Contact information

Prefix

First name *

Middle name

Last name *

Emails

Email Address *

Type

Upon submission, a copy of this form will be sent to the primary email.

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Addresses

Street address

Country

City

State/Region

Zip/Postal code

Address type

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Phone numbers

Phone number

Type

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PURPOSE AND SCOPE OF THE CONSULTATION

The purpose of the initial consultation is for the Licensee to obtain information about the Potential Client's goals and to provide preliminary advice on potential pathways or requirements under Canadian immigration or citizenship law.

REGULATOR ROLE

College of Immigration and Citizenship Consultants (CICC)

The College is the self-regulatory body for immigration and citizenship consultants in Canada. The College’s role is to protect the public by regulating the profession and ensuring that licensees adhere to the Code of Professional Conduct.

Contact information

DATE OF AGREEMENT

PROPOSED CONSULTATION DATE

PURPOSE AND SCOPE OF THE CONSULTATION

Specific matter(s) to be discussed:

CONSULTATION FEE ARRANGEMENT

REGULATOR ROLE

I, the Potential Client, confirm that I have read and understood the terms of this Initial Consultation Agreement. I understand that my checking of this box constitutes an electronic signature as per the CICC Interpretation Guide.

POTENTIAL CLIENT SIGNATURE