Eligibility Assessment

Please provide your full legal name

Please provide your e-mail address:

Please provide your date of birth:

Please provide your place of birth (City/town and Country) :

What is your current home address? (Please include City and Country) :

Have you used the services of any other immigration agency / agencies / advisers? If ‘Yes’, please state their name and the immigration matter they assisted you with:

What is your living situation? (Renting / Homeowner) :

Where are you currently located? (City, Country) :

What is your Marital Status? (Single / Married / De Facto / Divorced / Separated / Widowed)

Have you lived and worked in any other countries other than your home country? If ‘Yes’, please provide the dates (from mm / yyyy to mm / yyyy )

Do you have a valid passport from your country of citizenship? If not, have you already applied for your passport?

Do you currently hold a valid passport for any / all these citizenships? If ‘Yes’ please give the name/s of the country or countries that you have passport/s for:

Have you ever been sentenced to imprisonment for a term of five years or more (including and suspended sentences or any expunged criminal records)?

Have you been sentenced to imprisonment for a term of 12 months or more (whether on one visit or intermittently) within the last 10 years (including any suspended sentences or any expunged criminal records)?

Have you ever been excluded from any country?
YesNo

Have you ever been removed or deported from any country?
YesNo

Have you ever refused entry to any country (including New Zealand)?
YesNo

Are you currently:
Under investigation for any offence in your home country or any other country?Wanted for questioning for any offence in your home country or any other country?Facing charges for any offence in your home country or any other country?None of the above

Have you been convicted at any time of any offence, including any driving offence, in your home country or any other country?

If you have answered 'Yes' to any of the above questions please provide more details:

Have you ever applied for a police clearance? If ‘Yes’, please give reasons for applying:

Do you have any of the following medical conditions:
severe haemophiliatuberculosis (TB)exposed to, or been diagnosed with, any infectious or communicable disorderare you receiving, or have received, any treatment for any psychiatric condition or developmental disorderDo you require, or are you likely to require, dialysis treatment in the immediate futurea medical condition(s) that requires regular medicationsuffer from any other health problems or conditions

If you have selected any of the above please provide an explanation of your selected medical condition(s):

Are there any health or character issues that we should be aware of? If Yes please provide details:

Briefly discuss the reasons why you are considering immigrating at this moment in time, to enable us to better understand your motivation and expectations.

Have you ever visited New Zealand? If ‘Yes’, how many times and how long did you stay each time (from mm / yyyy to mm / yyyy for each visit).

How do you rate your English language proficiency? AdvancedIntermediateBeginner

Have you previously taken an English language test? If ‘Yes’, which one of the following language tests did you take:
IELTS AcademicIELTS GeneralPTE AcademicCambridge English B2 First (FCE) or B2 First for Schools (FCE for Schools)TOEFL iBTOET

If you have selected any of the above tests please provide the test name and the overall score

Do you have citizenship of Canada, the United Kingdom, the Republic of Ireland or the United States of America? If 'Yes' please specify for which country.

Do you have 5 years of working or studying in one or more of the above countries or in Australia or New Zealand? If ‘Yes’ please state which country and for how long (how many years and/or months):

Do you have a Bachelor degree gained in either Australia, Canada, New Zealand, the Republic of Ireland, the United Kingdom or the United States of America? If ‘Yes’ please state in which country

Do you have any other qualifications gained as a result of studies undertaken for at least two academic years in one or more of the above countries? If ‘Yes’ please state in which country

Do you have any other graduate qualifications gained in either Australia, Canada, New Zealand, the Republic of Ireland, the United Kingdom or the United States of America as a result of studies undertaken for at least one academic year in one or more of the above countries? If ‘Yes’ please state in which country

Have you ever completed any English language courses? If ‘Yes’ please state the name of the course, the type of study (full-time / part-time), the length of study (from mm / yyyy to mm / yyyy).

Have you ever worked for a multinational company where business was conducted in English? If yes, please provide the name of the company and for how long you worked there (years and / or months)

Please provide the full name of all qualification(s) you have completed (please select all that apply)

Please provide the name(s) of the educational institution(s) or organisation(s) where you gained your qualification(s). If you have more than one tertiary qualification, please list all tertiary qualifications (please include the name(s) of the city/ies where the educational institution(s) is/are located)

Please list the start and completion dates for your training / studies in order to complete your qualification(s) (from mm / yyyy to mm / yyyy)

Was/were the study/ies or training:
full timepart time

What is your current occupation?

What is your current position title (if different from your occupation)?

Please provide the name of the business (organisation) including city and country where you are currently working

When did you start working in this position? (mm & yyyy)

What is your notice period?

Please provide a list with all your occupations in the last 10 years by giving the following details: occupation and position title (if different from your occupation) - From mm / yyyy to mm / yyyy - Name of Employer / Business (Organisation) name / city / country - Type of business.

Are you able to provide references for any or all of the above employment periods?
YesNo

If any of the above businesses / employers cannot give you a reference, can these employment periods still be verified by other means ?
service recordsofficial company recordscertificates of serviceemployment contractstax records showing employer namesbank statements showing income from employerspayslips