CLARC Registration Form – Immigrant Services Calgary

Registration Form

Please fill out the below form, choose English Test (Language Assessment) under "How can we help you and your family?"

How can we help you and your family? *

First Name: *

Preferred Name:

Middle Name:

Surname (s) / Family Name (s): *

What is your First Language: *

Do you speak any other languages?

Do you prefer English or French? *

Status in Canada: *

The cost of the test is $165. There is a fee because of your immigration status.

Immigration Type Admitted to Canada: *

Do you have a decision letter? *

UCI/Client ID Number: *

Citizenship Certificate or Passport #: *

Email *

Confirm your Email *

Phone *

Do you prefer to be contacted by phone or email? *

Date of Birth: *

We are unable to provide language services or LINC referrals to individuals under 16 years old. Please de-select the Language Services above to continue

City: *

Province: *

Country of Origin: *

Why do you need an English test? *

Which educational institution are you applying to? *

Name of Program at Institution: *

Have You Already Taken An English Test In Canada?: *

Where in did you take the English test? *

How Many Years of Elementary and High School Have You Completed? *

How Many Years Of Technical Training Have You Completed? *

How Many Years of College/University Have You Completed? *

Do you have any Special Needs? *

Please Specify Your Special Needs: *

Can we adjust something to make your appointment more accessible to you?

Please Specify Your Requirements: *

Are You Interested In A Language Assessment Information Session? *

Is there anything else you would like to tell us?