Quebec Certificate of Selection Application Form
The following is a rough translation of the French application forms for a Quebec Certificate of Selection. I've tried to make it look as much like the original as possible, within the restrictions of HTML.
Instructions Page One
We thank you for your interest in Quebec.
To allow us to evaluate most precisely your possible chances of success, we are
enclosing the Request for certificate of selection of Quebec (DCS) and
Declaration (D-1-A) forms for a candidate intending to work in Quebec. You will
want to complete the form, sign it and send it to the address indicated below.
The transmission of these forms does not mean that your request will be
accepted.
It is very important that you read the instructions on the first
page of the forms, and that you answer all the questions
accurately and enclose all the documents requested in the appendix.
Your spouse and any children over 18 years old who plan to accompany you must
also complete the DCS form. Your wife must indicate her surname of birth. If
need be, please communicate with our service who will forward the number of
additional specimens of form DCS.
We ask you to note that the Government of Quebec requires expenses for the
study of the file of a candidate pertaining to your category of immigrant. The
payment of these expenses does not imply the acceptance of your request and
they are not refundable in the event of refusal. The exigible rights in your
case are mentioned in appendix.
On receipt of all of the documents and your payment, an adviser from our
immigration service contact you.
We stress to you that the content of our files is strictly confidential;
we do not give any information by telephone on requests for
immigration.
Sincerely yours
The Immigration Service
Instructions Page Two
REQUIRED CONTENTS OF YOUR FILE
READ CAREFULLY
It is essential that all the documents indicated in the following list (and
any others) are included in your file. Your request cannot be discussed if one
or more documents are missing. In order to facilitate the study of your file,
the documents must be forwarded in the following order:
- The payment of the expenses of study of your file: a bank certified
cheque or international cheque certified in Canadian dollars made
payable to the Delegation of Quebec. The payment must imperatively
accompany your request, if not it will returned to you.
- One (1) request for Certificate of selection per adult.
This is the principal applicant, the spouse, any children aged 18 years
or older, and anyone else accompanying you. One (1) passport photograph
for each person (adult and children) fastened to box 21 of the DCS of
the principal applicant.
- The declaration of a candidate intending for the labour market
(D-1-A).
- For you and your spouse, one (1) copy certified with the original and,
if necessary, an official translation in French of:
- All your diplomas and certificates of studies other than the primary
level classified and fastened by decreasing chronological order;
- Your certificates of work or notebook of work for the last ten years
classified and fastened by decreasing chronological order. The pay
slips are not accepted. The certificates of work on headed notepaper
of the company must indicate the location of the employer clearly,
specify the occupied function and provide a short description of the
position. They must moreover be signed and carry the name and the
function of the signatory.
- A statement of banking operations indicating the operations and the
balance of your accounts for the last month, and a copy of your up to
date savings account.
- A curriculum vitae (C.V.) up to date in French.
- A fastened photocopy of six the first (6) pages of your passport and
that of each person who will accompany you.
- A certified photocopy of the certificate of marriage and certificates of
birth of each child or certified photocopy of the notebook of family. If
necessary, a certified photocopy of the certificate of divorce or death
of the husband/wife.
- For the non-married people: if necessary, a certified photocopy of your
certificate of cohabitation or another official documentary evidence
attesting your common life.
- FOR PEOPLE LIVING IN FRANCE WHO DO NOT HAVE FRENCH NATIONALITY: A
certified photocopy of your residence permit proving your residence
in France.
Please make sure that all your documents are included in the order
indicated before forwarding to us.
Instructions Page Three
Table of Exigible Rights
The cost for the examination of a request for a certificate of selection or
commitment are calculated by taking into account the category of immigration
and the number of people accompanying the principal applicant. The category
associated with your request is notched in the rectangle provided for this
purpose:
| X |
|
WORKER |
CAD $ |
| |
Principal Applicant |
300 |
| |
Spouse |
100 |
| |
Each dependant child |
100 |
| X |
|
CONTRACTOR OR AUTONOMOUS WORKER |
CAD $ |
| |
Principal Applicant |
700 |
| |
Spouse |
100 |
| |
Each dependant child |
100 |
| X |
|
FAMILY SPONSORSHIP |
CAD $ |
| |
Husband, wife or fiancé |
250 |
| |
Each dependant child |
100 |
| X |
|
Investor |
CAD $ |
| |
Principal Applicant |
850 |
| |
Spouse |
100 |
| |
Each dependant child |
100 |
PAYMENT OF EXIGIBLE RIGHTS
The exigible payment of duty must be carried out in Canadian dollars by
certified bank draft or certified international cheque, fastened to
the Request of certificate of selection and made payable to the
Délégation générale du Quebec.
N.B.: We must emphasise that a file must be accompanied by the payment.
Any file not accompanied by the payment, or containing a personal cheque or a
payment in different currencies than Canadian will be returned to you.
It is also significant to mention at the time of the deposit of your request,
the name of the people with load who will not accompany you and their dates of
birth.
* The rights of the spouse are the same as those of the principal
applicant.
Instructions Page Four
NOTE
Before completing the enclosed form, we invite you to read the following
information very carefully:
The candidates are evaluated according to the experience and training level of
work. Therefore the selected candidates will generally have a profile meeting
the following characteristics:
- From 23 to 35 years of age;
- Excellent control of French (the knowledge of English is a useful asset,
often necessary to Quebec);
- A formation sanctioned by a diploma. The candidates having a double
formation present a greater possibility of professional mobility;
- A minimal experience of six months work. A diversified experience is
also an asset;
- A good knowledge of Quebec;
- Sufficient financial resources to ensure endurance of the first months
of life in Quebec;
- Certain professions presents better employment opportunities in Quebec.
They are the following:
- Agent of program, researcher and expert-council in natural science
and implement, person in charge of interface in the multi-media
- Agronomist, adviser and specialist in agriculture, specialize in
council-popularization (fertilization)
- Analyst of information processing systems
- Audiologist and speech therapist
- Dietician and nutritionist
- Ergothérapeutes
- Engineer in aeronautics
- Chemical engineer
- Electrical engineer and electronics specialist
- Data processing specialist
- Engineer of industry and of manufacture
- Mechanical engineer
- Toolmaker-fitter
- Programmer
- Technical writer with maitrise of French and of English
- Ruler-driver of machine tool with numerical control
- Interactive scenario writer in multi-media
- Wholesale sales specialist
- Welder-assembler
- Technologists specialized in analysis of maintenance for the
industrial instruments
- Technologists and technicians in electronic and electric engineering,
specialized in instrumentation and automation
- Technologists and technicians in mechanical engineering
- Translators specialized in the fields technique and scientist with
maitrise of French and English
The fact of working in one of these professions in your country does not
mean that your candidature will be retained.
- In addition, certain professions are inadmissible and we cannot retain the candidatures of the people who work in them. They are the following:
- Acupuncture
- General practitioner
- Architect
- Doctor
- Lawyer and notary
- Optometrist
- Chiropractor
- Pharmacist
- Dental Surgeon
- Chiropodist
- Dentist
- Teaching at nursery school, or primary School
- Technology secondary in radiology diagnoses
- Sage-femme
- Auditor
- Veterinary Surgeon
- Topographer
- Huissier
- Nurse
- Civil engineer, Engineer of extraction and the refining of oil,
Geologist and mining
* VERY IMPORTANT *
If after having reading all of the provided information, you evaluate that you
can meet our criteria, you can complete the application according to
prescribed instructions' and forward it to us accompanied by the payment of
the expenses required for the study of your file. The fact of presenting
your dossier and of paying the expenses required does not guarantee the
acceptance of your request. Your payment must accompany your file.
Instructions Page Six
Declaration of a candidate intending to work in Quebec
I, the undersigned __________________________________________, declare that:
I understand that I am likely to have difficulties obtaining employment in
Quebec corresponding to my education or my experience and that taking account
of foreseeable delays until my arrival in Quebec, the market situation of work
could have changed and may have deteriorated.
I wish nevertheless to continue my project of establishment in Quebec.
I understand that it is my responsibility to assume the financial expenses
connected to my establishment and, if necessary, with that of my family in
Quebec. As indicated in box 17 of my application for certificate of selection,
I declare that I will arrive at Quebec with the sum of _________, if I am
accepted as a permanent resident.
I authorize the ministry of citizens and Immigration of Quebec to share,
if necessary, information relating to the amount of money declared in this
document to the Canadian immigration authorities and public organizations,
specifically the ministry for the Security of income of Quebec.
| Signed by _____________________________ |
on __________________________________ |
| _________________________________ |
_________________________________ |
| Candidate |
Partner |
NOTE: Please return this declaration with your file.
INSTRUCTIONS TO FILL THE FORM
Carefully read the instructions before filling the form
HOW TO FILL IN THE FORM
- Please fill the form with the typewriter or in PRINTED LETTERS, with
black ink. If a question does not apply to you, enter S/O (without
object).
- If you lack space, please supplement your answer on a separate sheet,
identified by the number that appears to the left of each section of
the form.
- With sections 1 and 4, a married woman registers her surname of
birth.
- With section 20, do not forget to sign your request.
- With section 21, the principal applicant must attach his/her photograph,
and that of their partner and those of his/her dependent children. When
the spouse or a dependent child fills the form, they attach only their
own photograph on it.
WHO IS REQUIRED TO FILL IN THE FORM?
- The principal applicant.
- The spouse with whom they are legally married and who accompanies them
- The dependent children of the principal applicant, or that of united,
aged 18 years or more, or less than 18 years if married, and who are
accompanying their parents.
DEFINITION OF DEPENDENT CHILDREN
- The child who is less than 19 years old and who is not married (single
person, widower or divorced).
- The child who is 19 year old or more, who is not married (single person,
widower or divorce), who has been studying* full-time since the date of
their 19th birthday and who is entirely or mainly financed by their
parent.
- The child who is married and younger than 19, who has been studying*
full-time since the date of their marriage and who is entirely or
mainly financed by their parent.
- The child who is 19 years old or more, who suffers from a physical or
mental incapacity which makes them unable to provide for their own needs
who is entirely or mainly financed by their parent.
* This student must be registered in an educational establishment and to follow there, full-time and without interruption, other than for an interruption of not more the one year, courses of general, vocational or technical training.
(1) IDENTIFICATION
| Surname at birth |
First Name |
| ______________________________________________ |
________________________________ |
| Other name that you have uses or under which you have
| | été connu(e), including married name |
Sex |
| ______________________________________________ |
O Male O Female |
| Date of Birth |
Birthplace |
| Year Month Day |
Town Province/State Country |
| ____ __ __ |
________________________________________________________ |
| Citizenship Nationality (if it is necessary) |
passport or ID card number |
| _____________________________________ |
_____________________________________ |
|
| (2) CURRENT FAMILY CIRCUMSTANCES (If your situation changes, warn us immediately) |
| O Single |
O Married |
O Divorced |
O Marriage Annulled |
O Fiancé |
O Separated |
O Widowed
|
| Date and place of the marriage |
| Year Month Day |
City Country |
| ____ __ __ |
______________________________________ |
| Have you been married more than once? Yes No |
|
| (3) PERMANENT ADDRESS |
| Number |
Street |
City |
Province / State |
Post Code |
Country |
| ______ |
_________________________ |
_______________ |
_____________ |
_________ |
_____________ |
| Postal address, if different |
| _______________________________________________________________________________ |
| Telephone No |
| Home |
Work |
Other (specify) |
| __________________________ |
__________________________ |
__________________________ |
| Fax No |
| Home |
Work |
Other (specify) |
| __________________________ |
__________________________ |
__________________________ |
|
| (4) DEPENDANTS ACCOMPANYING YOU (your spouse, your dependent children, and dependent children resulting from this child). For the definition of a dependent children, see the instructions on the detachable page. |
| Family name at birth |
First Name |
Degree of relationship |
DOB |
Town of Birth |
Nationality |
| |
Year Month Day |
| ______________ |
______________ |
______________ |
____-__-__ |
______________ |
______________ |
| ______________ |
______________ |
______________ |
____-__-__ |
______________ |
______________ |
| ______________ |
______________ |
______________ |
____-__-__ |
______________ |
______________ |
| ______________ |
______________ |
______________ |
____-__-__ |
______________ |
______________ |
| ______________ |
______________ |
______________ |
____-__-__ |
______________ |
______________ |
|
| (5) ADDRESS OF YOUR SPOUSE AND YOUR DEPENDENT CHILDREN (if different from your permanent address |
| Number |
Street |
Town |
Country |
Telephone |
Fax |
| _____ |
_________________ |
_________________ |
_________________ |
_________________ |
_________________ |
|
| (6) SYNOPSIS OF STUDIES |
| No of Years |
Language |
No of Years |
Language |
No of Years |
Language |
| Secondary |
Post-secondary |
University |
| ____ |
________ |
____ |
________ |
____ |
________ |
|
| (7) PRIMARY, SECONDARY AND POST-SECONDARY EDUCATION (EXCEPT UNIVERSITY) |
| |
Primary |
Seconday |
Post-Secondary |
| Duration |
From To |
From To |
From To |
| |
______ ______ |
______ ______ |
______ ______ |
| Establishment |
_____________ |
_____________ |
_____________ |
| Specialisation |
_____________ |
_____________ |
_____________ |
| Certificates obtained |
_____________ |
_____________ |
_____________ |
|
| (8) UNIVERSITY EDUCATION |
| |
1 |
2 |
3 |
| Duration |
| Establishment |
| Specialisation |
| Certificate obtained |
| OTHER EDUCATION WITH DIPLOMAS OR CERTIFICATES (SPECIFY) |
| |
|
| (9) PROFESSIONAL EXPERIENCE: employment in the last ten years: |
| Duration |
Name and address of employer |
Occupation |
| From |
To |
| Year Month |
Year Month |
| ____-__ |
____-__ |
_________________________________ |
_________________ |
| ____-__ |
____-__ |
_________________________________ |
_________________ |
| ____-__ |
____-__ |
_________________________________ |
_________________ |
| ____-__ |
____-__ |
_________________________________ |
_________________ |
| ____-__ |
____-__ |
_________________________________ |
_________________ |
| ____-__ |
____-__ |
_________________________________ |
_________________ |
| ____-__ |
____-__ |
_________________________________ |
_________________ |
|
(10) Languages
|
French |
English |
|
Excellent |
Good |
Poor |
None |
Excellent |
Good |
Poor |
None |
| Understanding |
| | | |
| | | |
| Speech |
| | | |
| | | |
| Reading |
| | | |
| | | |
| Writing |
| | | |
| | | |
What is your main language? ________________
Do you speak any other languages? If yes, which? _______________
|
|
(11) WERE YOU ALREADY MEMBER OF AN ASSOCIATION SUPPORTING THE CULTURAL
OR ECONOMIC RELATIONS BETWEEN QUEBEC AND YOUR COUNTRY? IF SO, SPECIFY:
| Duration |
Name/Address of Association |
Type of Association |
Post Occupied |
| ________ |
____________________________________ |
___________________ |
_______________ |
|
|
(12) HAVE YOU ALREADY PRESENTED:
| A request for temporary stay in Canada? |
O No |
O Yes |
| Province: ___________ |
Date: ___________ |
| O Accepted |
O Refused |
O Waiting for decision |
|
| A request for immigration to Canada or another country? |
O No |
O Yes |
| Country: ____________ |
Date: ____________ |
| O Accepted |
O Refused |
O Waiting for decision |
|
(13)
A) ARE YOU CURRENTLY RESIDENT IN QUEBEC?
O No O Yes
If so, when? __________________
B) PLEASE SPECIFY THE REASONS FOR YOUR STAY OR FORMER VISITS TO QUEBEC:
| DATES |
| ___________________________________________ |
Tourism |
O No |
O Yes |
| ___________________________________________ |
Work |
O No |
O Yes |
| ___________________________________________ |
Study |
O No |
O Yes |
| ___________________________________________ |
Refugee Status |
O No |
O Yes |
| ___________________________________________ |
Business Trip |
O No |
O Yes |
| ___________________________________________ |
Other (Specify) |
O No |
O Yes |
|
(15) Do you have an offer of employment in Quebec?
O No O Yes
If Yes, O Written O Verbal
| Name of Employer |
Address |
Telephone |
Employment offered |
| ________________ |
___________________________ |
___________ |
__________________ |
|
(16) Do you have relations or friends in Quebec?
O No O Yes
If yes, specify:
| Name |
Address |
Relation to you |
| ______________________ |
____________________________________________ |
_______________ |
| ______________________ |
____________________________________________ |
_______________ |
| ______________________ |
____________________________________________ |
_______________ |
| ______________________ |
____________________________________________ |
_______________ |
|
|
(17) HOW MUCH MONEY DO YOU HAVE TO ESTABLISH YOURSELF IN QUEBEC AS A
PERMANENT RESIDENT?
AMOUNT IN CANADIAN DOLLARS: ______________________
|
(18) LIST THE ADDRESSES YOU HAVE LIVED AT IN THE PAST TEN YEARS:
| Duration |
Street |
Town |
Province/State |
Country |
| From |
To |
| Year |
Month |
Year |
Month |
| ____ |
__ |
____ |
__ |
__________________________ |
___________________ |
______________ |
______________ |
| ____ |
__ |
____ |
__ |
__________________________ |
___________________ |
______________ |
______________ |
| ____ |
__ |
____ |
__ |
__________________________ |
___________________ |
______________ |
______________ |
| ____ |
__ |
____ |
__ |
__________________________ |
___________________ |
______________ |
______________ |
| ____ |
__ |
____ |
__ |
__________________________ |
___________________ |
______________ |
______________ |
| ____ |
__ |
____ |
__ |
__________________________ |
___________________ |
______________ |
______________ |
|
|
(19) IN WHICH TOWN OR REGION OF QUEBEC DO YOU DESIRE TO LIVE?
____________________________________________________________
|
|
(20)INFORMATION
The information required by this form is necessary for the study of your
request for certificate of selection. Any omission or refusal to answer can
result in a rejection of the request. The access to the information which
you provide is reserved only for people authorized under the terms of the
provisions of the Law on the access to the documents of public organizations
and the protection of personal information (L.R.Q., C A-2.1). You can be
informed of the information concerning you held by the minister responsible
for the application of the Law on immigration to Quebec and, if it is
necessary, to ask for correction in writing of it. For further information,
write to the office that handles your request.
The minister can communicate personal information recuelli by the present
request to the Canadian authorities of immigration and Quebec public
organizations if this communication is necessary or application of a law to
Quebec.
DECLARATION OF THE APPLICANT
I understand that the minister responsible for the application of the Law
on immigration to Quebec can cancel or declare null and void a certificate
of selection delivered on the faith of information or false or misleading
documents, by error or when the requirements for the delivery of the
certificate of selection ceased existing.
I declare that information provided in this request is exact and complete
and I understand that the minister can check the accuracy of this information
and that I break the law if I communicate information to the minister,
investigator or the inspector which I know to be false or misleading with a
request for certificate of selection.
In witness whereof, I signed at
TownDate
Signature:
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|
(21) Attach a passport format photo of yourself and people who will
accompany you (your spouse, your dependent children and that of your spouse
and dependent children resulting from this child).
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