M o o s e J a w R N I P P a g e * *

Application for Community Recommendation

Applicant Information

Please select: Single Applicant Applicant with Spouse First Name: Last Name:

Email:

Phone:

Spouse Information (if applicable)

First Name: Last Name:

Email:

Phone:

Required IRCC Forms and Documents

• IMM 5911 (Schedule 1 - Rural and Northern Immigration Pilot)

• IMM 5984 (Offer of Employment to a Foreign National)

• Copy of the biographical data page of a passport or travel document Community Criteria & Supporting Documentation

1. Language proficiency: English French

Required documentation: Official language test

2. Qualifications

Briefly describe your highest level of education or training: Required documentation:

• Qualifying educational credential: Copy of Canadian certificate/diploma/degree OR educational credential assessment (ECA)

Attal Wafa

ad08m1@r.postjobfree.com

213*********

Attal Wafa

ad08m1@r.postjobfree.com

+213*******

J'aimerais bien avoir se travaille je suis vraiment dans le besoin M o o s e J a w R N I P P a g e 2 5

3. Work experience

Briefly describe your work experience:

Required documentation:

• Resume and cover letter

• Employment/work experience reference letters for jobs you have held in the last 3 years. These letters should:

o be an official document printed on company letterhead and include:

the candidate’s name,

the company’s contact information (address, telephone number and email address),

the name, title and signature of the immediate supervisor or personnel officer at the company; and

o indicate all positions candidate held while employed at the company, as well as:

job title,

duties and responsibilities,

job status (if current job),

dates worked for the company,

number of hours per week and annual salary plus benefits 4. Voluntary or mandatory certifications obtained relating to job offer, if applicable Briefly describe your certifications:

Required documentation: Copy of Canadian license/certificate or registration with regulatory body. 5. Connection to the community

Provide a description of your connection to the community. Candidates must have an immediate family member (parent, sibling, child), extended family member (grandparent, uncle, aunt cousin, niece, nephew), or friend living in Moose Jaw for a minimum of 1 year to receive points for this criterion. Note that the family member or friend must be a Canadian citizen or permanent resident. Briefly describe your relationship(s):

A template for a work experience letter can be found here. J'ai travaillé comme vendeuse, j'ai travaillé femme de ménage, j'ai travaillé garde malade J'ai Un niveau de bac

Je suis lesbienne et je suis dans une relation

M o o s e J a w R N I P P a g e 3 5

Required documentation: Support letter written by family member or friend including the name, relationship history, contact information, and description of how the family member or friend will assist the candidate with settlement in Moose Jaw.

6. Licensed to drive a vehicle: Yes No

Required documentation: Canadian driver’s license, license issued from country of origin, written confirmation letter from the original licensing agency, or international driving permit. 7. You reside in Moose Jaw currently or previously: Yes No Required documentation: Copy of lease agreement or mortgage statement, letter from their financial institution, or residential bills (electricity, telephone, gas, etc.) 8. Knowledge of Community (for candidates who have not resided in Moose Jaw) Provide a brief description of your knowledge of Moose Jaw. Candidates must have visited Moose Jaw for at least 2 nights in the last 3 years to receive points for this criterion. Required documentation: Copy of hotel receipts and contact information for the employer(s) that the candidate met with during their visit.

The following factors are reserved for those applicants with a spouse or common-law partner who also intends to come to Moose Jaw with the principal applicant.

9. Spouse’s language proficiency:

Has your spouse (if applicable) completed an approved language test in either English or French in the past 5 years? Yes No

If yes, at which language level have they been assessed? Required documentation: Official test results (less than 5 years old) OR participation in an interview. 10. Spouse’s job

Does your spouse have a job within the community or a job offer within the community? Yes No

Required documentation: Copy of job offer.

11. Spouse’s work experience

Does your spouse have at least 1,560 hours of full-time or part-time work experience in the last 3 years? Yes No

Briefly describe the spouse’s work history:

Yes

J'aimerais bien travailler importe quelle travaille M o o s e J a w R N I P P a g e 4 5

12. Does your spouse reside in Moose Jaw currently or previously? Yes No

Required documentation: Copy of lease agreement or mortgage statement, letter from their financial institution, or residential bills (electricity, telephone, gas, etc.) M o o s e J a w R N I P P a g e 5 5

Additional Information

You may include any relevant information that helps support your application and intention to reside in Moose Jaw.

Declaration & Signature

I confirm that the information given in this form is complete and accurate. Signature Date

Personal information is collected in compliance with the Municipal Freedom of Information and Protection of Privacy Act. Personal information is collected for the purpose of issuing community recommendations for the Rural and Northern Immigration Pilot. None of your personal information will be shared, sold, or otherwise released to any third party without your consent. Any questions about this collection should be directed to the Program Coordinator (ad08m1@r.postjobfree.com). Yes

Attal 17 novembre, 2023

Contact this candidate