Personal Information
Legal Last Name/Family Name:
All Legal Given/First Names in Full:
Email Address: (Required)
Sex:
Male Female
Date of Birth:
Day:
-
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month:
-
January
February
March
April
May
June
July
August
September
October
November
December
Year:
Country of Birth:
Select A Country
------->
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and
Barbuda
Argentina
Armenia
Arctic
Ocean
Aruba
Ashmore &
Cartier Islands
Atlantic
Ocean
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Baker
Island
Bangladesh
Barbados
Bassas da
India
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia &
Herzegovina
Botswana
Bouvet Island
Brazil
British
Indian Ocean Territory
British
Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burma
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman
Islands
Central African
Republic
Chad
Chile
China
Christmas Island
Clipperton Island
Cocos
(Keeling) Islands
Colombia
Comoros
Congo
Congo,
Democratic Rep.
Cook Islands
Coral Sea
Islands
Costa Rica
Cote
d'Ivoire
Croatia
Cuba
Cyprus
Czech
Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El
Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Europa Island
Falkland
Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French
Polynesia
French
Southern & Antarctic Lands
Gabon
Gambia
Gaza Strip
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island &
McDonald Islands
Holy See
(Vatican City)
Honduras
Hong Kong
Howland
Island
Hungary
Iceland
India
Indian Ocean
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Jan Mayen
Japan
Jarvis Island
Jersey
Johnston
Atoll
Jordan
Juan de Nova
Island
Kazakstan
Kenya
Kingman Reef
Kiribati
Korea,
North
Korea,
South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Man, Isle
of
Marshall
Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Midway
Islands
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Namibia
Nauru
Navassa
Island
Nepal
Netherlands
Netherlands
Antilles
New
Caledonia
New
Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk
Island
Northern
Mariana Islands
Norway
Oman
Pacific
Ocean
Pakistan
Palau
Palmyra
Atoll
Panama
Papua New
Guinea
Paracel
Islands
Paraguay
Peru
Philippines
Pitcairn
Islands
Poland
Portugal
Puerto
Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint
Helena
Saint
Kitts & Nevis
Saint
Lucia
Saint
Pierre & Miquelon
Saint
Vincent & the Grenadines
Samoa
San Marino
Sao Tome and
Principe
Saudi
Arabia
Senegal
Serbia &
Montenegro
Seychelles
Sierra
Leone
Singapore
Slovakia
Slovenia
Solomon
Islands
Somalia
South
Africa
South Georgia
& So. Sandwich Isles
Southern Ocean
Spain
Spratly
Islands
Sri Lanka
Sudan
Suriname
Svalbard
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad &
Tobago
Tromelin
Island
Tunisia
Turkey
Turkmenistan
Turks & Caicos
Islands
Tuvalu
Uganda
Ukraine
United
Arab Emirates
United
Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin
Islands
Wake
Island
Wallis &
Futuna
West Bank
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
Other
Current Mailing Address & Current Country of Residence:
Select A Country
------->
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and
Barbuda
Argentina
Armenia
Arctic
Ocean
Aruba
Ashmore &
Cartier Islands
Atlantic
Ocean
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Baker
Island
Bangladesh
Barbados
Bassas da
India
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia &
Herzegovina
Botswana
Bouvet Island
Brazil
British
Indian Ocean Territory
British
Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burma
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman
Islands
Central African
Republic
Chad
Chile
China
Christmas Island
Clipperton Island
Cocos
(Keeling) Islands
Colombia
Comoros
Congo
Congo,
Democratic Rep.
Cook Islands
Coral Sea
Islands
Costa Rica
Cote
d'Ivoire
Croatia
Cuba
Cyprus
Czech
Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El
Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Europa Island
Falkland
Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French
Polynesia
French
Southern & Antarctic Lands
Gabon
Gambia
Gaza Strip
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island &
McDonald Islands
Holy See
(Vatican City)
Honduras
Hong Kong
Howland
Island
Hungary
Iceland
India
Indian Ocean
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Jan Mayen
Japan
Jarvis Island
Jersey
Johnston
Atoll
Jordan
Juan de Nova
Island
Kazakstan
Kenya
Kingman Reef
Kiribati
Korea,
North
Korea,
South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Man, Isle
of
Marshall
Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Midway
Islands
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Namibia
Nauru
Navassa
Island
Nepal
Netherlands
Netherlands
Antilles
New
Caledonia
New
Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk
Island
Northern
Mariana Islands
Norway
Oman
Pacific
Ocean
Pakistan
Palau
Palmyra
Atoll
Panama
Papua New
Guinea
Paracel
Islands
Paraguay
Peru
Philippines
Pitcairn
Islands
Poland
Portugal
Puerto
Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint
Helena
Saint
Kitts & Nevis
Saint
Lucia
Saint
Pierre & Miquelon
Saint
Vincent & the Grenadines
Samoa
San Marino
Sao Tome and
Principe
Saudi
Arabia
Senegal
Serbia &
Montenegro
Seychelles
Sierra
Leone
Singapore
Slovakia
Slovenia
Solomon
Islands
Somalia
South
Africa
South Georgia
& So. Sandwich Isles
Southern Ocean
Spain
Spratly
Islands
Sri Lanka
Sudan
Suriname
Svalbard
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad &
Tobago
Tromelin
Island
Tunisia
Turkey
Turkmenistan
Turks & Caicos
Islands
Tuvalu
Uganda
Ukraine
United
Arab Emirates
United
Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin
Islands
Wake
Island
Wallis &
Futuna
West Bank
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
Other
Home Address if Different than Mailing Address:
Select A Country
------->
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and
Barbuda
Argentina
Armenia
Arctic
Ocean
Aruba
Ashmore &
Cartier Islands
Atlantic
Ocean
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Baker
Island
Bangladesh
Barbados
Bassas da
India
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia &
Herzegovina
Botswana
Bouvet Island
Brazil
British
Indian Ocean Territory
British
Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burma
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman
Islands
Central African
Republic
Chad
Chile
China
Christmas Island
Clipperton Island
Cocos
(Keeling) Islands
Colombia
Comoros
Congo
Congo,
Democratic Rep.
Cook Islands
Coral Sea
Islands
Costa Rica
Cote
d'Ivoire
Croatia
Cuba
Cyprus
Czech
Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El
Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Europa Island
Falkland
Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French
Polynesia
French
Southern & Antarctic Lands
Gabon
Gambia
Gaza Strip
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island &
McDonald Islands
Holy See
(Vatican City)
Honduras
Hong Kong
Howland
Island
Hungary
Iceland
India
Indian Ocean
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Jan Mayen
Japan
Jarvis Island
Jersey
Johnston
Atoll
Jordan
Juan de Nova
Island
Kazakstan
Kenya
Kingman Reef
Kiribati
Korea,
North
Korea,
South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Man, Isle
of
Marshall
Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Midway
Islands
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Namibia
Nauru
Navassa
Island
Nepal
Netherlands
Netherlands
Antilles
New
Caledonia
New
Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk
Island
Northern
Mariana Islands
Norway
Oman
Pacific
Ocean
Pakistan
Palau
Palmyra
Atoll
Panama
Papua New
Guinea
Paracel
Islands
Paraguay
Peru
Philippines
Pitcairn
Islands
Poland
Portugal
Puerto
Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint
Helena
Saint
Kitts & Nevis
Saint
Lucia
Saint
Pierre & Miquelon
Saint
Vincent & the Grenadines
Samoa
San Marino
Sao Tome and
Principe
Saudi
Arabia
Senegal
Serbia &
Montenegro
Seychelles
Sierra
Leone
Singapore
Slovakia
Slovenia
Solomon
Islands
Somalia
South
Africa
South Georgia
& So. Sandwich Isles
Southern Ocean
Spain
Spratly
Islands
Sri Lanka
Sudan
Suriname
Svalbard
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad &
Tobago
Tromelin
Island
Tunisia
Turkey
Turkmenistan
Turks & Caicos
Islands
Tuvalu
Uganda
Ukraine
United
Arab Emirates
United
Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin
Islands
Wake
Island
Wallis &
Futuna
West Bank
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
Other
Phone Number (Please include area codes and country codes also):
Marital Status:
Single Married Divorced/Separated Widow
 
Languages
First Language:
English French Other
English Language
Speak:
Please Select
High
Moderate
Basic
Not at All
Read:
Please Select
High
Moderate
Basic
Not at All
Write:
Please Select
High
Moderate
Basic
Not at All
Understand/Listen:
Please Select
High
Moderate
Basic
Not at All
Total # of years in an English-language school system outside of Canada
Please Select
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Country where you attended an English-language school system:
Select A Country
------->
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and
Barbuda
Argentina
Armenia
Arctic
Ocean
Aruba
Ashmore &
Cartier Islands
Atlantic
Ocean
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Baker
Island
Bangladesh
Barbados
Bassas da
India
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia &
Herzegovina
Botswana
Bouvet Island
Brazil
British
Indian Ocean Territory
British
Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burma
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman
Islands
Central African
Republic
Chad
Chile
China
Christmas Island
Clipperton Island
Cocos
(Keeling) Islands
Colombia
Comoros
Congo
Congo,
Democratic Rep.
Cook Islands
Coral Sea
Islands
Costa Rica
Cote
d'Ivoire
Croatia
Cuba
Cyprus
Czech
Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El
Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Europa Island
Falkland
Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French
Polynesia
French
Southern & Antarctic Lands
Gabon
Gambia
Gaza Strip
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island &
McDonald Islands
Holy See
(Vatican City)
Honduras
Hong Kong
Howland
Island
Hungary
Iceland
India
Indian Ocean
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Jan Mayen
Japan
Jarvis Island
Jersey
Johnston
Atoll
Jordan
Juan de Nova
Island
Kazakstan
Kenya
Kingman Reef
Kiribati
Korea,
North
Korea,
South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Man, Isle
of
Marshall
Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Midway
Islands
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Namibia
Nauru
Navassa
Island
Nepal
Netherlands
Netherlands
Antilles
New
Caledonia
New
Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk
Island
Northern
Mariana Islands
Norway
Oman
Pacific
Ocean
Pakistan
Palau
Palmyra
Atoll
Panama
Papua New
Guinea
Paracel
Islands
Paraguay
Peru
Philippines
Pitcairn
Islands
Poland
Portugal
Puerto
Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint
Helena
Saint
Kitts & Nevis
Saint
Lucia
Saint
Pierre & Miquelon
Saint
Vincent & the Grenadines
Samoa
San Marino
Sao Tome and
Principe
Saudi
Arabia
Senegal
Serbia &
Montenegro
Seychelles
Sierra
Leone
Singapore
Slovakia
Slovenia
Solomon
Islands
Somalia
South
Africa
South Georgia
& So. Sandwich Isles
Southern Ocean
Spain
Spratly
Islands
Sri Lanka
Sudan
Suriname
Svalbard
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad &
Tobago
Tromelin
Island
Tunisia
Turkey
Turkmenistan
Turks & Caicos
Islands
Tuvalu
Uganda
Ukraine
United
Arab Emirates
United
Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin
Islands
Wake
Island
Wallis &
Futuna
West Bank
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
Other
French Language
Speak:
Please Select
High
Moderate
Basic
Not at All
Read:
Please Select
High
Moderate
Basic
Not at All
Write:
Please Select
High
Moderate
Basic
Not at All
Understand/Listen:
Please Select
High
Moderate
Basic
Not at All
 
Education
You may type any other related educational experience that you have in the space provided below:
Total Years of Study (Including Primary/Elementary Schooling):
 
Activities
Indicate your activities when you were not attending school full-time.
Activity 1
Activity:
Employer:
Activity Period:
 
Activity 2
Activity:
Employer:
Activity Period:
 
Activity 3
Activity:
Employer:
Activity Period:
 
Please type in the field below any additional employment experience that you want to explain in detail:
 
Relatives in Canada if Any
 
Other
Do you intend to apply for financial assistance from the Ontario Student Assistance Program (OSAP)?
Yes No
If you have any additional comments, then please provide details here: