Students Assessment

Preliminary Assessment Form for Admission and Study Permit in Canada, UK, USA, Australia & Ireland

Amir Ismail & Associates (AIA) - Authorized & Licensed Immigration, Citizenship and Study Visa Advisers
Basic Information:
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Cell Phone*

PrefixPhone Number
E-mail*
Your Date of Birth*

MonthDayYear
Your Age*
Marital Status*
Education:
Highest Education Level*
Total # of years of study*
Name of Institution*
Country of Education
Grade or CGPA in last level of study
Professional background:
What is your profession (if applicable)
# of years of experience (if applicable)
Upload your CV (doc, pdf or txt files) A CV will help us make an accurate assessment

Upload a File

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Choose country you wish to study in *
Choose preferred province in Canada
Choose Preferred States in the USA
Choose preferred County in the UK
Language Skills:

Your English language skills*

	Fluent	Moderate	With Difficulty	Not at all
Reading
Writing
Speaking
Listening

Have you appeared in IELTS Academic test*
Date of IELTS Exam (or EXPECTED date if you have not appeared as yet)*

Your IELTS (Academic) Score / or EXPECTED IELTS Score if you have not appeared in it as yet*

	9	8.5	8	7.5	7	6.5	6	Less than 6
Reading
Writing
Speaking
Listening

Have you taken GRE Exam*

YesNo
Have you taken GMAT Exam*

YesNo
Family Members:
Name of Spouse

First NameLast Name
Spouse's Date of Birth

MonthDayYear
Spouse's Age
Spouse's Education
Select Your Spouse's Occupation
What is your Spouse's profession if it is not listed
# of years of experience of spouse

Has your Spouse appeared in IELTS test

Upload your Spouse's CV (doc, pdf or txt files) A CV will help us make an accurate assessment

Upload a File

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Number of Kids 21 years or younger
Number of Kids 22 years or older
Relationship in Canada:
Do you have relatives in Canada

YesNo
Relationship with Canadian relative
Where in Canada do your relatives reside
Education Plan
Have you already secured admission in a Canadian, UK or USA Institute*

YesNo
Would you like us to undertake research on your behalf and recommend Canadian, UK or USA institutes (additional cost apply)*

Yes, please search and recommend institutes for me against a fee of US$200No, I will search and select institutes myself. I just need assistance in study visa application representation. If this is the case, please proceed to secure admission and contact us for assistance in study permit application.
Select the level of Program of Study you are interested to pursue in Canada, USA, Australia or Ireland (you can choose more than one option)*
Which Intake you would be interested in (you can choose more than one option)*
Post Secondary Discipline you are interested in (you can choose more than one option)*
Please Select a Post Secondary Sub-Category (you can choose more than one option)
Which Province or City you wish to study in Canada, UK or USA
Indicate the field of study you wish to select (eg: IT, Business, Commerce, Engineering etc)*
Financing for Studies
IMPORTANT: How much does it cost to live and study in Canada?

The minimum living costs varies from $10000 to $12000 per year in different cities in Canada. Tuition fees can range from $15,000 to $30,000 per year based on what and where you wish to study. In most cases, colleges tend to have less tuition fee than universities.

Please be advised these prices are just an estimate average of the tuition fees and living expenses. They may vary based on the program of your choice, institution, and location. If you do not have access to sufficient funds, we will not be able to assist you with your plans to study in Canada.
Use the slider to select the tuition fee you are able to afford per year (in US Dollars)*
Use the slider to select the institute Application fee (in US Dollars)
Total liquid funds available to you to support your studies in Canadian Dollars*
Name of the person who will be financing your studies*
Relationship with the person financing your studies*
Type of evidence available for financing (eg Bank Statements, Savings etc)*
Background Information
Have you been refused a visa from Canada, the USA, the United Kingdom, New Zealand or Australia?*

YesNo
How did you hear about us*

SeminarInternet Search (Google, Yahoo etc)Newspaper AdvertisementFacebook - http://www.facebook.com/canadaimmigrationPersonal ReferenceTwitter - @canadaimmigrateTelephoneYoutube: aiaconsultingWebsite of the College of Immigration and Citizenship Consultants (CICC)
Name of Person who referred you to us*
Signature*

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Preliminary Assessment Form for Admission and Study Permit in Canada, UK, USA, Australia & Ireland

Basic Information:

Education:

Professional background:

Language Skills:

Family Members:

Relationship in Canada:

Education Plan

Financing for Studies

Background Information