Please contact us for more information regarding available assessment spots and walk-in opportunities.

Name *

As it appears on your Canadian Documents

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth *

MM

DD

YYYY

Document Showing Your Immigration Status in Canada *

Passport/Citizenship Card

Permanent Resident Card

Confirmation of Permanent Residence

Provincial Nominee Certificate

Acknowledgement of Claim Form

Refugee Protection Claimant Document

Work/Student Permit

Visitor

Have you taken a government-funded (free) English Language Test in Canada? (Other tests like IELTS, TOEFL, Duolingo, etc., do not count) *

Yes

No

Have you attended any ESL/LINC schools in Ontario? *

Yes

No

Years of Education *

None

Elementary

High School

College

University

Masters

PhD

I would like to have... *

English Assessment

French Assessment

Reason for Assessment *

Citizenship

Education

Employment

Daily Life

Other

Will you bring children to your assessment? *

Yes

No

If you answer YES, please let us know how old they are. *

Under 2 years old

Between 2 and 12

Older than 12 years old

I will not bring children to my assessment

Do you need any accommodation while doing your assessment?

Yes

No

Privacy

I hereby consent to the processing of my personal data for the selected purposes, and agree that the CCLC may collect, store, process and use the personal data I have provided.