Confidential when completed
Name*
E-mail*
Country of Residence*
--Select--
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua And Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Republic of the Congo
Democratic Republic of the Congo
Costa Rica
Ivory Coast
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic (+1-809)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji Islands
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Morocco
Moldova
Monaco
Mongolia
Montenegro
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua new Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts And Nevis
Saint Lucia
Saint Vincent And The Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Tajikistan
Tanzania
Thailand
East Timor
Togo
Tonga
Trinidad And Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Phone Number (with country and area code)*
City of Residence *
Nationality *
Date of Birth *
1. Personal & Academic Background
What is your highest level of education?
In which country did you complete your high school / Grade 12?
--Select--
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua And Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Republic of the Congo
Democratic Republic of the Congo
Costa Rica
Ivory Coast
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic (+1-809)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji Islands
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Morocco
Moldova
Monaco
Mongolia
Montenegro
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua new Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts And Nevis
Saint Lucia
Saint Vincent And The Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Tajikistan
Tanzania
Thailand
East Timor
Togo
Tonga
Trinidad And Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
What are your grades/GPA in your previous studies?
Have you taken academic English proficiency test/s like IELTS, TOEFL, or GRE?
Yes
No
If Yes, please specify your score in each module and overall
What subjects or programs have you studied before?
Do you have any gaps in your education? If so, how do you explain them?
2. Study Plans & Course Selection
What program or course do you want to study in Canada?
Why are you interested in this particular program?
Have you researched Canadian universities/colleges? Which ones are you considering?
Are you applying for undergraduate, postgraduate, diploma, or certificate programs?
Do you prefer a specific city or province in Canada?
3. Financial Capability
Do you understand the cost of studying in Canada (tuition fees, living expenses, etc.)?
How will you fund your studies? (e.g., personal savings, scholarships, parental support, student loans)?
Can you provide proof of financial support (as required for a study permit)?
Do you plan to work part-time while studying?
Yes
No
4. Visa & Immigration Requirements
Have you applied for a Canadian study permit before?
Yes
No
Were you ever refused a study permit or any other visa for Canada or any other country?
Yes
No
If Yes, please explain
Have you travelled abroad before?
Yes
No
If yes, state country/countries
Do you have any relatives in Canada who are Canadian citizens or Permanent Residents?
Yes
No
If yes, please specify
5. Future Plans
What are your career goals after completing your studies?
Do you plan to stay in Canada after graduation or return to your home country?
Are you aware of Canada’s Post-Graduation Work Permit (PGWP) program?
6. Accommodation & Lifestyle
Where do you plan to stay in Canada (on-campus, off-campus, with family/friends)?
Are you comfortable with Canada’s climate and lifestyle?
Have you researched healthcare, transportation, and other living costs in Canada?
7. Additional Considerations
Do you have any medical conditions or special needs that require accommodation?
Yes
No
Yes, please specify.
Do you need assistance with the application process, including SOP (Statement of Purpose) writing?
Yes
No
We thank you for providing the above information. It will certainly help us in ascertaining your goals and we will be happy to provide you with options that suit your needs. If you have additional questions, do not hesitate to email us at info@just2canada.ca.
Wishing you success in your endeavours!Anoo Lal Just To Canada Team
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