English Survey for Our Valuable Students
Questioner helps Providence Group to effectively assist the potential International Students from Azerbaijan, Belarus, Kazakhstan, Moldova, Russia, and Ukraine and other countries from the former USSR on the entire process of successful admission into a Canadian education program at a college or university.

Please note that Providence Group provides education consultation for individual students from the above countries free of charge. However, to insure the true intentions of a prospective international student, and in order to value our time a non-refundable fee of $155CDN will be charged to a prospective student. This fee is to be paid by the credit card below.

NOTE: This is a free of charge on-line assessment provided to you by Providence Group.

Please answer all the questions with the best true intentions.

First Name *
(as recorded in traveling passport)
Your answer
Last Name *
(as recorded in traveling passport)
Your answer
Sex *
Date of Birth *
Form: date/month/year (Ex. 05/12/1981)
Your answer
Citizenship *
Identify your citizenship
Your answer
Address *
Your answer
Mailing address
If different from the main address
Your answer
E-mail *
Your answer
Telephone *
Your answer
If you are still a student in highschool, please indicate when will you graduate.
Form: date/month/year (Ex. 01/05/2011)
Your answer
If you have graduated from a post-secondary institution, please identify it. *
Name of the educational institution(s) attended.
Your answer
Address of the institution attended. *
Your answer
Year of your graduation(s) *
Form: date/month/year (Ex. 01/05/2010)
Your answer
Duration of program(s) from which you have graduated. *
Your answer
Degree(s) received. *
(Please note that you will have to translate into English your degrees, transcripts, and certify this translation by notary).
Your answer
What was your major? *
Your answer
Have you ever taken an international English Language Test. *
If Yes indicate what test, what score, when, where?
Your answer
If No, indicate the level of English to the best of your knowledge. *
Are you interested only in studying English as Second Language (ESL). *
If YES choose the following ESL courses
If NO, ignore this question
What programs are you interested in? *
Please specify area of interest in the above mentioned programs. *
Your answer
What is your current employment situation? *
Your answer
How do you expect to finance your tuition and living expenses. *
Required
What other countries you have visited in the past? Why you have visited them? For how long did you stay there? *
Example: USA. Work and Travel. 01/01/2010-01/01/2011; France. Vacation. 01/07/2012-14/07/2012.
Your answer
Was your request to enter Canada or USA ever refused or denied? *
If your visa request was ever denied, please indicate the reasons for denying the entry to Canada or USA? *
Required
Would you like to live on campus in a dormitory? *
If Yes, would you like to share a room with a roommate (only 2 students per room). Additional one-time fees paid to college/university may be applicable if you decide to live on campus.
Would you like to rent an apartment or house nearby your future university/college *
I agree to pay non-refundable registration fee of $155CDN. *
Your comments & questions
Your answer
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