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Name: ___________________________________
NBPNP Express Entry Labour Date of Birth (mm,dd,yy):___________________
Market Stream Self-Assessment Form Citizenship: ______________________________
New Brunswick Provincial Nominee Program
Country of Residence: _____________________
Job Seeker Validation: _______________________ Email: ___________________________________
Express Entry Key #:________-________________ NOC (intended occupation):________________

INDICATE YOUR CONNECTION TO NEW BRUNSWICK

Working or studying in NB: ____________________________________________________________________________________

Participated in a NBPNP Event _________________________Location:________________________Date:___________________

Open Occupation: ___________________________________________________________________________________________

ELIGIBILITY REQUIREMENTS

Selection Factors Points Grid Score


Points
Age Age Pts Age Pts
Age (min. 22- max. 55) (Pts) Date of birth (dd,mm,yy):

12 = maximum points 22-35 12 39 8 43 4 ______________________________


36 11 40 7 44 3
47+ = no points awarded
37 10 41 6 45 2

38 9 42 5 46 1
Canadian
Language
Read
Benchmark Speak Pts Listen Pts Write Pts
Pts
(CLB) Minimum
Results
First official language
(of Canada) CLB 9+ 6 6 6 6

24 = maximum points CLB 8+ 5 5 5 5


CLB 7+ 4 4 4 4
Second official CLB Minimum Pts
language
(of Canada)
CLB 5+ 4
4 = maximum points
Highest Level of Education Pts

University - doctoral level degree or equivalent (PhD) 25


University degree at the Masters level or equal OR university level
Education entry-to-practice professional degree (or equal). Occupation related
to the degree must be NOC 2011 Skill Level A, and
25 = maximum points -licensed by a provincial regulatory body. 23
Must be in one of these fields of study: Medicine, Veterinary
Minimum high school Medicine, Dentistry, Podiatry, Optometry, Law, Chiropractic
graduation certificate,
high school diploma,
Medicine or Pharmacy.
or equivalency certificate Canadian post- secondary two or more degrees, diplomas or
22
equivalent for a program of at least three years
Foreign Educational
Credential Assessment (ECA) Canadian post-secondary one degree or diploma or equivalent for
21
test score result a program of at least three years
Canadian education - original Post-secondary degree or diploma for a two-year program, or equal. 19
transcript
Canadian post-secondary degree, diploma or equivalent for a one-
15
year program
Canadian high school diploma or equivalent 5

1
Work experience Years of
Pts
Exp.
15 = maximum points
1 9
Minimum one year continuous
full-time, or equivalent in 2-3 11
continuous, paid part-time
work in NOC O, A, or B
4-5 13
One year = 1,560 hours NOC: National Occupational Classification
FT = 30 paid hours per week 6+ 15
* Why are you a good
candidate for NB:
-Family in NB;
-Visits to NB;
-Work or education in NB
Selection Factors Points Grid & Comments Score
Working
Conditions Pts
in Canada
- WP is valid when the principal Applicant (PA) applies to PNP,
and when CIC issues the permanent resident (PR) visa
With a work permit
- CIC issued WP based on a positive LMIA 10
(WP)
- PA is working for the employer named on WP
- Employment is permanent, full- time
With a Labour Market - WP is valid when the PA applies to PNP and when CIC
Impact Assessment issues the PR visa or PA is authorized to work in Canada
(LMIA) exemption without a WP because the Permanent Resident visa is
10
under an intl or issued.
Arranged offer federal provincial - Current employer made an offer of permanent, full time work
of employment (AOE) agreement based on PA being accepted as a skilled worker
With an LMIA
10 = maximum points exemption but not - Employer made an offer of permanent, full-time work based
under an international on the PA being accepted as a skilled worker 10
or federal-provincial - Employer has a positive LMIA
agreement
- Different employer made an offer of permanent, full-time (FT)
With a job offer from
work based on PA being accepted as a skilled worker 10
a different employer
- Different employer has a positive LMIA
Not Working
Conditions Pts
in Canada
No work permit or - Employer made an offer of permanent, full-time work based
intention to work on the PA being accepted as a skilled worker 10
before visa is issued - Employer has a positive LMIA
Work Experience in New Brunswick (NB) Pts
At least one year of FT work in a NOC Skill Type 0 or Skill Levels A or B,
PA 5
with a valid WP or while authorized to work
Arranged employment in NB and earned points under Arranged Offer of
PA 5
Employment section
At least one year of FT work in NB on a valid work permit or while authorized
Adaptability Spouse 5
to work
10 = maximum points Study In New Brunswick Pts
Finished at least two academic years of FT study in a program of at least two
Work:
Full Time (FT) = 30 hours
PA years at a secondary or post-secondary level, with good academic standing 5
paid per week as set out by the school
1 year = 1,560 hours
Finished at least two academic years of FT study in a program of at least two
School: Spouse years at a secondary or post-secondary level, with good academic standing 5
FT = 15 hours of classes as set out by the school
per week
Language Ability Pts
Language level in either English or French at CLB 4 or higher in all four
Spouse 5
language abilities. Official language results required
Close Relatives Living in New Brunswick Pts
Have a parent, grandparent, child, grandchild, brother, sister, uncle, aunt,
PA or
nephew or niece living in New Brunswick. The close relative is a Canadian 5
Spouse
citizen or PR who is at least 18 years of age.
Transferable funds 1 $12,164 3 $18,617 5 $25,636 7+ $32,191
Does the PA meet the
in Canadian $$$ per
2 $15,143 4 $22,603 6 $28,913 financial requirements?
family member

2
Self-Assessment Results (Minimum 67 Required) For NBPNP Use Only
Selection Factors Max Pts Actual Pts Eligibility Requirements YES NO
Age 12
NB PNP EOI Priority YES NO
1st official language 24
Form Completed YES NO
2nd official language 04
Education 25 Minimum 67 Points YES NO
Work Experience 15 Invitation to Apply YES NO
Arranged offer of employment 10
Reviewed by:
Adaptability 10
TOTAL POINTS 100 0 Date:

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