Preliminary Assessment Form for Students

Full Name *

Street Address *

Street Address 2 *

City *

State / Province / Region *

Phone Number *

Email *

Date of Birth *

Age *

Marital Status *

Preferred Date for appointment *

Education

Qualification *

Name of Institution *

Country of Education *

Grade or CGPA in last level of study *

Professional background

What is your profession? (if applicable)

# of years of experience (if applicable)

Upload your CV (doc, pdf or txt files) A CV will help us make an accurate assessment

Language skills

Have your appeared in IELTS test? *

Date of IELTS Exam (or EXPECTED date if you have not appeared as yet) *

Your IELTS (Academic) Score / or EXPECTED IELTS Score if you have not appeared in it as yet

Reading *

Writing *

Speaking *

Listening *

Have you taken GRE Exam *

Have you taken GMAT Exam *

Family Members

Name of Spouse *

What is your Spouse's profession *

Number of Kids 21 years or younger *

Number of Kids 21 years or older *

Education Plan

Select the level of Program of Study you are interested to pursue in Canada, USA or UK (you can choose more than one option) * Grade 9Grade 10Grade 11Grade 12English as a Second Language1 Year Post Secondary Certificate2 Year Undergraduate Diploma3 Year Undergraduate Advance Diploma3-years Bachelors Degree4-years Bachelors DegreePost Graduate Certificate/Masters Degree

Which Intake you would be interested in (you can choose more than one option) * December 2020 - March 2021April - July 2021August - November 2021December 2021 - March 2022

Post Secondary Discipline you are interested in (you can choose more than one option) * Engineering and TechnologySciencesArtsBusiness, Management and EconomicsLaw, Politics, Social, Community Service and TeachingEnglish for Academic StudiesHealth Sciences, Medicine, Nursing, Paramedics an Kinesiology

Please Select a Post Secondary Sub-Category (you can choose more than one option)

Financing for Studies

Tuition fee you are able to afford per year (in US Dollars) *

Institute Application fee (in US Dollars) *

Name of the person who will be financing your studies *

Relationship with the person financing your studies *

Type of evidence available for financing (eg Bank Statements, Savings etc) *

Background Information

Have you been refused a visa from Canada? *

Assessment Form For students

Assessment Form For students

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