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Free Online Student Evaluation Form
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Personal Information
Legal Last Name/Family Name:
All Legal Given/First Names in Full:
Email Address: (Required)
Sex: Male        Female
Date of Birth: Day:     Month:     Year:
Country of Birth:
Current Mailing Address & Current Country of Residence:
Home Address if Different than Mailing Address:
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:
Read:
Write:
Understand/Listen:
Total # of years in an English-language school system outside of Canada
Country where you attended an English-language school system:
French Language
Speak:
Read:
Write:
Understand/Listen:
 
Education
 Period   Name, City, & Country of Institution Type Field of Study and Degree/Diploma Obtained Full Institution Address
From
(mm/yy)
To
(mm/yy)
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:
From         Month:      Year:
To         Month:      Year:
 
Activity 2
Activity:
Employer:
Activity Period:
From         Month:      Year:
To         Month:      Year:
 
Activity 3
Activity:
Employer:
Activity Period:
From         Month:      Year:
To         Month:      Year:
 
Please type in the field below any additional employment experience that you want to explain in detail:

 
Relatives in Canada if Any
 Relative Name   Relationship Province of Residence Status in Canada
 
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:
 
 


     

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Emmigration to Canada and imigration forms. Emigrate and USA emmigration and green card.
Canada Green card which is named by Canadian citizenship within Canada.