Students Questionnaire Form

Disclaimer

Dear Client,

This form must be completed in order to fulfill the course selection process and the academic admission of applicant. Thus, please complete the information meticulously according to the desired format. At each stage, you can view the description of that question by moving your mouse cursor to the red circle next to each field.

Important Points:

Point One

You should enter all information in English.

Point Two

All information must be in accordance with the identity card, national card, passport, educational qualifications and language qualifications, and there must be no discrepancy, even in the spelling of the words.

Point Three

All information must be in compliance with identity certificate, national card, passport, diplomas, and language documents, and there should be no contradiction.

Point Four

In all instances, the Gregorian date must be mentioned, so you should convert the date using the date converter tools.

Point Five

Be careful when entering your email address and WhatsApp number, so that our future conversations with you can continue properly.

Point Six

Upload your document images in accordance with the standards of the document scanning guide file provided to you by the consultant.

Personal Information

Client Profile Number

NL-

First Name

Middle Name

Last Name

Native First Name

Native Middle Name

Native Last Name

Age

Years

Date of Birth

Gender

Male

Female

First Language

Country of Citizenship

Passport Number

Passport Expiry Date

Marital Status

Single

Married

Spouse Information

Spouse First Name

Spouse Middle Name

Spouse Last Name

Spouse Native First Name

Spouse Native Middle Name

Spouse Native Last Name

Spouse Age

Years

Children

Do you have children under 22 years old?

No

Yes

Ages of children under 22 years old

Age

Education Summary

Country of Education

Highest Level of Education

Grade Scale (Out of)

Grade (Graduated from most recent school)

Attended Schools

How Many Schools Have You Attended?

One

Two

Three or More

First School Information

Country of Institution (First School)

Name of Institution (First School)

Level of Education (First School)

Primary Language of Instruction (First School)

Attended Institution From (First School)

Attended Institution To (First School)

Degree Name (First School)

Graduated From Institution? (First School)

No

Yes

Graduation Date (First School)

Institution Address (First School)

Address Line 1

Address Line 2

City

State

Zip Code

Country

Certificate Image (First School) (Upload Image in PDF, JPG or PNG)

Choose File

Second School Information

Country of Institution (Second School)

Name of Institution (Second School)

Level of Education (Second School)

Primary Language of Instruction (Second School)

Attended Institution From (Second School)

Attended Institution To (Second School)

Degree Name (Second School)

Graduated From Institution? (Second School)

No

Yes

Graduation Date (Second School)

Institution Address (Second School)

Address Line 1

Address Line 2

City

State

Zip Code

Country

Certificate Image (Second School) (Upload Image in PDF, JPG or PNG)

Choose File

Third School Information

Country of Institution (Third School)

Name of Institution (Third School)

Level of Education (Third School)

Primary Language of Instruction (Third School)

Attended Institution From (Third School)

Attended Institution To (Third School)

Degree Name (Third School)

Graduated From Institution? (Third School)

No

Yes

Graduation Date (Third School)

Institution Address (Third School)

Address Line 1

Address Line 2

City

State

Zip Code

Country

Certificate Image (Third School) (Upload Image in PDF, JPG or PNG)

Choose File

Language Certificate Information

TOEFL Listening

TOEFL Reading

TOEFL Writing

TOEFL Speaking

Date of TOEFL Exam

IELTS Listening

IELTS Reading

IELTS Writing

IELTS Speaking

Date of IELTS Exam

Duolingo Overall Score

Date of Duolingo Exam

Background Information

Do you have any family member in Canada?

No

Yes

Family Member’s Relationship

Family Member’s Province

Family Member’s Residency Status

Family Member’s Years of Residency

Are you working right now?

No

Yes

Work history in the past ten years.

Have you been refused any visa from Canada?

No

Yes

Date of Visa Refusal

Tasks and work achievements.

Research activites.

Skills

Intrests and activites

Any significant medical issue?

Preferences

Tuition Fee (Per Year)

$

Which province do you prefer the most?

School Types

University

College

English Institute

High School

Favorite School (First Choice)

Favorite School (Second Choice)

Favorite School (Third Choice)

Program Levels

Bachelor’s Degree

Integrated Master

Master Degree

Post Graduate Certificate

Post-secondary Major

Favorite Field of Study

Law, Politics, Social, Community Service and Teaching

Community, Social Service

Law, Politics, Police, Security

Teaching, Early Development, Child Care

Contact Information

Email

WhatsApp Number

Residential Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Other

How did you hear about us? (Optional)

Who were you referred by? (Optional)

Students Questionnaire Form

Disclaimer

Personal Information

Spouse Information

Children

Education Summary

Attended Schools

First School Information

Second School Information

Third School Information

Language Certificate Information

Background Information

Preferences

Post-secondary Major

Contact Information

Residential Address

Other

Contact Us

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