Study Assessment Forms

First Name *

Last Name *

Email *

How old are you? * Please select 17 and under 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99

Phone (Include international dialing instructions) *

What is your highest level of education? * Please Select No secondary education High School/Secondary Diploma Some college or university Bachelor's Degree Master's Degree PhD Apprenticeship Non-university diploma 1 year Non-university diploma 2 years Non-university diploma 3 years

Do you already have a letter of admission/acceptance to a Canadian educational institution? *

Yes      No      I'm not sure

What is your country of residence? Select a country Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Central African Republic Chad Chile China Colombia Comoros Congo-Kinshasa Congo-Brazzaville Costa Rica Cote d Ivoire (Ivory Coast) Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea (North) Korea (South) Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar (Burma) Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Tajikistan Tanzania Thailand Timor-Leste (East Timor) Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Viet Nam Yemen Zambia Zimbabwe Territories Abkhazia Taiwan Northern Cyprus Pridnestrovie (Transnistria) Somaliland South Ossetia Ashmore and Cartier Islands Christmas Island Cocos (Keeling) Islands Coral Sea Islands Heard Island and McDonald Islands Norfolk Island New Caledonia French Polynesia Mayotte Saint Barthelemy Saint Martin Saint Pierre and Miquelon Wallis and Futuna French Southern and Antarctic Lands Clipperton Island Bouvet Island Cook Islands Niue Tokelau Guernsey Isle of Man Jersey Anguilla Bermuda British Indian Ocean Territory British Sovereign Base Are British Virgin Islands Cayman Islands Falkland Islands (Islas Malvinas) Gibraltar Montserrat Pitcairn Islands Saint Helena South Georgia and the South Sandwich Islands Turks and Caicos Islands Northern Mariana Islands Puerto Rico American Samoa Baker Island Guam Howland Island Jarvis Island Johnston Atoll Kingman Reef Midway Islands Navassa Island Palmyra Atoll U.S. Virgin Islands Wake Island Hong Kong Macau Faroe Islands Greenland French Guiana Guadeloupe Martinique Reunion Aland Aruba Netherlands Antilles Svalbard Ascension Tristan da Cunha Antarctica Kosovo Palestinian Territories - Gaza Strip Palestinian Territories - West Bank Western Sahara Australian Antarctic Territory Ross Dependency Peter Island Queen Maud Land British Antarctic Territory

First official language * Select English French

Proficiency * Select High Moderate Basic

Second official language Select None English French

Proficiency Select High Moderate Basic

Educational Programs Available

Please select your top 3 choices for programs to study in Canada *

Healthcare Assistance

Business Administration/Secretarial

Accounting/Finance

Information Technology/Computer Support

Industrial/Architectural Design

Culinary Arts

Natural Sciences

Social Sciences

Engineering

Web Development/Graphic Design

Electrical Technician

Early Childhood Education

Marketing

Cosmetology/Esthetics

English/French Language Training

Other

Questions and comments

How did you hear about us? * Please select Our Social Media (Facebook/Twitter/Google+/optionnkedin/Youtube) Internet Search Friend Referral Space Immigration Success Route

Message

I consent the above information is correct *