IMM 0008 (01-2013) E SCHEDULE 11

PROTECTED WHEN COMPLETED - BPAGE 1 OF 2

SCHEDULE 11 ECONOMIC CLASSES - FEDERAL SKILLED TRADES CLASS

Citoyenneté et Immigration Canada

Citizenship and Immigration Canada

The principal applicant must complete this form. Before you start completing this form, make enough photocopies for your needs. You can also print all or part of this form from our Web site at www.cic.gc.ca.

If there is not enough space to provide all the necessary information, attach to this form a separate sheet of paper with further details. Print your name at the top of each additional sheet and indicate the form's title and the number of the question you are answering.

1. Your full name

Family Name

Given Name(s)

2. Your date of birthMonth DayYear

3. Language

a) Which will be your first official language in Canada?

FrenchEnglish

b) Have you taken a test from a designated testing agency to assess your proficiency in English or French?

No

Yes Provide a copy of the test results from the designated agency for speaking, listening, reading and writing.

Note: For your application to be eligible for processing, you must include the results of your official language proficiency test. Your language test results must not be more than two years old at the time you apply.

4. Please select all that apply:

I am currently working in Canada under a work permit

No Yes Provide a copy of your work permit

I have an offer of full-time employment in Canada for a period of at least one year that has been approved by Human Resources and Skills Development Canada (HRSDC), and that is in a skilled trade occupationwhich qualifies for the Federal Skilled Trades Class

No Yes Employer

Address

Occupation

I have a certificate of qualification issued by a provincial/territorial authority in a skilled trade occupation

No Yes Provide a copy of your certificate of qualification

5. Your Work Experiencea) Identify the skilled trade occupation and National Occupational Classification (NOC) that will be used to assess whether your application meets the program

requirements for the Federal Skilled Trades class. You must identify only one (1) four-digit NOC 2011 code.

Occupation NOC

b) Starting with your current job, list all the jobs that you have had in the skilled trade occupation listed in 5a during the past 5 years preceding the date of your application, and after being qualified to independently practice that skilled trade occupation. For each job, identify the dates of employment, the number of years of full-time or equivalent part-time experience, and write a description of your main duties.

List only work experience in the skilled trade occupation that you listed in 5a.

From

Y M D

To

Y M DYears of experience Main duties

Less than 1 year

1 year but less than 2

2 year but less than 3

3 year but less than 4

4 year or more

This form is made available by Citizenship and Immigration Canada and is not to be sold to applicants.(DISPONIBLE EN FRANÇAIS - IMM 0008 F ANNEXE 11)

IMM 0008 (01-2013) E SCHEDULE 11

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5. Your Work Experience (continuation)

From

Y M D

To

Y M DYears of experience Main duties

Less than 1 year

1 year but less than 2

2 year but less than 3

3 year but less than 4

4 year or more

Less than 1 year

1 year but less than 2

2 year but less than 3

3 year but less than 4

4 year or more

Less than 1 year

1 year but less than 2

2 year but less than 3

3 year but less than 4

4 year or more

Less than 1 year

1 year but less than 2

2 year but less than 3

3 year but less than 4

4 year or more

Less than 1 year

1 year but less than 2

2 year but less than 3

3 year but less than 4

4 year or more

6. a) Assets Indicate the total amount of assets, in Canadian dollars

b) Liabilities Indicate the total amount of liabilities, in Canadian dollars

c) Settlement funds Indicate the total amount of unencumbered transferable and available funds that you have in Canadian dollars

$

$

$

SignatureY DM