International Student Consultation with an Immigration Consultant Registration and Assessment Form Step 1 of 5 20% Contact InformationName* First Middle Last Email* Phone / WhatsApp*Your phone number, including the country code and area code.AgeEnter your ageUnder 1818192021222324252627282930313233343536373839404142434445464748495051525354555657585960 or olderCountry of Citizenship*Select your country of citizenshipCanadaRussiaUkraineMexicoUnited States of AmericaAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsThe country for which you hold a passport.Country of Residence*Select your country of residence.CanadaRussiaUkraineMexicoUnited States of AmericaAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsThe country where you are currently living.City of Residence The city where you are currently living.Leter of AcceptanceDo you have a letter of acceptance from Adler University?SelectYesNoN/A, not sureAre there any conditions in your letter?SelectYesNoFor example, you may be required to complete certain courses before beginning your study program.Letter of Acceptance from Adler UniversityMax. file size: 256 MB.If you have a letter of acceptance from Adler University please upload it here.Have you already begun your study program at Adler?SelectYesNoStart of Studies MM slash DD slash YYYY When did you begin your study program at Adler? Your ProfileWhat is your highest level of education completed?*Select education levelLess than secondary (high school)Secondary school (high school)1-2 years post-secondaryBachelor's degree (3 or more years)Specialists Degree (5 years)2 Post secondary credentials, with one of more than three yearsMasters DegreePhD / Doctoral DegreeSubject(s)/area(s) of study HiddenWhat is your English level?Select your English levelAdvanced / Fluent (CLB 9+)Upper Intermediate (CLB 8)Intermediate (CLB 7)Lower Intermediate (CLB 5-6)Elementary (CLB 4)None at all - Beginner (CLB 1-3)HiddenWhat is your French level?Select your French levelAdvanced / Fluent (CLB 9+)Upper Intermediate (CLB 8)Intermediate (CLB 7)Lower Intermediate (CLB 5-6)Elementary (CLB 4)None at all - Beginner (CLB 1-3)HiddenHave you taken the IELTS exam? Yes No Date of Your Test DD slash MM slash YYYY When did you write your IELTS exam?IELTS Score (Speaking)*Select your score98.587.576.565.554.543.532.5IELTS Score (Listening)*Select your score98.587.576.565.554.543.532.5IELTS Score (Reading)*Select your score98.587.576.565.554.543.532.5IELTS Score (Writing)*Select your score98.587.576.565.554.543.532.5How many years of full time work experience do you have?*Select the amount of work experienceLess than 1 year1 years2 years3 years4 years5 years6 years or moreYour profession(s) Enter all professions from the past 10 yearsAdditional comments on your language level, education, and experience Your Family InformationDo you have a spouse (husband/wife) or common-law partner*?* Yes No *A common-law partner is your conjugal partner who is not legally married to you, but has been living with you for at least 12 consecutive months.Will your spouse or common-law partner come with you to Canada?* Yes No Not sure Will any dependent children come with you to Canada?SelectNoYesYes, twoYes, three or moreNot sureDo you have any family members living in Canada now?NoYesSelect the family members you have in Canada Parent Grandparent Child Grandchild Brother/Sister Aunt/Uncle Niece/Nephew Other Additional Comments on Your Family Members HiddenDo you have a job offer from Canada?NoYesHiddenJob offer details Have you ever been to Canada?NoYesPurpose of Visit What were you doing in Canada?Have you ever applied for a Canadian visa?NoYesDetailsPlease provide details on the application and result Study GoalsWhat would you like to do after graduation from Adler University?SelectI want to live in CanadaI want to return to my home countryI'm not sureOtherGoals after graduation from Adler University Specify what you would like to do after graduation.Amount of Available Funds (in CAD) for your period of studyLess than $10,000$10,000 to $20,000$20,000 to $30,000$30,000 to $40,000$40,000 to $50,000$50,000 to $60,000$60,000 to $70,000$70,000 to $80,000$80,000 to $90,000more than $90,000Note how much funds you have to pay for living expenses in Canada, after paying for your tuition fees. This amount will need to be proven with documentation from a financial institution.Problems and Questions
