EAL (English as an Additional Language) Assessment Appointment Request (ELA)

Please complete this form to request an appointment for a VCC ELA (English Language Assessment).

If you do not know which assessment you need, please speak with a VCC Program Advisor.

When we receive your completed form, we will email you to book an appointment date and process the fee payment.

We use the information below to make sure you you complete the best assessment for your needs.

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* fields are required.

First name: * (as it appears on your gov't issued picture ID)
Last name: * (as it appears on your gov't issued picture ID)
VCC ID: *
Assessment receipt number: (if you have already paid for the assessment)
Phone Number: *
E-Mail: *
Address: *
City: *
Province: *
Postal Code: *
Birth date: *	(dd/mm/yyyy)
Gender: *	Male Female Other
Citizenship status: *	Canadian PR Other Other - please specify:
First/Native language: *
How many years have you been in Canada? *
In your home country, how many total years of school did you complete? (elementary + high school + university = total years)
How many years of school have you completed in Canada, if any? (enter '0' if you have not done any schooling in Canada)
Which program do you want to take? *
	Other - please specify:
Preferred date:	We cannot guarantee availability on your preferred date. We will do our best to accommodate wherever possible. Please see the ELA schedule for potential dates. Closed on weekends and statutory holidays.
First Choice: *
Second Choice:
Other information:
	Appointment location is at the Broadway Campus