Study Permit / International Student Assessment This questionnaire gathers data to assist you in finding a college or university in Canada for your post-secondary education and/or to attain a Study Permit. Profile Information Salutation* Please Select Mr. Ms. Miss. Dr. Family Name(s)* (as shown on your passport or travel document) Given Name(s)* (as shown on your passport or travel document) Date of Birth* -Month -DayYearDate Country of Citizenship* Country of Residence* Primary Language Spoken* Please Select English French Other Choose your Native language (if 'Other' was selected to the previous question)* What's your preferred language for email/chat messages?* Current Home Address* Street Address Street Address Line 2 CityState / Province Postal / Zip Code Phone Number* Please enter a valid phone number. How did you hear about us?* Please Select Agent Client Facebook Friends LinkedIn yahoo Other Referral Name/Code Have you been accepted to a school, college or university in Canada?* Please Select Yes No Do you have a Visitors or Student Visa for Canada?* Please Select Yes No Have you or your spouse (if applicable) previously visited Canada for work, travel, or study?* Please Select Yes No Is your spouse or common-law partner a citizen or permanent resident of Canada?* YESNO Back Next Where is your preferred destination in Canada? Have you or your spouse (if applicable) ever been refused for any type of application for any country or any province? Please Select Yes No Have you or your spouse (if applicable) ever been arrested, detained, charged or convicted in any country in the past? Please Select Yes No Have you or your spouse (if applicable) previously applied for immigration or visa to Canada? Please Select Yes No School Details ENTER THE DETAILS FOR THE COLLEGE/UNIVERSITY YOU HAVE BEEN ACCEPTED TO OR WOULD LIKE TO ATTEND Name of School /Institution* Preferred Program/Course? Preferred Province* Target Start Date? -Month -DayYearDate Maximum Tuition Budget (Canadian Dollars) Back Next Education Details ENTER YOUR EXISTING EDUCATION HISTORY. Education Level Please Select None Secondary or less Trade/Apprenticeship Certificate/Diploma Non-University Certificate/Diploma Post-Secondary – No Degree Bachelor’s Degree Post Graduate – No Degree Master’s Degree Doctorate - Ph D Field of Study Name of School/Institution Duration of Study in years Country of Study Have you completed an Education Credential Assessment ECA for your education outside of Canada? Please Select Yes No Language Exam LANGUAGE EXAMS ARE CELPIP, IELTS OR TEF (TEST D'ÉVALUATION DE FRANÇAIS) OR TCF CANADA: TEST DE CONNAISSANCE DU FRANÇAIS. Have you taken a Language Exam, in either English or French, within the last two (2) years? If you have not yet received your scores, please choose YES to this question and enter your tentative scores. Once scores are finalized, you may edit the results. Please Select Yes No (1st Official language test) Which language test did you take for your first official language? Please Select IELTS CELPIP TEF TCF Which IELTS Exam did you complete? Please Select Academic general Exam results date? -Month -DayYearDate Speaking Please Select Expert Very good Good Competent Modest Limited None at all Listening Please Select Expert Very good Good Competent Modest Limited None at all Reading Please Select Expert Very good Good Competent Modest Limited None at all Writing Please Select Expert Very good Good Competent Modest Limited None at all Do you have other language results? yesno Which language test did you take for your second official language? Please Select IELTS CELPIP TEF TCF Exam results date? -Month -DayYearDate Speaking Please Select Expert Very good Good Competent Modest Limited None at all Listening Please Select Expert Very good Good Competent Modest Limited None at all Reading Please Select Expert Very good Good Competent Modest Limited None at all Writing Please Select Expert Very good Good Competent Modest Limited None at all Confirmation - Spouse/Common-law partner information Do you have any Spouse/Common-law partner information that will be part of your assessment? YesNo Will your spouse or common-law partner come with you to Canada? YesNo Any further information? Exam results date? -Month -DayYearDate Back Next Language Exam - Spouse/Common-law partner Did your spouse or common-law partner take a language test? Please Select Yes No Which language test did your spouse or common-law partner take? Please Select IELTS CELPIP TEF TCF Which IELTS Exam did your spouse complete? Please Select Academic general Speaking Please Select Expert Very good Good Competent Modest Limited None at all Reading Please Select Expert Very good Good Competent Modest Limited None at all Writing Please Select Expert Very good Good Competent Modest Limited None at all Listening Please Select Expert Very good Good Competent Modest Limited None at all Type a question Please Select Should be Empty:
