Assessment Form Please, fill the form correctly and we'll get back to you as soon as possible Personal Information Fullname contact number Email Address Educational Background Highest level High School Diploma College Diploma Bachelors Degree Masters Degree Other Course title Area of interest Country of Interest United Kingdom Australia Canada Mauritius Dubai Hungary USA Netherlands Ireland Bangkok Germany Sweden Zambia Course Level Private Independent School "O" Levels "A" Levels / 6th Form International Foundation Programme Undergraduate Programme Postgraduate Programme Subject of choice 1 Subject of choice 2 Other (Please specify) English Background English exam taken IELTS PEARSON ESOL TOEFL Other None Other (Please specify) Date English exam was undertaken Immigration Background Have you ever been granted a student visa to any country? Yes No Have you ever had a visa refused to Enter any country? Yes No Have you ever been deported from any country? Yes No Do you have any criminal convictions in any country? Yes No If yes to any of the above questions, please give details Applications Have you applied to any universities abroad? Yes No If the answer is Yes, which universities have you applied to? Financial Matters Who will pay for your course tuition fees and upkeep while studying? How did you find out about Study Connect? --Select option-- Facebook Tik Tok Instagram Repeat client Referred by family/friend Big billboard Small billboard Book Consultation Book a call or office visit for a Consultation with our Student Advisors Choose Date Choose Time I confirm that, to the best of my knowledge, the information given is correct and complete. I agree that Study Connect can process my information for my application and internal research. Submit
