Equilibrium School - Funded EAL Program

Funded EAL Program - Enrollment Questionnaire

Welcome to Equilibrium School!

To help us know you better, please complete this student enrollment questionnaire.
You must answer all the questions in each section before being allowed to move to the next section.
If you need any help or have any questions, please go to the main office and ask for assistance.
When you are finished the questionnaire, you will have a short introduction meeting with our school counsellor.

Please fill in all required fields highlighted in red.

Personal Information

First Name

Last Name

Please type your complete legal name as it appears on your legal documents such as a PR card or Driver’s Licence

Date of Birth

Calculated Age:

Country of Birth

Type to search...

Gender

Specify details

Current Address Street Address

City

Province

Postal Code

How many other people live in your home with you?

Phone Number

Email Address

What is the best way to reach you?

Do you have any special skills, talents, or hobbies (such as cooking, playing a musical instrument, art, mechanical skills, etc.)?

Please provide details...

Do you need any help from the school with finding supports or resources in the community (ex: finding a family doctor, food support, counselling services, etc.)?

Please provide details...

Family

Marital Status

Does your spouse live with you right now?

Do you have any children?

How many of your children are 18 years old or younger?

How many of your children live with you?

Do you have any other family members living with you (such as parents or grandparents) Calgary?

Please provide details...

Employment and Education

Are you working now?

Employment Type:

Current Job Title or Type of Employment:

When did you start this employment?

Do you have Canadian work experience?

Please list the places and companies in Canada where you have worked and the jobs you have done during the past five years. You do not need to provide dates.

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

Do you have any trade or technical skills (such as electrician, chef, mechanic)?

Do you have any Canadian education?

Please list the schools in Canada where you have studied and the courses you took during the past five years. You do not need to provide dates.

Do you have any volunteer experience in Canada?

Please list the places and organizations in Canada where you have volunteered during the past five years. You do not need to provide dates.

Have you completed high school in any country?

Where did you complete high school?

Type country...

What is the highest level of education you have completed in any country?

e.g. Bachelor's Degree, Diploma

Do you have any special certificates, diplomas, or other training from any country including Canada?

Please list them...

Citizenship and Immigration

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

What is your citizenship status?

Language Abilities

What is your native language?

List any other languages you speak.

Before coming to Equilibrium, did you study English anywhere else in Canada or another country?

Please tell us where and when you studied English

Did you ever take a Canadian Language Benchmark (CLB) test before coming to Equilibrium?

Please tell us when and where you took the test and the results you received

Goals

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

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

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

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