Assessment For International Students Form
Assessment for people interested in
studying in Canada.
1) Personal Information
Family Name:
First Name:
Email:
Telephone Number :
Current Mailing Address:
Permanent Mailing Address:
(if different from mailing address)
Current Occupation:
Name and Address of Current Employer:
Status in country where currently
living:
If you have temporary status, fill out
the following:
Date of visa expiry: (dd/mm/yyyy)
Gender: Male
Female
Marital Status:
Date of birth: (dd/mm/yyyy)
Country of Citizenship:
City and Country where you are currently residing:
Passport Number:
Passport Expiry: (dd/mm/yyyy)
Passport Country of Issue:
Accepted at the following educational
institution in Canada:
Name of School:
Address of School:
Course of Study:
Length of course:
Tuition (Canadian currency$):
Room & Board (Canadian currency$):
Other Expenses (Canadian currency$):
Funds available for my stay in Canada
(Canadian currency$):
Source of Financing (your own income,
your parents, etc):
3) Education
Your age:
Education:
Major:
University:
Completed? Yes
No
In
Progress
Credit Completed (write n/a if not
applicable):
Total years of study (elementary – last degree/diploma):
4) What do you intend to study in
Canada?
Degree/Subject of interest:
Preferred University:
Preferred City:
5) Applicant's Spouse and Children (if
applicable)
a) Spouse
Family Name:
First Name:
Date of birth: (dd/mm/yyyy)
Country of Citizenship:
City and Country where you are currently residing:
Gender: Male
Female
Marital Status:
Education:
Occupation:
Years of Experience:
b) Applicant's Children (1)
Family Name:
First Name:
Date of birth: (dd/mm/yyyy)
Country of Citizenship:
City and Country where you are currently residing:
Gender: Male
Female
Marital Status:
Education:
Occupation:
Years of Experience:
c) Applicant's Children (2)
Family Name:
First Name:
Date of birth: (dd/mm/yyyy)
Country of Citizenship:
City and Country where you are currently residing:
Gender: Male
Female
Marital Status:
Education:
Occupation:
Years of Experience:
d) Additional Family Members (optional)
6) Admissibility Criteria
Have you or any of your family members
ever:
Been treated for any serious physical
or mental disorders or any communicable or chronic diseases?
Yes
No
Committed any criminal offence in any
country?
Yes
No
Been refused admission to, or ordered
to leave, Canada?
Yes
No
Been refused a visa to travel to
Canada?
Yes
No
In periods of either peace or war, have
you ever been involved in the commission of a war crime or crime
against humanity?
Yes
No
If you answered yes, to any of the
above questions, please provide detailed explanations.
During the past five years, have you or
any family member accompanying you lived in any other country other
than your country of citizenship or permanent residence for more than
six months?
Yes
No
If yes, provide details below: (Name,
Country, Length of stay, etc.)
7) Available Funds
How much funds do you have available for
your tuition and boarding in Canada?
8) Comments or Questions
9) How did you find us?
|
