LMIA Assessment Form

Questionnaire: Labour Market Impact Assessments LMIAs and ICT IntraCompany Transfers – Hiring Foreign Workers

Full Name *

Email Address *

Phone Number *

Nationlity *

Employer information

Contact name

Phone number

Email address

City

Are you the employer?

Yes

Are you a foreign worker?

Yes

Employer section

Name of company

City

Location of employment

Year company started

Looking to hire # of foreign workers: number

Positions offered / job titles

All same positions – multiple positions

Hourly salary offered for each position: $

NOC – TEER code if known

Full – part time, # hours / week

Start date required

Previous LMIA applications No | Yes, details

Previous LMIA refusals: when, details

Any recent layoffs in this position

Annual sales in CAD$

Do tax returns and financial statements show a positive cash flow to cover these positions

Number of employees

If a branch, # of locations

Number of employees worldwide

Number of foreign workers on LMIA work permits

Have candidates already been identified for some or all positions

Foreign worker information: list all known, copy paste if more than one

Name of applicant

Age

Nationality

City of current residence

Do they require entry visas for Canada

Marital status

Children #, ages

English language skills: none – basic – fluent

Any prior visa refusals

Medical issues

Criminal – police record anywhere

Current occupation

Experience in position offered

Is worker coming alone, or wishes to bring spouse, family

Is worker currently in Canada

Is worker currently working for you now

Entry date

Their status in Canada

IntraCo transferees

Current position held

Current location

Start date with company

Current salary

Brief job description

New transfer position offered

New location

Start date desired

New salary offered

Is this position senior manager – executive, or specialized knowledge

Misc notes: anything you wish us to know that may impact this application

LMIA Assessment Form