Pre-Arrival to Canada Notification Form - Operation Ukrainian Safe Haven
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The Government of Canada has funded a National Secretariat to coordinate the post arrival phase for Ukrainians intending to settle in Canada. The National Secretariat has launched a national website to help you https://ukrainesafehaven.ca/ As part of planning for your arrival, the information requested on this Pre-Arrival Notification Form will be used to assist you prior to and after you arrive in Canada to ensure we can connect you to the supports you need. The completion of this form is strongly encouraged but voluntary. If you would prefer not to complete this form, please note that it will not impact your ability to access services eligible to you in Canada


This Pre-Arrival Notification Form will take approximately 6 minutes to complete.
There are 28 questions in this survey.
Pre-Arrival to Canada Notification Form
(This question is mandatory)

Before we begin we would like to ask your consent to collect your personal information.


If you agree, the information you provide on this form will be used to support you prior to departure and shared with service coordination tables and service provider(s) in Canada. 

If you do not agree, we will be unable to refer you to services or provide links to service providers in the community for your follow-up.

Do you provide consent?
(This question is mandatory)
Your first name
Your middle name (if applicable)
(This question is mandatory)
Your Last name
(This question is mandatory)
What is your email address?
(This question is mandatory)
What is your mobile number? 
(This question is mandatory)
Is your mobile number available on the Telegram messaging app? 
(This question is mandatory)
What is your marital status?
(This question is mandatory)
If married, and if you intend to come to Canada, will your partner/spouse be travelling with you?
(This question is mandatory)
Do you have any children?
(This question is mandatory)
How many children do you have? 
(This question is mandatory)

How many children in each age group will be travelling to Canada with you?

0 - 5 years
6 - 12 years
13 - 18 years
(This question is mandatory)

What is your gender?

(This question is mandatory)
What year were you born?
Open date/time selector
(This question is mandatory)
What is your highest level of Education?
(This question is mandatory)
Do you intend to work in Canada?
(This question is mandatory)
If yes, please indicate your likely field of occupation 
(This question is mandatory)
What languages do you speak? 
(This question is mandatory)
If you speak English, what is your level of fluency? 1 - beginner, 3 - proficient and 5 - Fluent. 
(This question is mandatory)
If you speak French, what is your level of fluency? 1 - beginner, 3 - proficient and 5 - Fluent.
(This question is mandatory)
Now that your visa has been approved, are you going to come to Canada?
(This question is mandatory)
If you are going to come to Canada, what month would you like to come?
(This question is mandatory)
If you have a specific travel/departure date to Canada, please let us know your departure date.
Open date/time selector
(This question is mandatory)
If you intend to come to Canada and know your final destination, what city do you intend to settle in? (optional)
(This question is mandatory)
If you intend to come to Canada, what province do you intend to settle in?
(This question is mandatory)
Upon arrival in Canada, will you need 2 week hotel accommodation?
Do you have pets?