Study Permit Assessment Form

Please fill out the form below to assess your eligibility for studying in Canada:

Contact Information

First Name *

Last Name *

Email Address *

Mobile/Phone Number *0 / 10

Street Address *

Apartment, suite, etc.

City

State/Province

ZIP / Postal Code

Country *

Personal Profile

Date of Birth *

Marital Status *

Country of Citizenship *

Country of Residence *

Education and Training

What is your highest level of education? *

What is your field of study? *

Which educational institute issued your highest educational certificate? *

Do you have a Canadian equivalency degree? *

If yes, mention the title of equivalent degree. *

Do you have any training other than education? *

Work Experience

How many years of work experience do you have?

What is your job title?

Name of Employer:

Language Proficiency

Have you taken a language test, in either English or French, within the last two (2) years? If not, kindly indicate an estimate of your language skills below: *

Which language test did you take? *

If you have NOT taken a language test, provide an estimate of your language levels for all 4 skills below: *

Listening *

Reading *

Writing *

Speaking *

Please indicate all other languages you speak.

Do you speak French as a first or second language? *

Intended Program and Destination

What program do you intend to study?

Intended City and Province of Study:

How did you hear about us?

Do you have any further information to add?

Declaration

I certify that the above information provided by me in the Free Assessment is true. *Yes, True

Furthermore, I consent to Penguin Immigration Consulting to contact me in relation to the above Free Assessment. *Yes