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STUDY PERMIT ASSESSMENT FORM
APPLICANT INFORMATION FAMILY NAME GIVEN NAME
DATE OF BIRTH (yyyy-mm-dd) TELEPHONE
ADDRESS CURRENT COUNTRY OF RESIDENCE
MARITAL STATUS E-MAIL
COUNTRY OF NATIONALITY NUMBER OF CHILDREN 18 AND UNDER
EDUCATION INFORMATION (start with most recent)
DIPLOMA 1 LEVEL NUMBER OF STUDY YEARS
YEAR OF GRADUATION STUDY PROGRAM
NAME AND COUNTRY OF EDUCATIONAL INSTITUTION
DIPLOMA 2 LEVEL NUMBER OF STUDY YEARS
YEAR OF GRADUATION STUDY PROGRAM
NAME AND COUNTRY OF EDUCATIONAL INSTITUTION
CURRENT EMPLOYMENT INFORMATION
EMPLOYER NAME AND COUNTRY
POSITION TITLE # HOURS PER WEEK
START DATE (yyyy-mm) MONTHLY NET SALARY
LANGUAGE SKILLS (less than 2 years old)
FRENCH ENGLISH TEST NAME DATE TAKEN (yyyy-mm)
SCORE #1 LISTENING SPEAKING READING WRITING
IF NO TEST WAS TAKEN, PLEASE INDICATE IF YOU HAVE KNOWLEDGE OF FRENCH ENGLISH
PLEASE JUDGE YOUR OVERALL KNOWLEDGE OF THIS LANGUAGE (beginner, intermediate, advanced)
FINANCIAL INFORMATION
AMOUNT OF MONEY SAVED FOR STUDIES CURRENCY
129, Promenade du Portage, suite 205 Gatineau, QC, Canada, J8X 2K2 +1.819.486.1070
WWW.READY4CANADA.COM [email protected] [email protected]
WILL YOU BE RECEIVING FINANCIAL ASSISTANCE? YES NO
IF YES, PLEASE ENTER THE NAME OF THE PERSON(S) PROVIDING ASSISTANCE AND A DESCRIPTION OF THIS ASSISTANCE Lb ¢I9 .h·9{ wLDI¢ .9[h².
NAME RELATIONSHIP TO
YOU COUNTRY OF RESIDENCE
EMPLOYER NAME POSITION TITLE MONTHLY NET SALARY
DESCRIPTION OF ASSISTANCE PROVIDED (e.g. monetary, shelter, food and other)
NAME RELATIONSHIP TO YOU
COUNTRY OF RESIDENCE
EMPLOYER NAME POSITION TITLE MONTHLY NET SALARY
DESCRIPTION OF ASSISTANCE PROVIDED (e.g. monetary, shelter, food and other)
OTHER SOURCES OF REVENUE AMOUNT FREQUENCY
PERSONAL PROPERTY ASSETS (e.g. house, car, investment property and other)
APPROXIMATE TOTAL WORTH
PREVIOUS STAY IN CANADA
VISIT, STUDY OR WORK START DATE (yyyy-mm) END DATE (yyyy-mm)
VISIT, STUDY OR WORK START DATE (yyyy-mm) END DATE (yyyy-mm)
DESIRED STUDIES INFORMATION
DIPLOMA LEVEL STUDY PROGRAM STUDY LANGUAGE
START DATE (yyyy-mm-dd)
ESTIMATED END DATE (yyyy-mm-dd)
SCHOOL NAME
AIM OF STUDY (plans after graduation)
I CERTIFY THAT THIS INFORMATION IS TRUE
SIGNATURE DATE
+1.819.486.1070 WWW.READY4CANADA.COM [email protected] [email protected]
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