Request an Appointment Form

Pre Assessment Form

Please provide us with your information for your Study Pathway Assessment
We are excited that you have finally decided to take that step of visualizing your future with us. Thank you for spending your next 2 min in filling up these valuable Information necessary for your objective to STUDY-EARN-LIVE in Canada! Your data is secured, in compliance with Canada's Data Privacy Act. We shall get in touch with you shortly after this is submitted on line. From here on, be assured to experience Alagang iCanada, every step of the way.
Passport Name:
(e.g. Juan Dela Cruz)
Client Information
Personal Information
Full Name of Applicant:

First NameLast Name
Facebook Name:
Email
example@example.com
Country Code:
Mobile Phone Number
Age:
(Age between 17-65 yrs old only)
Current Location / Address:

Full Address

Street Address 2

CityState / Province

Postal / Zip Code
NA:
Preferred Type of Consultation:
Choose Consultation - Date/Time - 9:00-5:00PM
Preferred consultation - Date/Time - 9:00AM-11:00PM
Preferred consultation - Date/Time - 8:00AM-9:00PM
Choose Consultation - Date/Time - 12:00 / 6:00-7:00PM
Choose Consultation - Date/Time - 12:00PM / 7:00PM
How did you hear about us?

Others: (Please specify)
Birthdate

YearMonthDay
Date
Age
Date today

MonthDayYear
Date
Hour MinutesAM/PM Option
Submission Date

MonthDayYear
Date
Hour MinutesAM/PM Option
Citizenship
Highest Educational Attainment:
Course/Program - Level:
(e.g. BS Nursing - xxx Year)
School Graduated:
School Name
Year Graduated:

YearMonthDay
Minimum graduated year not less than 1988.
Company:
Years with last/current employer:
Current Job:
Preferred consultation date/time:
Country Code
Phone Number
Country Code
Preferred Canada Province/School:
What is your preferred Canada Province/School?
Target Program:
Target Semester:

Open to suggestion
Choose Consultation - Date/Time - 9:00AM-6:00PM
Source/s of Funding for Application:

Other
Civil Status

Other
Who is part of the VISA Application:
Spouse or Partner Gender:
No. of Kids:
Location of relatives/friends in Canada:
Participation of indicated relatives/friends:

Other

Kindly indicate your Official Tiktok Account:
(URL) - If no Tiktok account, Kindly indicate N/A.
Kindly indicate your Official Facebook Account:
(URL)
Kindly indicate your Official LinkedIn Account:
(URL) - If no LinkedIn account, Kindly indicate N/A.
Employment Information
Current Occupation/Employment Status:
Company Name: (if employed)
Educational Background
Highest Level of Study Completed:
Field of Study:
(for your completed education)
Academic Standing/GPA:
(optional - if comfortable sharing)
Language Proficiency
Have you taken any English/French language proficiency tests?
If yes, what are your test scores?
Study Plans in Canada
What level of study are you interested in pursuing in Canada?
Intended field of study/program in Canada:
In which Canadian Province/Territory do you plan to study?
(Selected) In which Canadian Province/Territory do you plan to study?
When do you plan to study in Canada?
(Selected) When do you plan to study in Canada?
Financial Planning
Who will finance your studies in Canada?
(Selected) Who will finance your studies in Canada?
Estimated budget for tuition and living expenses (CAD):
(Selected) Estimated budget for tuition and living expenses (CAD):
Do you currently have sufficient funds available?
(Selected) Do you currently have sufficient funds available?
Immigration & Background
Are you applying SOLO or with qualified dependents?
(Selected) Are you applying SOLO or with qualified dependents?
Have you ever been to Canada in the past 10 years?
(Selected) Have you ever been to Canada in the past 10 years?
Do you have any relatives in Canada?
(Selected) Do you have any relatives in Canada?
Consultation Details
What specific questions or concerns do you have about studying in Canada?
Let us know any specific concerns:
Social Media Source:
iC Advisor Name
iC Advisor Name:
iC Advisor Code:
iC Advisor Email
Source/s of Funding for Studies (Values)
Participation of indicated relatives/friends (Values)
Kids/Dependents (Values)
Your Selected Consultation Date is:
iC Advisor
Like & Follow Us:
Should be Empty:

Rows	Account
Facebook
LinkedIn
Tiktok

Pre Assessment Form

Client Information

Personal Information

Employment Information

Educational Background

Language Proficiency

Study Plans in Canada

Financial Planning

Immigration & Background

Consultation Details