Application For Caq Form – Fill Out and Use This PDF

In 1.1, mark Yes or No: have you ever applied for temporary selection for work or for any other temporary selection? If so, provide your individual reference number or application number.

In 2.1, check the box corresponding to the stream for which you are applying for temporary selection: a job that is part of the Global Talent Stream, a job that falls under the In-home caregiver category, a job in primary agriculture, a high-wage job or a low-wage job.

In 2.2, if it is a high-wage or low-wage job, mark Yes or No: is it part of the list of occupations eligible for facilitated processing?

In 3.1, enter the last name(s) and first name(s) listed in the passport, select the gender, and enter the passport number you use to enter Canada, its validity period (start date and end date, year/month/day), the ID card number (if applicable), the citizenship and the date of birth (year/month/day).

In 3.2, under Place of birth, enter the city, province or state and country or territory.

In order for your application to be reviewed, the employer who is offering you a temporary job (for a fixed period) must concurrently submit a Labour Market Impact Assessment (LMIA) application to Employment and Social Development Canada (ESDC).

Do not fill out this application if your employment category is not affected by a LMIA, if no work permit is required for the position proposed, if the duration of the job is 30 days or less, or if the position offered is not remunerated.

In 3.3, enter the address of your current place of residence. In 3.4, mark Yes or No: do you live in Québec? If so, please specify your immigration status.

In 5.1, you must declare all members of your family (your spouse or common-law partner and your dependent children, if applicable) who are still abroad and who are accompanying you or will accompany you to Québec. Use a separate sheet if necessary.

In 6.1, enter the name of the company and the company number with the Registre des entreprises du Québec. In 6.2, enter the main address of the company. In 6.3, mark Yes or No: do you have legal or effective control, directly or indirectly, in whole or in part, over the company?

In 7.1, enter the title of the position offered. In 7.2, enter the National Occupational Classification (NOC) code that corresponds to the job being offered.

In 7.6, mark Yes or No: are you currently employed in the position offered? If so, enter when you started the job (year/month/day), the hourly wage and the number of hours per week offered.

In 7.7, mark Yes or No to: I undertake to stay and reside in Québec for the duration of the employment covered by this temporary selection application. A refusal to commit on your part will result in the rejection of this application.

In 8.1, indicate all the diplomas obtained, starting with the most recent, with the exception of the one corresponding to elementary school. Specify N/A if you do not have secondary or postsecondary studies.

In 9.1, indicate only relevant work experience for the temporary position offered in Québec. Work experience must have been acquired legally in full-time or part-time paid jobs. If you have no relevant work experience, specify N/A (not applicable).

In 10.1, you must declare your residency status in Québec for the past six years. Please check the box that applies to you.

In 10.2, mark Yes or No: have you been absent from Québec for a continuous period of two years or more, either while holding a work permit or between permits, in the last six years? If so, please indicate the dates of the periods you were away.

In 11.1, mark Yes or No: are you using the services of a paid person to advise, assist or represent you? In 11.2, if yes, check the box for a lawyer or notary who is a member of the Barreau du Québec or the Chambre des notaires du Québec, a person with special authorization from either, an immigration consultant or another paid individual.

In 12.1, you are free to grant or not authorization to the employer who is offering you temporary employment in Québec. Consent is optional and refusal to grant authorization will have no consequences on the processing of your application.

Check I refuse to give my future employer the power to represent me before the Ministère, or I give the representative of my future employer, Mr. or Mrs. , the power to represent me before the Ministère.

In 14.1, under I declare that, check the box: the information in this application and the appended documents is complete and accurate. You will notify the Ministère of any change in the answers given on this application within 30 days of such change. The job offer is not on behalf of a company over which you exercise control.

Check the box under I commit to.

Check the box under I understand that the Ministère may.

Under In witness whereof, I signed in, enter the city and country, the surname(s) and first name(s) of the worker (main applicant), the signature of the worker (main applicant) and the date (year/month/day).

Original handwritten signature, photocopied handwritten signature, handwritten signature applied using a technological device (such as a stylus, touch screen, or mouse) and digitized handwritten signature are accepted. Other types of signature (digital or typed) are not accepted.

In 13.1, the personal information collected by the Ministère in this form is used to process your temporary selection application.

Payment of applicable fees must be made in the employer's Arrima profile for the high-wage, low-wage and global talent streams. For the In-home Caregiver stream, the Seasonal Agricultural Worker program and the Agricultural stream, payment must be enclosed with the application and sent by mail.

You must pay in Canadian currency. Cash and personal cheques are not accepted.

The fees to review your application are non-refundable.

Send all the documents directly to the employer who is offering you temporary employment.