assessment

ASSESSMENT
The form is designed for the purpose of obtaining basic information concerning the application and evaluating the applicant's qualification in student authorization application. Please complete followings accurately.
If possible, please fill out the form in both Chinese and English.Please ensure that the contact person, telephone number and related information that you have provided below are correct so that we can contact.

Personal information


Name( in Chinese):Name (in Pin Yin):

Marital status:Single Married Divorced

Date of Birht (yy/mm/dd): Age Sex
Place of Birth  Citizenship

Permanent Address Street CityProvinceCountryPost Code

Mailling Address Street CityProvince

CountryPost Code

Telephone(Home) Telephone(Office )

Fax(Home)Fax(Office) Preferred time for contact

E-mail

Passport Yes No Passport Number Passport Expiry Date

Education Background

Date(From the most recent)

From to

Name & Address of School

Diploma/degree Program

Work Experience

Date(From the most recent)

From to

Name of Employer & Address of Work

Position

Job Description

English Skill

Comprehension	Excellent	Ordinary	Difficult
Speaking	Excellent	Ordinary	Difficult
Reading	Excellent	Ordinary	Difficult
writting	Excellent	Ordinary	Difficult

Have your ever done on English test Yes No

Name of the test Score

Time

Family Background

Family Background(Parents or sponsoring relatives, friends)

Name	Name of Work Unit	Address of Work Unit	Position	Annual income
Father
Mother
Other sponsor(indicate relationship with sponsor)

Financial Background

1. if you are paying for your studies with money from your parents and/or from your pesonal savings:

Fund Available:US$ CAN$ RMB

Can you Provide:

a) Can you provide bank deposit certificates documenting the past 6-18 months( photocopy of complete bankbook(s);deposit receipt(s); monthly bill.)

Yes No

b) Can you provide the sponsor's employment letter ( stating: position, duration of employment, annual salary including bonuses (if applicable)

Yes No

c) Can you provide a written explanation for large deposites made within the past 6 months Yes No

2.If your family owns a business and proceeds from the business will be used to cover the cost of your studies in Canada, can you provide:

Your father or mother owns a business individual Joint Venture the percentage of ownership:

Date the business opened:total investment:

net assets:number of the employees:

Type/Scope of Business: Annual sales:

Net profit:Bank Saving

Funds available for studies: US$ CAN$ RMB

Bank certificate YesNo

Business registration Yes No

Recent tax receipt YesNo

Financial report Yes No

A Statement from the business owner or offical company Yes No

( indicate the date the business opened, the number of employees currently on staff and the type/scope of business conducted)

Study Purpose and Perferred Program

1.Why do you plan to study in Canads?

2.Which School and Program do you want to apply for? Please indicate the reasons.

3.Simply describe your plan of study and after graduating.

4. Have you ever travelled outside of China? If so, state the country, date of trave and the purpose of travel.

5.Do you have any family members residing abroad? If so, please provide their full name, place of residence and the nature of your relationship to them.

6. Have you ever applied for a Student Authorization? What was the result? Do you have a agent? Please provide details.



Thank you. We will evaluate your qualification according to the information you have
provided. Please do not hesitate to contact us if you have a problem.