EBBI Work Permit Assessment — Client Intake (Blank)

How to fill this out: Write dates as Day / Month / Year (e.g. 04 / 07 / 2026). Where a question does not apply, write N/A. Print clearly in block letters. Return by mail, in person, or scan and email to admin@explorebeyondborders.ca. Expected response: 2–3 business days.

1. Which Situation Best Describes You?

This helps us route your assessment correctly. If you're not sure, select the option that seems closest and explain in the notes section at the end.

I am the spouse/partner of someone with Canadian work authorization, and want an Open Work PermitI am being sponsored by my Canadian citizen/PR spouse for permanent residence, and want an Open Work Permit while that application is in processI have a job offer in Canada and need an employer-specific or LMIA-exempt work permitI finished a study program in Canada and want a post-graduation work permitI need another kind of open work permitNot sure — needs guidance from EBBI

2. Personal Information

Last Name

First Name

Date of Birth (D/M/Y)

Gender / sex (as on passport)

Father's full name (as on birth certificate)

Citizenship / Nationality

Email Address

Phone Number

Sex (as shown on your passport) (Female / Male / Another gender)

Place of birth (city)

Country of birth

Native language or mother tongue

Can you communicate in English and/or French? (English / French / English and French / Neither)

3. Passport

IMM 1295 and IMM 5710 ask for these on the passport screen. Sending them now avoids a second call.

Passport number

Country of issue

Date of issue (D/M/Y)

Date of expiry (D/M/Y)

UCI, if you have applied to IRCC before

National identity document number (if you have one)

Country where you live now

Mailing address

Currently Living In (In Canada / Outside Canada)

Current Status in Canada (if applicable)

Current Status Expiry Date (if applicable) (D/M/Y)

4. Section 4

Marital Status

SingleMarriedCommon-lawDivorcedWidowedSeparated

Is a spousal sponsorship (PR) application already submitted to IRCC for this relationship?

Yes — already submittedNot yet — planning to submitNo sponsorship application involved

If submitted, IRCC Application Number / AOR Date (if known)

5. Your Spouse/Partner's Information

Spouse/Partner's Full Name

Spouse/Partner's Status in Canada

Canadian CitizenPermanent ResidentWork Permit HolderStudy Permit HolderOther

If spouse holds a Work Permit: what is their job title and NOC code (if known)?

If spouse holds a Work Permit: is it LMIA-based or LMIA-exempt (if known)? (LMIA-based / LMIA-exempt / Not sure)

If spouse is a Study Permit holder: name of institution and program

6. Section 6

Employer Name

Job Title

NOC Code (if known)

Has the employer indicated whether this position requires an LMIA?

LMIA requiredLMIA-exempt (employer believes so)Not sure

If you believe this is LMIA-exempt, do you know which category? (e.g. intra-company transfer, CUSMA/USMCA professional, significant benefit, reciprocal employment, other trade agreement)

If this may be an intra-company transfer: how long have you worked for this company, and what is the relationship between the foreign and Canadian entities (parent, subsidiary, branch, affiliate)?

Has the employer started the IRCC Employer Portal process / paid the compliance fee? YesNoNot sure

Offer of employment number (if the employer gave you one)

Employer address

City and province of the job

Expected start date (D/M/Y)

Expected end date (D/M/Y)

Wage or salary

Brief description of duties

LMIA number (only if a positive LMIA was issued)

7. Admissibility Screening

Please answer honestly — these questions affect eligibility and require legal review if "Yes."

Any criminal conviction, anywhere, ever (even if pardoned/expunged)? NoYes

Any previous Canadian immigration refusal, removal order, or overstay? NoYes

If yes — country, year, and what happened

Have you previously applied to enter or remain in Canada? NoYes

Have you ever stayed beyond your status, or worked in Canada without authorization? NoYes

Have you served in the military, a militia, or a security organization? NoYes

8. Document Status

Check all documents you currently have ready.

Documents ready — check all that apply

Valid passportJob offer letter (if applicable)Employment reference lettersEducation credentials / transcriptsMarriage certificate (if applicable)Spouse's status document / work or study permitPolice clearance certificate(s)Medical exam (if completed)

Additional Information / Anything Else We Should Know

Client Declaration

I declare that the information provided is true, complete, and accurate to the best of my knowledge. This form is for assessment only, does not constitute legal advice, and does not guarantee any immigration outcome. I have read the Privacy Policy and Legal Notice at explorebeyondborders.ca. I authorize EBBI to share this information with supervising counsel, Atty. George M. Garvida.

☐ I have read and agree to the above declaration

Full name (print)

Signature

Date (D/M/Y)

For EBBI Staff Use Only

Received by

Date received (D/M/Y)

Reference code assigned

Pathway flagged

Online option: explorebeyondborders.ca/immigration-work-permit-assessment.html · Legal Notice: explorebeyondborders.ca/legal-disclaimer.html