EBBI Study Permit Assessment — Client Intake (Blank)

How to fill this out: Write dates as Day / Month / Year (e.g. 04 / 07 / 2026). Where a question does not apply, write N/A. Print clearly in block letters. Return by mail, in person, or scan and email to admin@explorebeyondborders.ca. Expected response: 2–3 business days.

1. Personal Information

Last Name

First Name

Date of Birth (D/M/Y)

Citizenship / Nationality

Email Address

Phone Number

Currently Living In (In Canada / Outside Canada)

Current Status in Canada (if applicable)

2. Intended Study Program

Have you already been accepted by a Designated Learning Institution (DLI)?

Yes - I have a Letter of AcceptanceApplied, awaiting decisionNo - still researching schools/programs

Institution Name (if known)

Program of Study

Program Length

Intended Start Date (D/M/Y)

Province/City Where School Is Located

3. Financial Information

How do you plan to demonstrate proof of funds?

Personal savings / bank statementsGuaranteed Investment Certificate (GIC)Scholarship or sponsorship from institutionFamily member sponsoring costsEducation loanNot sure yet

Approximate funds currently available for tuition and living expenses

4. Background

IRCC assesses whether applicants intend to leave Canada at the end of their authorized stay. Describing your ties to your home country helps EBBI prepare a stronger application.

Highest level of education completed so far

Have you taken an English or French proficiency test? (Yes / No / Planning to)

Do you have ties (family, property, employment) in your home country?

Any previous Canadian visa refusal? NoYes

If yes, briefly describe

5. Document Status

Check all documents you currently have ready.

Documents ready — check all that apply

Valid passportLetter of AcceptanceProof of fundsAcademic transcriptsLanguage test resultsStatement of Purpose / study planMedical exam (if required)

Additional Information

Client Declaration

I declare that the information provided is true, complete, and accurate to the best of my knowledge. This form is for assessment only, does not constitute legal advice, and does not guarantee any immigration outcome. I have read the Privacy Policy and Legal Notice at explorebeyondborders.ca. I authorize EBBI to share this information with supervising counsel, Atty. George M. Garvida.

☐ I have read and agree to the above declaration

Full name (print)

Signature

Date (D/M/Y)

For EBBI Staff Use Only

Received by

Date received (D/M/Y)

Reference code assigned

Pathway flagged

Online option: explorebeyondborders.ca/immigration-study-permit-assessment.html · Legal Notice: explorebeyondborders.ca/legal-disclaimer.html