Student Evaluation | Polinsys- Canada Immigration

Name :*

First Last

Date Of Birth :*

Country of Citizenship :*

Work Experience:

Are you currently employed?*

Yes
No

Name of Current Employer:*

Location of Employment:*

Job category:*

Job title:*

Job responsibility:*

Explain in your own words what this responsibility means to you:*

Employment From :*

Employment To :*

If you have previous employment experience, please click the checkbox and fill in your details beginning from the most current backwards.

Add another employment experience.

Do you have any previous work experience?*

Yes
No

Name of Employer:*

Location of Employment:*

Job category:*

Job title:*

Job responsibility:*

Explain in your own words what this responsibility means to you:*

Employment From :*

Employment To :*

If you have previous employment experience, please click the checkbox and fill in your details beginning from the most current backwards.

Add another employment experience.

Name of Employer:*

Location of Employment:*

Job category:*

Job title:*

Job responsibility:*

Explain in your own words what this responsibility means to you:*

Employment From :*

Employment To :*

If you have previous employment experience, please click the checkbox and fill in your details beginning from the most current backwards.

Add another employment experience.

Name of Employer:*

Location of Employment:*

Job category:*

Job title:*

Job responsibility:*

Explain in your own words what this responsibility means to you:*

Employment From :*

Employment To :*

If you have previous employment experience, please click the checkbox and fill in your details beginning from the most current backwards.

Add another employment experience.

Name of Employer:*

Location of Employment:*

Job category:*

Job title:*

Job responsibility:*

Explain in your own words what this responsibility means to you:*

Employment From :*

Employment To :*

Education:

Have you Completed Secondary School or 10th Grade?*

Yes
No

Secondary Course Details :

Name of Institution :*

Location (Address) :*

Country :*

Did you complete your course without Breaks?*

Yes
No

From :*

To :*

Explain the Break :*

If you have more breaks please Add the next break:*

Yes
No

From :*

To :*

Explain the Break :*

Did you pass all your exams in one sitting?*

Yes
No

How many subjects did you have to redo?*

Subject 1 :

Name of the subject:*

Date Completed :*

Number of Additional Attempts:

Subject 2 :

Name of the subject:*

Date Completed :*

Number of Additional Attempts:

Subject 3 :

Name of the subject:*

Date Completed :*

Number of Additional Attempts:

Subject 4 :

Name of the subject:*

Date Completed :*

Number of Additional Attempts:

Subject 5 :

Name of the subject:*

Date Completed :*

Number of Additional Attempts:

Subject 6 :

Name of the subject:*

Date Completed :*

Number of Additional Attempts:

What was your overall Score ?*

Have you done any diploma after 10th Grade?*

Yes
No

Diploma Details :

Name of Institution:*

Location (Address):*

Country:*

Name of Diploma:*

Duration of Diploma:*

Did you take any break while completing your diploma?*

Yes
No

From:*

To:*

Explain the break:*

If you have more breaks please Add the next break:*

Yes
No

From:*

To:*

Explain the break:*

Did you pass all your exams in one sitting while taking this diploma?*

Yes
No

How many subjects did you have to redo?*

Subject 1:

Name of the Subject:*

Date Completed:*

Number of additional attempts

Subject 2:

Name of the Subject:*

Number of additional attempts

Subject 3:

Name of the Subject:*

Date Completed:*

Number of additional attempts

Subject 4:

Name of the Subject:*

Date Completed:*

Number of additional attempts

Subject 5:

Name of the Subject:*

Date Completed:*

Number of additional attempts

Subject 6:

Name of the Subject:*

Date Completed:*

Number of additional attempts

What is your overall score?*

Did you do any other diplomas in addition to the one indicated above after your 10th Grade?*

Yes
No

Additional diploma details :

Name of Institution:*

Location (Address):*

Country:*

Name of Diploma:*

Duration of Diploma:*

Did you take any break while completing your diploma?*

Yes
No

From:*

To:*

Explain the break:*

If you have more breaks please Add the next break:*

Yes
No

From:*

To:*

Explain the break:*

Did you pass all your exams in one sitting while taking this diploma?*

Yes
No

How many subjects did you have to redo?*

Subject 1:

Name of the Subject:*

Date Completed:*

Number of additional attempts

Subject 2:

Name of the Subject:*

Date Completed:*

Number of additional attempts

Subject 3:

Name of the Subject:*

Date Completed:*

Number of additional attempts

Subject 4:

Name of the Subject:*

Date Completed:*

Number of additional attempts

Subject 5:

Name of the Subject:*

Date Completed:*

Number of additional attempts

Subject 6:

Name of the Subject:*

Date Completed:*

Number of additional attempts

What was your overall score?*

Have you completed Post Secondary School or 12th Grade?*

Yes
No

Have you done graduation without Post Secondary?*

Yes
No

Post Secondary Course Details:

Name of Institution:*

Location (Address) :*

Country:*

Duration: From:*

To:*

Did you take any break while completing your course?*

Yes
No

From :*

To:*

Explain the break:*

If you have more breaks please Add the next break:*

Yes
No

From :*

To:*

Explain the break:*

Did you pass all your exams in one sitting?*

Yes
No

How many subjects did you have to redo?*

Subject 1:

Name of the subject:*

Date Completed:*

Number of additional attempts

Subject 2:

Name of the subject:*

Date Completed:*

Number of additional attempts

Subject 3:

Name of the subject:*

Date Completed:*

Number of additional attempts

Subject 4:

Name of the subject:*

Date Completed:*

Number of additional attempts

Subject 5:

Name of the subject:*

Date Completed:*

Number of additional attempts

Subject 6:

Name of the subject:*

Date Completed:*

Number of additional attempts

What was your overall score?*

Have you done any diploma after 12th Grade?*

Yes
No

Diploma Details:

Name of Institution:*

Address of Institution:*

Country:*

Name of Diploma:*

Duration of Diploma:*

Did you take a break while completing your diploma?*

Yes
No

From :*

To:*

Explain the break:*

If you have more breaks please Add the next break:*

Yes
No

From :*

To:*

Explain the break:*

Did you pass all your exams in one sitting while taking this diploma?*

Yes
No

How many subjects did you have to redo?*

Subject 1:

Name of the subject:*

Date Completed:*

Number of additional attempts

Subject 2:

Name of the subject:*

Date Completed:*

Number of additional attempts

Subject 3:

Name of the subject:*

Date Completed:*

Number of additional attempts

Subject 4:

Name of the subject:*

Date Completed:*

Number of additional attempts

Subject 5:

Name of the subject:*

Date Completed:*

Number of additional attempts

Subject 6:

Name of the subject:*

Date Completed:*

Number of additional attempts

What was your overall score?*

Did you do any other diplomas in addition to the one indicated above after your 12th Grade?*

Yes
No

Additional diploma details

Name of Institution:*

Address of Institution:*

Country:*

Name of Diploma:*

Duration of Diploma:*

Did you take a break while completing your diploma?*

Yes
No

From:*

To:*

Explain the break:*

If you have more breaks please Add the next break:*

Yes
No

From:*

To:*

Explain the break:*

Did you pass all your exams in one sitting while taking this diploma?*

Yes
No

How many subjects did you have to redo?*

Subject 1:

Name of the subject:*

Date Completed:*

Number of additional attempts

Subject 2:

Name of the subject:*

Date Completed:*

Number of additional attempts

Subject 3:

Name of the subject:*

Date Completed:*

Number of additional attempts

Subject 4:

Name of the subject:*

Date Completed:*

Number of additional attempts

Subject 5:

Name of the subject:*

Date Completed:*

Number of additional attempts

Subject 6:

Name of the subject:*

Date Completed:*

Number of additional attempts

What was your overall score?*

Have you done Bachelor Program (Completed or in progress)?*

Yes
No

Bachelor Program (Completed or in progress)

Did you complete your Bachelor Program?*

Yes
No

Name of Bachelor Program:*

Name of Institution:*

Address of Institution:*

Country:*

Medium of Instruction:*

Did you have any additional languages as part of course?*

Yes
No

Select Language:*

Total duration of Bachelor Program:*

Duration you studied:*

Specialization and auxiliary subjects:*

Did you take a break while completing your Bachelor?*

Yes
No

From:*

To:*

Explain the break:*

Do you take more break other than the one indicated above?*

Yes
No

From:*

To:*

Explain the break:*

Did you pass all your exams in one sitting while taking your Bachelor Program?*

Yes
No

How many subjects did you have to redo?*

Subject 1:

Name of Subject:*

Date of Completion:*

Number of additional attempts:

Subject 2:

Name of Subject:*

Date of Completion:*

Number of additional attempts:

Subject 3:

Name of Subject:*

Date of Completion:*

Number of additional attempts:

Subject 4:

Name of Subject:*

Date of Completion:*

Number of additional attempts:

Subject 5:

Name of Subject:*

Date of Completion:*

Number of additional attempts:

Subject 6:

Name of Subject:*

Date of Completion:*

Number of additional attempts:

Subject 7:

Name of Subject:*

Date of Completion:*

Number of additional attempts:

Subject 8:

Name of Subject:*

Date of Completion:*

Number of additional attempts:

Subject 9:

Name of Subject:*

Date of Completion:*

Number of additional attempts:

Subject 10:

Name of Subject:*

Date of Completion:*

Number of additional attempts:

What is your overall score?*

Have you done any additional bachelor program?*

Yes
No

Additional bachelor program (completed or in progress)

Did you complete your Bachelor Program?*

Yes
No

Name of Institution:*

Address of Institution:*

Country:*

Medium of Instruction:*

Did you have any additional languages as part of your course ?*

Yes
No

Select Language:*

Total duration of Bachelor Program:*

Duration you studied:*

Specialization and auxiliary subjects:*

Did you take a break while completing your Bachelor?*

Yes
No

From:*

To:*

Explain the break:*

Did you take more break other than the one indicated above?*

Yes
No

From:*

To:*

Explain the break:*

Did you pass all your exams in one sitting while taking your Bachelor Program?*

Yes
No

How many subjects did you have to redo?*

Subject 1:

Name of Subject:*

Date of Completion:*

Number of additional Attempts:

Subject 2:

Name of Subject:*

Date of Completion:*

Number of additional Attempts:

Subject 3:

Name of Subject:*

Date of Completion:*

Number of additional Attempts:

Subject 4:

Name of Subject:*

Date of Completion:*

Number of additional Attempts:

Subject 5:

Name of Subject:*

Date of Completion:*

Number of additional Attempts:

Subject 6:

Name of Subject:*

Date of Completion:*

Number of additional Attempts:

Subject 7:

Name of Subject:*

Date of Completion:*

Number of additional Attempts:

Subject 8:

Name of Subject:*

Date of Completion:*

Number of additional Attempts:

Subject 9:

Name of Subject:*

Date of Completion:*

Number of additional Attempts:

Subject 10:

Name of Subject:*

Date of Completion:*

Number of additional Attempts:

What was your overall score?*

Have you completed any Masters Program?*

Yes
No

Masters Program (Completed or in Progress)

Did you complete your masters program?*

Yes
No

Name of Masters Program:*

Address of Institution:*

Country:*

Medium of Instruction:*

Did you have any additional languages as part of course?*

Yes
No

Select Language:*

Total duration of Masters Program:*

Duration you studied:*

Specialization and auxiliary subjects:*

Did you take a break while completing your Masters?*

Yes
No

From:*

To:*

Explain the break:*

Did you take more break other than the one indicated above?*

Yes
No

From:*

To:*

Explain the break:*

Did you pass all your exams in one sitting while taking your Masters Program?*

Yes
No

How many subjects did you have to redo?*

Subject 1:

Name of subject:*

Date of completion:*

Number of additional attempts:

Subject 2:

Name of subject:*

Date of completion:*

Number of additional attempts:

Subject 3:

Name of subject:*

Date of completion:*

Number of additional attempts:

Subject 4:

Name of subject:*

Date of completion:*

Number of additional attempts:

Subject 5:

Name of subject:*

Date of completion:*

Number of additional attempts:

Subject 6:

Name of subject:*

Date of completion:*

Number of additional attempts:

Subject 7:

Name of subject:*

Date of completion:*

Number of additional attempts:

Subject 8:

Name of subject:*

Date of completion:*

Number of additional attempts:

Subject 9:

Name of subject:*

Date of completion:*

Number of additional attempts:

Subject 10:

Name of subject:*

Date of completion:*

Number of additional attempts:

What was your overall score?*

Have you done any additional masters program?*

Yes
No

Additional masters program (completed or in-progress)

Did you complete your masters program?*

Yes
No

Name of Masters Program:*

Address of Institution:*

Country:*

Medium of Instruction:*

Did you have any additional languages as part of course?*

Yes
No

Select Language:*

Total duration of Masters Program:*

Duration you studied:*

Specialization and auxiliary subjects:*

Did you take a break while completing your Masters?*

Yes
No

From:*

To:*

Explain the break:*

Do you take more break other than the one indicated above?*

Yes
No

From:*

To:*

Explain the break:*

Did you pass all your exams in one sitting while taking your Masters Program?*

Yes
No

How many subjects did you have to redo?*

Subject 1:

Name of subject:*

Date of completion:*

Number of additional attempts:

Subject 2:

Name of subject:*

Date of completion:*

Number of additional attempts:

Subject 3:

Name of subject:*

Date of completion:*

Number of additional attempts:

Subject 4:

Name of subject:*

Date of completion:*

Number of additional attempts:

Subject 5:

Name of subject:*

Date of completion:*

Number of additional attempts:

Subject 6:

Name of subject:*

Date of completion:*

Number of additional attempts:

Subject 7:

Name of subject:*

Date of completion:*

Number of additional attempts:

Subject 8:

Name of subject:*

Date of completion:*

Number of additional attempts:

Subject 9:

Name of subject:*

Date of completion:*

Number of additional attempts:

Subject 10:

Name of subject:*

Date of completion:*

Number of additional attempts:

What was your overall score?*

Have you done any Doctoral program?*

Yes
No

Doctoral program

Did you complete your doctoral program?*

Yes
No

Specialization:*

Name of Institution:*

Address of Instituion:*

Country:*

Medium of Instruction:*

Total duration of doctoral program:*

Duration you studied:*

Specialization and auxiliary subjects:*

Did you take a break while completing your doctoral?*

Yes
No

From:*

To:*

Explain the break:*

Did you take more breaks other than the one indicated above?*

Yes
No

From:*

To:*

Explain the break:*

Did you pass all your exams in one sitting while taking your doctoral program?*

Yes
No

How many subjects did you have to redo?*

Subject 1:

Name of subject:*

Date of completion:*

Number of additional attempts:

Subject 2:

Name of subject:*

Date of completion:*

Number of additional attempts:

Subject 3:

Name of subject:*

Date of completion:*

Number of additional attempts:

Subject 4:

Name of subject:*

Date of completion:*

Number of additional attempts:

Subject 5:

Name of subject:*

Date of completion:*

Number of additional attempts:

Subject 6:

Name of subject:*

Date of completion:*

Number of additional attempts:

Subject 7:

Name of subject:*

Date of completion:*

Number of additional attempts:

Subject 8:

Name of subject:*

Date of completion:*

Number of additional attempts:

Subject 9:

Name of subject:*

Date of completion:*

Number of additional attempts:

Subject 10:

Name of subject:*

Date of completion:*

Number of additional attempts:

What was your overall score?*

Have you done any additional doctoral program?*

Yes
No

Additional doctoral program

Did you complete your doctoral program?*

Yes
No

Specialization:*

Name of Institution:*

Address of Instituion:*

Country:*

Medium of Instruction:*

Total duration of doctoral program:*

Duration you studied:*

Specialization and auxiliary subjects:*

Did you take a break while completing your doctoral?*

Yes
No

From:*

To:*

Explain the break:*

Did you take more breaks other than the one indicated above?*

Yes
No

From:*

To:*

Explain the break:*

Did you pass all your exams in one sitting while taking your doctoral program?*

Yes
No

How many subjects did you have to redo?*

Subject 1:

Name of subject:*

Date of completion:*

Number of additional attempts:

Subject 2:

Name of subject:*

Date of completion:*

Number of additional attempts:

Subject 3:

Name of subject:*

Date of completion:*

Number of additional attempts:

Subject 4:

Name of subject:*

Date of completion:*

Number of additional attempts:

Subject 5:

Name of subject:*

Date of completion:*

Number of additional attempts:

Subject 6:

Name of subject:*

Date of completion:*

Number of additional attempts:

Subject 7:

Name of subject:*

Date of completion:*

Number of additional attempts:

Subject 8:

Name of subject:*

Date of completion:*

Number of additional attempts:

Subject 9:

Name of subject:*

Date of completion:*

Number of additional attempts:

Subject 10:

Name of subject:*

Date of completion:*

Number of additional attempts:

What was your overall score?*

Language:

Have you completed your IELTS?*

Yes
No

Until when is your result valid?*

How much did you score?

Reading:*

Writing:*

Speaking:*

Listening:*

Overall:*

Explain in a few words if you have any specific course or career track in your mind:*

survey form

Work Experience:

Education:

Secondary Course Details :

Subject 1 :

Subject 2 :

Subject 3 :

Subject 4 :

Subject 5 :

Subject 6 :

Diploma Details :

Subject 1:

Subject 2:

Subject 3:

Subject 4:

Subject 5:

Subject 6:

Additional diploma details :

Subject 1:

Subject 2:

Subject 3:

Subject 4:

Subject 5:

Subject 6:

Post Secondary Course Details:

Subject 1:

Subject 2:

Subject 3:

Subject 4:

Subject 5:

Subject 6:

Diploma Details:

Subject 1:

Subject 2:

Subject 3:

Subject 4:

Subject 5:

Subject 6:

Additional diploma details

Subject 1:

Subject 2:

Subject 3:

Subject 4:

Subject 5:

Subject 6:

Bachelor Program (Completed or in progress)

Subject 1:

Subject 2:

Subject 3:

Subject 4:

Subject 5:

Subject 6:

Subject 7:

Subject 8:

Subject 9:

Subject 10:

Additional bachelor program (completed or in progress)

Subject 1:

Subject 2:

Subject 3:

Subject 4:

Subject 5:

Subject 6:

Subject 7:

Subject 8:

Subject 9:

Subject 10:

Masters Program (Completed or in Progress)

Subject 1:

Subject 2:

Subject 3:

Subject 4:

Subject 5:

Subject 6:

Subject 7:

Subject 8:

Subject 9:

Subject 10:

Additional masters program (completed or in-progress)

Subject 1: