Assessment Personal InformationPlease fill below detailsFirst Name Email Last Name Phone Residential Address Birth Date Marital Status Do you have dependent children? Yes NoIf you answered yes to above question , please provide the ages of your children What is your country of nationality? What is your primary language/mother tongue? List the names of countries that you have visited outside of your country of nationality within the past 10 years. Please include Country or Territory, travel dates and purpose of travel Education/EmploymentPlease fill below detailsWhich program do you intent to pursue in Canada? (For study permit applicants only.) Anticipated program start date. (For study permit applicants only.) Highest level of education completed None High School / GED Undergraduate/Associates Degree Bachelor's Degree Master's Degree PH.D OtherWho will sponsor your travel to Canada Myself Parent/Guardian Spouse OtherPlease list any programs you have completed including your CGPA ( cumulative grade point average). Current Occupation How many years of professional work experience do you have? English ProficiencySome description about this sectionDo you have a valid English proficiency result? E.g. "IELTS" Yes NoPlease enter the month and year that your exam was written. If you answered yes to question 3.1, please enter your test scores.Speaking - Select -0-44.55.05.56.57.07.58.08.59.0Reading - Select -0-44.55.05.56.57.07.58.08.59.0Listening - Select -0-44.55.05.56.57.07.58.08.59.0Writing - Select -0-44.55.05.56.57.07.58.08.59.0Background InformationSome description about this section Within the past two years, have you or a family member ever had tuberculosis of the lungs or been in close contact with a person with tuberculosis? Yes NoDo you have any physical or mental disorder that would require social and/or health services, other than medication, during a stay in Canada? Yes NoPlease provide details and the name of the family member (if applicable) Background InformationSome description about this sectionHave you ever remained beyond the validity of your status, attended school without authorization or worked without authorization in Canada? Yes NoHave you ever been refused a visa or permit, denied entry or ordered to leave Canada or any other country or territory? Yes NoHave you previously applied to enter or remain in Canada? Yes NoIf Yes, Please provide details. Background InformationSome description about this sectionHave you ever committed, been arrested for, or been charged with or convicted of any criminal offence in any country or territory? Yes NoIf Yes, Please provide details. Did you serve in any military, militia, or civil defense unit or serve in a security organization or police force ( including non obligatory national service, reserve or volunteer units) ? Yes NoIf Yes, Please provide dates of service, and countries or territories where you served. Are you, or have you ever been a member or associated with any political party, or other group or organization which has engaged in or advocated violence as a means to achieve a political or religious objective, or which has been associated with criminal activity at any time? Yes NoHave you ever witnessed or participated in the ill treatment of prisoners or civilians, looting or desecration of religious buildings? Yes NoHave you ever held any government positions ( such as civil servant, judge, police officer, mayor, member of parliament, hospital administrator? Yes NoIf Yes, Please provide details How did you hear about us? Submit
