Equilibrium School Enrollment

Equilibrium School - Enrollment Questionnaire

Welcome to Equilibrium School!

Please complete this questionnaire. You must answer all questions in each section to proceed.

Please fill in all required fields highlighted in red.

Personal Information

1. First Name (Legal)

Last Name (Legal)

2. Date of Birth

Calculated Age:

3. Country of Birth

4. Gender

5. Current Address

6. How many other people live in your home?

7. Phone Number

8. Email Address

9. Best way to reach you?

10. Special skills, talents, or hobbies?

11. Do you need help/resources in the community?

Family

1. Marital Status

Does your spouse live with you right now?

2. Do you have any children?

How many children are 18 or younger?

How many of your children live with you?

3. Do you have any other family members living with you?

Employment and Education

1. Are you working now?

Employment Type:

Job Title:

Start Date:

2. Do you have Canadian work experience?

3. What was your profession(s) prior to coming to Canada?

4. Do you have any trade or technical skills?

5. Do you have any Canadian education?

6. Do you have any volunteer experience in Canada?

7. Have you completed high school in any country?

Where did you complete high school?

8. What is the highest level of education you have completed?

9. Do you have any special certificates/diplomas?

Citizenship and Immigration

1. Date of arrival in Canada (dd/mm/yyyy)

2. What is your citizenship status?

Language Abilities

1. What is your native language?

2. List any other languages you speak.

3. Before coming to Equilibrium, did you study English anywhere else?

4. Did you ever take a Canadian Language Benchmark (CLB) test?

Goals

1. Why are you taking English classes? (Select all that apply)

To find a full-time job

To find a better job

To get a professional certification

To start my own business

To continue my education

To find employment or training as a tradesperson

To apply for Canadian citizenship

2. What is your educational goal for the next twelve-months?

3. What is your employment goal for the next twelve-months?

4. What are you planning to do after completing your EAL studies?