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DOB*

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Status in Canada*
PRCanadian CitizenInternational StudentConvention Refugees

GPA*

Highest Qualification*

Phone Number*

Email Address*

Interested Courses*
-- Choose Interested Course --High School CreditsGrade 1 TO 12Certificates

What are your biggest challenges?*
Teen StressTest AnxietyHomeworkAttendance Points

What is your priority?*
Paying For SchoolClear High School CreditsGetting Into Program Of Your Choice

Parent's Details*
MrMrsMissMs

Relationship To Child*
FatherMotherStep Parent

Parent's Phone Number*

Parent's Email Address*

Approximate Annual Family Income*

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