Book In-Person Language Assessment – Language Assessment & Referral Centre

Personal information

Name*

First Last

Date of Birth*

MM

DD

YYYY

Country of Birth*

Phone Number*

Email Address*

First Language*

Do you live in Ontario?*

Yes
No

Which City*

You will need to show proof of residence such as driving licence, lease, bills, etc.

What is your immigration status in Canada?*

Please upload your immigration document

Drop files here or

Why do I need to upload my immigration document?

Have you received any language assessment before?*

Yes
No

When & where did you receive your last language assessment?

Have you been studying in any LINC/CLIC, ESL/FSL classes?*

Yes
No

When did you leave school?

What language would you like an assessment for?*

English
French
English & French

COVID-19

In the past 24 hours, have you experienced any of the following symptoms or signs: nasal congestion, fever(>38C), shortness of breath, headache, unexplainable fatigue, pink eye (conjunctivitis), change in or loss of sense of taste or smell, any digestive symptoms (diarrhea, vomiting, or abdominal pains)?*

Yes
No

Have you been in close contact with anyone with a fever and/or shortness of breath?*

Yes
No

Have you had COVID-19 and has it been diagnosed in the past 7 days (in a lab)?*

Yes
No

Have you had COVID-19 and has it been diagnosed in the past 7 days (in a lab)?*

Are you quarantined because you:

Have been in direct contact with someone diagnosed with COVID-19?
Have travelled outside of the country or have been in close contact with anyone who has travelled outside of the country, to a high-risk region, in the past 14 days?*

Yes
No

Have you been in direct contact with anyone with respiratory illness or a confirmed or probable case of COVID-19?*

Yes
No

Newcomer Information Center session*

Yes
No

The Y's Newcomer Information Centre (NIC) provides access to vital information and referral services to help you find everything you need to settle in your new life in Ottawa. Would you like to be contacted to book a one-on-one orientation session with our specialists?

Consent*

I give consent to registering to Language Assessment and Referral Center.*

By clicking above, you are acknowledging that you agree to share your personal information with the Y Employment and Newcomer Services, their partners, and Immigration, Refugees, and Citizenship Canada (IRCC). The Y can use and disclose data for statistical purposes to develop and enhance programs and services. Click here to read about why IRCC collects personal information.

Comments

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