Full Name (as shown on passport)*
Date of Birth*
Email Address*
Phone Number (include country code)*
Country of Citizenship*
Country of Current Residence*
Marital Status* —Please choose—SingleMarriedCommon-lawDivorcedWidowed
Do you have children? YesNo
Number of children and their ages:
Are you currently in Canada? YesNo
Current status in Canada —Please choose—VisitorStudentWorkerRefugee claimantOut of statusN/A – Not in Canada
Status Expiry Date
City and Province in Canada
Highest level of education completed* —Please choose—High SchoolDiplomaBachelor's DegreeMaster's DegreePhD
Field of Study
Have you received a Letter of Acceptance (LOA) from a Canadian institution? YesNo
Have you taken an English or French language test?* —Please choose—IELTS AcademicIELTS GeneralCELPIPTEFNo test yet
Test Score (if available)
Test Date
Current Occupation
Estimated available funds (CAD)* —Please choose—$10,000 – $20,000$20,000 – $40,000$40,000 – $60,000$60,000+
Is there anything else you would like us to know?
