assessment Service of Canada (ICAS); World Education Services (WES); International Credential Assessment Service (ICES); International Qualifications Assessment Service (IQAS); Medical Council of Canada; The Pharmacy Examining Board of Canada.
Business ownership, or
Years of experience
Points Max
points
Score
Candidate must own at least 33.3% of a private sector company, and personally involved in the day-to- day operations as the primary decision maker responsible for supervising at least two people
10 in the last 10
20 Current position:
Period:
20
6–9 in the last 10 18
3 in the last 5 15
Senior management experience
Years of experience
Points
Candidate must be a senior manager in a private sector company, and personally involved in the day-to-day operations as a primary decision maker responsible for supervising at least two people
10 in the last 10
12
6-9 in the last 10 10
5 in the last 5 5
First official language CLB Listening Reading Writing Speaking Max Points Score
Candidate must meet the minimum level of Canadian Language Benchmark (CLB) 5 in English or Niveaux de compétence linguistique canadiens (NCLD) 5 in French in all four language abilities
CLB 7+ 5 5 5 5
20
CLB 6 4 4 4 4
CLB 5 3 3 3 3
Test name: ___________________________
Reference number: ____________________________
Test date (mm/dd/yyyy): ____________
Second official language CLB Listening Reading Writing Speaking Max Points Score Candidate must meet the minimum level of CLB 5 in English or NCLC 5 in French in all four language abilities
CLB 5 5 5
Test name: ____________________________
Reference number: ____________________________
Test date (mm/dd/yyyy): _____________
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Describe your business ownership and/or senior management experience including but not limited to years, titles, number of employees, major responsibilities, percentage of shares, etc,
Adaptability – spouse or common-‐law partner Points Comments Max points Score
Completed a program full time study of at least one year at a recognized post-‐secondary institution in New Brunswick after the age of 17 years and with a valid study permit, or 5
5
Completed at least six months of continuous full-‐time employment in New Brunswick Meets the minimum level CLB 5 in English or NCLC 5 in French in all four language abilities (i.e. listening, reading, writing, speaking)
5
Test name: _______________________ Test reference #: ______________________________ Test Date (mm/dd/yyyy): _________
Eligible English language tests: CELPIP-‐General; IELTS-‐General Training; Eligible French language test: TEF Canada;
Business plan -‐ economic benefit to New Brunswick Points Briefly describe how you earned points for each section that applies
Maximum points Score
Candidate will transfer 10 years of business ownership or senior management experience to the same industry and sector in New Brunswick
3
15
Candidate will establish or purchase a business in a key economic sector 3
Business is located outside of Fredericton, Saint John and Moncton 3
Eligible expenses are greater than $500,000 CAD, or 4, or
Eligible expenses are between $351,000 CAD and $499,000 CAD, or 3, or
Eligible expenses are between $250,000 CAD and $350,000 CAD 2
Candidate has identified target market(s) for the NB based business, and
2* Candidate has knowledge of statutes, regulations and by-‐laws
Candidate has identified relevant business resources
Business will increase research, development and technological commercialization
2*
Business will transfer specialized knowledge and expertise to New Brunswick
Business will attract new business activities to New Brunswick
Business will link New Brunswick to global markets and value-‐chains Candidate shall assign points based on the proposed business concept. *Candidate must meet at least two conditions to claim total points.
NB-001ES Page 6 of 7 Jan 2019
BUSINESS CONCEPT You shall provide a business concept of 1,000 words, but not exceeding 1,500 words, specific to your business in NB. If there is not enough space to provide all the necessary information, attach a separate sheet of paper with further details. Print your name at the top of each additional sheet and indicate the title of the element you are answering. (Refer to the Guide for the NBPNP Entrepreneurial Stream NB-002ES for a list of ineligible businesses).
For office use
Elements Description and/or rationale
Business description
NAICS:
Economic Benefit for New Brunswick
Candidate’s prior experience related to business concept
Candidate’s role in the business
Business Resources
Statues, Regulations, Bylaws related to business
Proposed investment amount and rationale for major investment items Investment amount: CAD $ ___________
Provide breakdown:
Location (City, town etc.) – provide the reason(s) for choosing the location
Market analysis – Describe target market? Market trends in NB? Market potential for business in NB?
Source of information:
Provide a competitive analysis
Name of Competitors
NB-001ES Page 7 of 7 Jan 2019
Human resources plan, including # of employees and their job functions
Identify potential risk factors (financial, location, population size etc.)
Note: Candidates who receive an ITA will be required to submit a detailed business plan that corresponds with the business concept submitted in this form.
Personal net worth must be legally obtained. Inheritances, donations and gifts received less than 6 months before an application is received by the Department will not be considered eligible towards your net worth. Candidates who receive an ITA will be required to provide a Personal Net Worth Verification Report through an NBPNP designated third party.
Personal net worth Yes No
Candidate has a minimum personal net worth of $600,000 in Canadian currency
Candidate has a minimum of $300,000 Canadian currency, in unencumbered funds
CANDIDATE DECLARATION
I, , do solemnly declare that the information I have given in the forgoing application is
truthful, complete and correct, and I make this solemn declaration believing it to be t rue and knowing that it is of the same force and effect as if made
under oath. I understand that any false statements or concealment of a material fact may result in my exclusion from the NBPNP. I understand all the
above information, having had the opportunity to ask for or having asked for and obtained an explanation on every point which was not clear to me. I will
immediately inform the NBPNP if any of the information or the answers provided in my application forms change.
_______________________________________________________ ____________________________________________ Signature of Candidate Date (mm-dd-yyyy)
Personal information on this form is collected under the authority of the Immigration and Refugee Protection Act, SC 2001 c.27. The purpose of the collection is to process your application for the New Brunswick Provincial Nominee Program (NBPNP). The information will be used for research, performance measurement and/or evaluation of the Program. If you have any questions about the collection and handling of personal information you may contact the Director of Immigration, Settlement and Multiculturalism Branch, Post-Secondary Education, Training and Labour (PETL) at 500 Beaverbrook Court, Suite 500, Fredericton, New Brunswick, Canada, E3B 5X4. Telephone: (506)453-3981; Facsimile: (506)444-6729; Email: [email protected] ; Website: www.welcomenb.ca.