Free Assessment
Free Student Assessment

We provide service assistance to prospective applicants whishing to seek admission to a reputable Canadian educational institution. We specialize in securing admission to Colleges with cirriculum which upon graduation can enable the graduate student entry into a Canadian University.

Please Complete this questionnaire to receive a free assessment of your qualifications for studying in Canada.


Required fields marked with *
Personal Information
Name: *
Email Address: *
Nationality:
Current Place of Residence: *

(City,Country)
Daytime Telephone number preceded by the area code:* (areacode , phone number)
Home, Office, or Mobile
Date of Birth:  
 Day        Month             Year
Sex: Male Female
Marital Status: Single

Married

Divorced/Separated

Ability in English and French
English
Read
Write
Speak
Listen
French
Read
Write
Speak
Listen

Educational Profile
Total Years of education:

(Starting from primary school)
1. Certificate:*

(If other please specify)
Field of Study:
Date Started:

(Month, Year)
Date of Graduation:

(Month, Year)
Name of Institution:
City:
Country:
2. Certificate:

(If other please specify)
Field of Study:
Date Started:

(Month, Year)
Date of Graduation:

(Month, Year)
Name of Institution:
City:
Country:

Admission Information
Have you recently been accepted to a program of study in Canada? Yes
No
If yes, please complete the following:
1. Name of institution:
2. City and Province:
3. Period of study :
4. Course of study (e.g. Computer Science):
Do you have access to sufficient financial support (C$20,000 per year) to cover the cost of tuition and living expenses for the first year?

Other
• Have you ever:
  • Had any serious disease*
 Yes No
  • Been convicted of or currently charged with any crime or offence in any country*
 Yes No
  • Applied previously for an immigrant visa to Canada*
 Yes No
  • Visited Canada (visit,study,work)*
 Yes No
  • Are you able to obtain a visitors visa to Canada*
 Yes No
If answer to any of above is "Yes" provide details here:

How did you hear about us:



(Company representative please insert your agent code)
or
(If other please specify)

• Additional Comments if Any:

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