Homepage Imm 1294 Form

Imm 1294 Sample

PROTECTED WHEN COMPLETED - B

PAGE 1 OF 5

APPLICATION FOR STUDY PERMIT

MADE OUTSIDE OF CANADA

If you need more space for any section, print out an additional page containing the appropriate section, complete and submit it with your application.

1 UCI

2

*I want service in

OFFICE USE ONLY

Validated

PERSONAL DETAILS

1

Full name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*Family name (as shown on your passport or travel document)

 

 

 

 

Given name(s) (as shown on your passport or travel document)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

a) Have you ever used any other name (e.g. Nickname, maiden name, alias, etc.) ?

 

*No

 

*Yes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b) Family name

 

 

 

 

 

 

 

 

 

Given name(s)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*3

*Sex

 

4

Date of birth

 

5

Place of birth

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*City/Town

 

 

 

 

 

*Country or Territory

 

 

 

 

 

 

 

 

 

 

*YYYY

*MM

*DD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6

*Citizenship

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7

Current country or territory of residence:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Country or Territory

 

 

 

 

Status

 

 

 

 

Other

 

 

From

 

To

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*

 

 

 

 

 

*

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YYYY-MM-DD

 

YYYY-MM-DD

 

8

Previous countries or territories of residence: During the past five years have you lived in any country or territory other than your country

 

*No

 

 

*Yes

 

 

of citizenship or your current country or territory of residence (indicated above) for more than six months?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Country or Territory

 

 

 

 

Status

 

 

 

 

Other

 

From

 

To

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YYYY-MM-DD

 

YYYY-MM-DD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YYYY-MM-DD

 

YYYY-MM-DD

 

9

Country or territory where applying:

Same as current country or territory of residence?

 

 

*No

 

*Yes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Country or Territory

 

 

 

 

Status

 

 

 

 

Other

 

From

 

To

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YYYY-MM-DD

 

YYYY-MM-DD

 

10

*a) Your current marital status

 

 

b) (If you are married or in a common-law relationship) Provide the date

 

 

 

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

on which you were married or entered into the common-law relationship

 

YYYY-MM-DD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

c) Provide the name of your current Spouse/Common-law partner

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Family name

 

 

 

 

 

 

Given name(s)

 

 

 

 

 

 

 

 

 

 

 

FOR OFFICE USE ONLY - DO NOT WRITE IN THIS SPACE

This form is made available by Immigration, Refugees and Citizenship Canada and is not to be sold to applicants.

IMM 1294 (06-2019) E(DISPONIBLE EN FRANÇAIS - IMM 1294 F)

APPLICATION FOR STUDY MADE OUTSIDE CANADA

 

PAGE 2 OF 5

Applicant Name

Date of Birth

 

 

PERSONAL DETAILS (CONTINUED)

11

a) Have you previously been married or in a common-law relationship?

 

*No

 

 

b) Provide the following details for your previous Spouse/Common-law Partner:

 

 

 

 

 

*Yes

Family name

 

 

 

Given name(s)

 

 

 

 

 

 

 

 

c) Date of birth

 

 

d) Type of relationship

 

From

To

YYYY

MM

DD

 

 

YYYY-MM-DD

YYYY-MM-DD

LANGUAGE(S)

1*a) Native language/ Mother Tongue

*b) Are you able to communicate in English and/or French?

c) In which language are you most at ease?

d) Have you taken a test from a designated testing agency to assess your proficiency in English or French?

 

*No

*Yes

PASSPORT

1

*Passport number

2

*Country or territory of issue

3

*Issue date

YYYY-MM-DD

4*Expiry date

YYYY-MM-DD

5

* For this trip, will you use a passport issued by the Ministry of Foreign Affairs in Taiwan that includes your personal identification number?

 

*No

 

*Yes

6

* For this trip, will you use a National Israeli passport?

 

*No

*Yes

NATIONAL IDENTITY DOCUMENT

1

Do you have a national identity document?

* No

* Yes

 

2Document number

3Country or territory of issue

4Issue date

5Expiry date

YYYY-MM-DD

YYYY-MM-DD

US PR CARD

1

Are you a lawful Permanent Resident of the United States with a valid alien registration card (green card)?

* No

* Yes

 

2Document number

3Expiry date

YYYY-MM-DD

CONTACT INFORMATION

If submitting your application by mail:

-All correspondence will go to this address unless you indicate your e-mail address below.

-Indicating an e-mail address will authorize all correspondence, including file and personal information, to be sent to the e-mail address you specify.

-If you wish to authorize the release of information from your application to a representative, indicate their e-mail and mailing address(es) in this section and on the IMM5476 form.

1

Current mailing address

 

P.O. box

 

Apt/Unit

 

Street no.

 

 

*Street name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*City/Town

 

 

*Country or Territory

 

 

 

Province/State

Postal code

District

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

Residential address

Same as mailing address?

 

 

 

*No

 

*Yes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Apt/Unit

Street no.

Street name

 

 

 

 

 

City/Town

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Country or Territory

Province/State

Postal code

District

IMMIGRATION, REFUGEES AND CITIZENSHIP CANADA

IMM 1294 (06-2019) EIMMIGRATION, RÉFUGIÉS ET CITOYENNETÉ CANADA APPLICATION FOR STUDY MADE OUTSIDE CANADA

 

PAGE 3 OF 5

Applicant Name

Date of Birth

 

 

3

Telephone no.

Canada/US

Other

 

Type

Country Code No.

Ext.

 

 

 

 

 

4

Alternate Telephone no.

Canada/US

Other

Type

Country Code No.

Ext.

5

Fax no.

 

 

 

 

Canada/US

Country Code No.

Ext.

 

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

6

E-mail address

DETAILS OF INTENDED STUDY IN CANADA

1I have been accepted at the following educational institution (Attach the original letter of acceptance).

*a) Name of School

 

 

 

 

 

* b) My level of study will be:

c) My field of study will be:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

d) Complete address of school in Canada

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*Province

 

*City/Town

 

 

 

 

*Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

a) Designated Learning Institution # (O#)

 

b) My Student ID # is:

 

3

Duration of

 

 

*From

 

*To

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

expected

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

study

 

YYYY-MM-DD

 

YYYY-MM-DD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4

The cost of my studies will be:

 

5

*Funds available for my stay (CAD)

6

*a) My expenses in Canada will be paid by:

 

b) Other

 

 

 

*Tuition

 

 

Room and board

 

 

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If you are less than 17 years of age, you must fill out the Custodian Declaration (IMM 5646) form.

EDUCATION

 

Have you had any post secondary education (including university, college or apprenticeship training)?

 

*No

 

*Yes

 

 

 

 

If you answered ‘‘yes’’, give full details of your highest level of post secondary education.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

From

 

Field and level of study

 

School/Facility name

 

 

 

 

 

1

YYYY

MM

 

 

 

 

 

 

 

 

To

 

City/Town

 

Country or Territory

 

 

 

 

Province/State

 

YYYY

MM

 

 

 

 

 

 

 

 

EMPLOYMENT

Give details of your employment for the past 10 years, including if you have held any government positions (such as civil servant, judge, police officer, mayor, member of parliament, hospital administrator.)

 

 

From

 

*Current Activity/Occupation

 

*Company/Employer/Facility name

1

*YYYY

 

*MM

 

 

 

 

 

To

 

*City/Town

*Country or Territory

 

Province/State

 

YYYY

 

MM

 

 

 

 

 

 

From

 

Previous Activity/Occupation

 

Company/Employer/Facility name

2

YYYY

 

MM

 

 

 

 

 

To

 

City/Town

Country or Territory

 

Province/State

 

YYYY

 

MM

 

 

 

 

 

 

From

 

Previous Activity/Occupation

 

Company/Employer/Facility name

3

YYYY

 

MM

 

 

 

 

 

To

 

City/Town

Country or Territory

 

Province/State

 

YYYY

 

MM

 

 

 

 

IMMIGRATION, REFUGEES AND CITIZENSHIP CANADA

IMM 1294 (06-2019) EIMMIGRATION, RÉFUGIÉS ET CITOYENNETÉ CANADA APPLICATION FOR STUDY MADE OUTSIDE CANADA

 

PAGE 4 OF 5

Applicant Name

Date of Birth

 

 

BACKGROUND INFORMATION

You must complete this section if you are 18 years of age or older.

1

a) Within the past two years, have you or a family member ever had tuberculosis of the lungs or been in close contact with a person with tuberculosis?

No

Yes

 

 

b) Do you have any physical or mental disorder that would require social and/or health services, other than medication, during a stay in Canada?

No

Yes

 

c) If you answered "yes" to question 1a) or 1b), please provide details and the name of the family member (if applicable).

 

 

2

a) Have you ever remained beyond the validity of your status, attended school without authorization or worked without authorization in Canada?

No

Yes

b) Have you ever been refused a visa or permit, denied entry or ordered to leave Canada or any other country or territory?

No

Yes

c) Have you previously applied to enter or remain in Canada?

No

Yes

d) If you answered “yes” to question 2a), 2b) or 2c), please provide details.

 

 

3

a) Have you ever committed, been arrested for, or been charged with or convicted of any criminal offence in any country or territory?

No

Yes

b) If you answered “yes” to question 3a) above, please provide details.

4

a) Did you serve in any military, militia, or civil defence unit or serve in a security organization or police force (including non obligatory national service, reserve

No

Yes

or volunteer units)?

 

 

b) If you answered yes to question 4a), please provide dates of service and countries or territories where you served.

 

 

5

Are you, or have you ever been a member or associated with any political party, or other group or organization which has engaged in or advocated violence as a

No

Yes

 

means to achieving a political or religious objective, or which has been associated with criminal activity at any time?

 

 

 

 

 

 

 

 

6

Have you ever witnessed or participated in the ill treatment of prisoners or civilians, looting or desecration of religious buildings?

No

Yes

 

 

 

 

 

 

 

 

 

If you answered “yes” to any of questions 3 to 6 above, or upon request of a visa officer, you MAY BE REQUIRED to fill out IMM 5257 Schedule 1.

IMMIGRATION, REFUGEES AND CITIZENSHIP CANADA

IMM 1294 (06-2019) EIMMIGRATION, RÉFUGIÉS ET CITOYENNETÉ CANADA APPLICATION FOR STUDY MADE OUTSIDE CANADA

 

PAGE 5 OF 5

Applicant Name

Date of Birth

 

 

SIGNATURE

Citizenship and Immigration Canada (CIC), or an organization at CIC’ request, may want to contact you in the future to ask you about any services you received from CIC prior to the application process (such as participation in an information forum), during the application process (including the application process itself as well as orientation or accreditation services), and services received after arriving in Canada (including settlement, integration and citizenship). CIC will use this information, along with the information provided by other individuals, for research, performance measurement or evaluation purposes. CIC will not use this information to make any decisions about you personally.

Do you consent to be contacted by CIC, or an organization at CIC’s request, in the future? (Y/N)

 

No

 

Yes

I understand that CIC is collecting this personal information to assess whether I should be granted a study permit and will use this information to verify my eligibility for a study permit as well as my compliance with the conditions of my study permit. CIC may disclose my personal information to CBSA to enforce the requirements of the Immigration and Refugee Protection Act.

I also understand that CIC may disclose my personal information to my designated learning institution to inquire whether I am in compliance with the conditions of my study permit. I consent to the disclosure of my personal information by my designated learning institution to CIC for the purpose of determining whether I am in compliance with these conditions. Failure to provide such consent will result in a refusal to grant a study permit.

I declare that I have answered all questions in this application fully and truthfully.

Signature of Applicant or Parent/Legal Guardian’s for a person under 18 years of age.

 

Date: YYYY-MM-DD

 

 

 

IMPORTANT NOTE:

This application must be signed and dated before it is submitted by mail.

Do not forget to include photos, fees (if applicable) and any other documents required. Review the application guide for more information and verify that you have completed and provided all of the required documents as per the document checklist.

PRIVACY NOTICE

Personal information provided on this form is collected and will be used, disclosed, and retained by Immigration, Refugees and Citizenship Canada (IRCC) under the authority of the Immigration and Refugee Protection Act (IRPA). The personal information provided will be used for the purpose of processing applications. The personal information provided may be disclosed to other federal government institutions and third parties including law enforcement bodies, provincial/territorial governments and/or foreign governments for the purpose of validating identity, eligibility and admissibility.

The personal information collected on an application, and other information collected in support of an application,may be used for computer analytics to support processing of applications and decision making, includ ing your application. Personal information, including from computer analytics, may also be used for purposes including research, statistics, program and policy evaluation, internal audit, compliance, risk management, strategy development and reporting.

Where biometrics are provided in support of an application, the fingerprints collected will be stored and shared with the RCMP. The fingerprint record may also be disclosed to law enforcement agencies in Canada in accordance with subsection 13.11(1) of the Immigration and Refugee Protection Regulations. The information may be used to establish or verify the identity of a person in order to prevent, investigate, or prosecute an offence under any law of Canada or a Province. This information may also be used to establish or verify the identity of an individual whose identity cannot reasonably be otherwise established or verified because of physical or mental condition. Canada may also share immigration information related to biometric records with foreign governments with whom Canada has an agreement or arrangement.

Failure to complete the form in full may result in a delay or the application not being processed. The Privacy Act gives individuals the right of access to, protection, and correction of their personal information. Further details are available in Info Source. If you are not satisfied with the manner in which IRCC handles your personal information, you may exercise your right to file a complaint to the Office of the Privacy Commissioner of Canada. The collection, use, disclosure and retention of your personal information is further described in IRCC’s personal information bank - IRCC PPU 051.

IMMIGRATION, REFUGEES AND CITIZENSHIP CANADA

IMM 1294 (06-2019) EIMMIGRATION, RÉFUGIÉS ET CITOYENNETÉ CANADA APPLICATION FOR STUDY MADE OUTSIDE CANADA

Instructions on Utilizing Imm 1294

Completing the IMM 1294 form is an important step in the application process for a study permit outside of Canada. After filling out the form, it must be submitted along with any required documents and fees. Ensure that all information is accurate and complete to avoid delays in processing.

  1. Begin with the UCI section and enter your Unique Client Identifier, if applicable.
  2. Provide your full name as it appears on your passport, including family name and given names.
  3. Indicate if you have ever used any other name by selecting Yes or No and provide details if applicable.
  4. Fill in your sex, date of birth, and place of birth (city/town and country).
  5. State your citizenship and current country or territory of residence.
  6. List any previous countries or territories of residence in the last five years, if applicable.
  7. Specify the country or territory where you are applying and indicate if it is the same as your current residence.
  8. Provide your current marital status and details if you are married or in a common-law relationship.
  9. If applicable, provide details about any previous marriages or common-law relationships.
  10. Complete the language section, indicating your native language and proficiency in English or French.
  11. Fill in your passport details, including passport number, country of issue, issue date, and expiry date.
  12. Indicate if you have a national identity document and provide the relevant details.
  13. Answer questions regarding your status as a lawful permanent resident of the United States.
  14. Provide your contact information, including mailing and residential addresses, telephone numbers, and email address.
  15. Detail your intended study in Canada, including the name of the educational institution, level of study, field of study, and duration of expected study.
  16. Indicate the cost of your studies and the funds available for your stay.
  17. Provide information about your education history, including post-secondary education details.
  18. List your employment history for the past 10 years, including details of any government positions held.
  19. Complete the background information section, answering questions related to health, immigration history, and criminal history.
  20. Sign and date the application, ensuring that you have included all necessary documents and fees.

Misconceptions

When it comes to the IMM 1294 form, which is the application for a study permit made outside of Canada, several misconceptions often arise. Understanding these can help applicants navigate the process more effectively.

  • Misconception 1: The form is only for those who plan to study at a university.
  • In reality, the IMM 1294 form is applicable to a wide range of educational institutions, not just universities. Whether you are enrolling in a college, vocational training, or even a short-term language course, this form is necessary for obtaining your study permit.

  • Misconception 2: Submitting the form guarantees a study permit.
  • Many believe that simply filling out and submitting the IMM 1294 form guarantees approval. However, approval is contingent on various factors, including the completeness of the application, eligibility criteria, and the applicant's ability to meet the requirements set by Immigration, Refugees and Citizenship Canada (IRCC).

  • Misconception 3: You can apply for a study permit at any time.
  • Some applicants think they can submit their application whenever they wish. However, timing is crucial. It is advisable to apply well in advance of your intended study start date. Processing times can vary, and delays may occur, so planning ahead is essential.

  • Misconception 4: You do not need to provide proof of funds.
  • There is a common belief that financial proof is unnecessary if you have an acceptance letter from a school. However, applicants must demonstrate that they have sufficient funds to cover tuition, living expenses, and return transportation. This is a critical part of the application that cannot be overlooked.

Documents used along the form

When applying for a study permit in Canada using the IMM 1294 form, several additional documents may be required to support your application. Each of these documents plays a crucial role in providing comprehensive information about your background, intentions, and qualifications. Below is a list of commonly required forms and documents, along with a brief description of each.

  • Letter of Acceptance: This document confirms that you have been accepted into a designated learning institution in Canada. It outlines the program details, duration, and level of study.
  • Proof of Funds: You must demonstrate that you have sufficient financial resources to cover tuition fees, living expenses, and other costs while studying in Canada. Bank statements or scholarship letters can serve as proof.
  • Passport Copy: A valid passport is essential for your application. A clear copy of your passport’s information page is typically required to verify your identity and nationality.
  • Residential Lease Agreement: This legal document outlines the terms between a landlord and a tenant for renting property, ensuring that rights and responsibilities are clear. For further reference, you can find a template at All Ohio Forms.
  • Language Proficiency Test Results: If applicable, you may need to submit results from a recognized language proficiency test, such as IELTS or TOEFL, to prove your ability to communicate in English or French.
  • Custodian Declaration (IMM 5646): If you are under 17 years old, this form is necessary to appoint a custodian in Canada who will take responsibility for you during your studies.
  • Medical Exam Results: Depending on your country of origin, a medical examination may be required to ensure you meet health standards for entry into Canada.
  • Immigration History Documents: If you have previously applied to enter Canada or have a history of immigration issues, you may need to provide documentation related to those applications.
  • Resume or CV: A detailed resume outlining your educational background, work experience, and any relevant skills can help establish your qualifications and intentions for studying in Canada.
  • Photographs: Recent passport-sized photographs that meet specific requirements are often needed for identification purposes in your application.

Gathering these documents can seem daunting, but each one serves a purpose in strengthening your application. Ensuring that all required forms and supporting documents are complete and accurate will enhance your chances of a successful study permit application. Take the time to review the requirements thoroughly and prepare accordingly.