Application to Change Conditions, Extend my Stay or Remain in Canada as a Student (IMM 5709)

You must answer all the questions on this application form unless indicated otherwise.

Download and fill out the application form on a computer.

You also have the option of saving your form and completing it later.

In order to help you fill out the application form, read and follow the steps below.

Question 1

Type your universal client identification number (UCI).

Note: The UCI or Client ID can be found on your study or work permit under the section “Country of Citizenship”.

Question 2

From the list, select the language (English or French) in which you would like to receive your service.

Question 3

Check the appropriate box or boxes to indicate if you are applying for:

• An initial or an extension of a study permit
• An initial or an extension of a temporary resident permit
• Restoration of your status as a student.

Note: If you want to restore your status after your study permit has expired, check

• Restoration of temporary resident status as a student, and
• An initial study permit or extension of a study permit

Question 1

Full name

Type your family name (surname) as it appears on your passport or travel document (even if the name is misspelled). Do not use initials.

Note: If you do not have a family name on your passport or travel document, enter all your given names here and leave the given name field blank.

Type all of your given names (first, second, or more) as they appear on your passport or travel document (even if the name is misspelled). Do not use initials.

Note: If you do not have a given name on your passport or travel document, leave this field blank. Do not enter “*”, “Not applicable” or “NA”.

Question 2

Nick names/Alias

Check the box to indicate if you ever used any other name. This could include your birth name, maiden name, married name, nick name, etc.

If you checked “Yes”, type any other family name that you have ever used.

If you checked “Yes”, type any other given name (first, second, or more) that you have ever used.

Question 3

From the list, select your gender (F-Female, M-Male, U-Unknown or X-Another gender).

Note: If you choose a gender identifier that is different than what you currently have or have had on your Canadian temporary resident document (visa, electronic travel authorization, work permit, study permit or visitor record), you need to complete the Request for a Change of Sex or Gender Identifier (IRM 0002) (opens in a new tab) form and send it with your application. If you’ve never had a Canadian temporary resident document but you intend to apply for one and you identify with a gender that is different than what appears on your foreign travel document or passport, you also need to complete the Request for a Change of Sex or Gender Identifier form and send it with your application. No supporting documents are required.

Question 4

Indicate your date of birth. If your complete date of birth is unknown, please use “*” (star sign/asterisk) to fill in the spaces for the year, month or day, where applicable.

Question 5

Type your city or town of birth.

From the list, select your country or territory of birth.

Question 6

From the list, select your country or territory of citizenship. To be a citizen of a country or territory means that you were either born in that country or territory (in most cases) or have been granted citizenship by that country or territory. If you have dual citizenship, select the country or territory that issued the passport you will be using for this trip.

Question 7

From the list, select the appropriate information to indicate your immigration status in Canada:

• Visitor
• Worker
• Student
• Protected Person
• Refugee Claimant
• Other

Other: This section must be completed if you selected “Other” as a status.

Provide the dates (From-To) to indicate how long you have had this status.

For out-of-status applicants:

• Under “Status” select “Other”;
• Under “Other” type in “Out of status, restoration”;
• Leave the “From” and “To” boxes blank.

Question 8

Check the box to indicate whether you have lived in any country or territory other than your country or territory of citizenship or your current country or territory of residence for more than six (6) months in the past five (5) years.

If you checked “Yes”, from the list select the appropriate information to indicate the following:

• The name of the country or territory you lived in,
• Your immigration status for the time you were in that country or territory:
  • Citizen
  • Permanent resident
  • Visitor
  • Worker
  • Student
  • Other
  • Protected Person
  • Refugee Claimant
  • Foreign National
• Other: This section must be completed if you selected “Other” as a status,
• The dates (From – To) you were living in that country or territory.

Question 9

1. From the list, choose your current marital status:
   • Annulled Marriage: This is a marriage that is legally declared invalid. An annulment can also be a declaration by the Catholic Church that the marital union did not have a binding force.
   • Common-Law: This means that you have lived continuously with your partner in a marital-type relationship for a minimum of one year.
   • Divorced: This means that you are officially separated and have legally ended your marriage.
   • Legally Separated: This means that you are married, but no longer living with your spouse.
   • Married: This means that you and your spouse have had a ceremony that legally binds you to each other. Your marriage must be legally recognized in the country or territory where it was performed and in Canada.
   • Single: This means that you have never been married and are not in a common-law relationship.
   • Widowed: This means that your spouse has died and that you have not re-married or entered into a common-law relationship.
2. Enter the date (year, month and day) you were married or you entered into your current common-law relationship.
3. Type the family name and given names of your current spouse or common-law partner.
4. Check “Yes” or “No” to indicate if your spouse or common-law partner is a Canadian citizen or a permanent resident.

   Note: If you are in a common-law union, you must also complete the Statutory Declaration of Common-law Union (IMM 5409) form and include it with your application. If you are married, you must provide a photocopy of your Marriage license or certificate with your application.

Question 10

Check the box to indicate whether you have previously been married or in a common-law relationship. If you checked “Yes”, provide the:

• Family name(s),
• Given names,
• Type of relationship:
  • Common-law, or
  • Married.
• Dates (From – To) for which you were in the relationship with your previous spouse or common-law partner,
• Date of birth.

Question 1

1. From the list, select your first (native) language. This is the language that you learned at home during your childhood and which you still understand.

   Note: If your native language does not appear in this list, select “Other”.

2. If your native language is not English or French, select from the list which one you use mostly:
   • Both
   • English
   • French
   • Neither

Question 2

From the list, select English, French or both as your language of communication:

• English
• French
• Both
• Neither

Question 3

Check “Yes” or “No” to indicate if you have taken a test from a designated testing agency to assess your proficiency in English or French.

Note: You are not required to provide evidence of language proficiency to submit your application. However, language testing may be requested at a later date to further assess your application.

Question 1

Type your valid passport or travel document number exactly as indicated on your document. Make sure there is no space between each number or letter.

Question 2

From the list, select the name of the country or territory that issued your passport or travel document.

Question 3

Enter the date your passport or travel document was issued.

Question 4

Enter the date your passport or travel document will expire.

Question 5

For this trip – Check “Yes” or “No” to tell us if you are using a passport issued by the Ministry of Foreign Affairs in Taiwan that shows your personal identification number.

Question 6

For this trip – Check “Yes” or “No” to tell us if you are using a National Israeli passport.

Question 1

Check “Yes” or “No” to tell us if you have a national identity document.

Question 2

Enter your national identity document number exactly as shown on the document.

Question 3

From the list, select the name of the country or territory that issued your national identity document.

Question 4

Enter the date your national identity document was issued.

Question 5

Enter the date your national identity document will expire.

Question 1

Check “Yes” or “No” to tell us if you are a lawful permanent resident of the United States with a valid alien registration card (green card).

Question 2

Enter your valid alien registration card (green card) document number exactly as shown on the document.

Question 3

Enter when your alien registration card (green card) document will expire.

Question 1

Indicate your current mailing address (where information should be mailed) by typing the following information:

• Post Office Box (P.O. Box) number, if applicable. If you do not indicate a post office box number, the Street number must be provided.
• Apartment (Apt.) or Unit, if applicable
• Street number (No.), if applicable. This must be provided if you did not type in a P.O. Box number
• Street name, if applicable. Do not abbreviate words (Street, Avenue, Boulevard, Drive etc.) except for directions (NW, SE, W, etc.)
• City or Town
• Province
• Postal code

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

If you wish to have a representative who can conduct business on your behalf, you must provide their email and mailing address in this section and on the Use of a Representative (IMM 5476) (opens in a new tab) form.

Question 2

Check the box to indicate whether your residential address (where you live) is the same as your mailing address. If “No”, type the following information:

• Apartment (Apt.) or Unit, if applicable
• Street Number (No.)
• Street Name. Do not abbreviate words (Street, Avenue, Boulevard, Drive etc.) except for directions (NW, SE, W, etc.)
• City or Town
• Country or territory
• Province
• Postal Code

Question 3

Check the appropriate box to indicate if the telephone number is from Canada, the United States (US) or Other (any other country or territory).

From the list, select the type of telephone:

• Residence (home)
• Cellular (cell or mobile)
• Business (work)

Type your telephone number including the country code, area/regional codes, etc.

If you have an extension number, write it after your phone number under “Ext.”

Question 4

Check the appropriate box to indicate if your additional telephone number is from Canada, the United States or Other (any other country or territory).

From the list, select the type of telephone:

• Residence (home)
• Cellular (cell or mobile)
• Business (work)

Type your telephone number including the country code, area or regional codes, etc.

If you have an extension number, write it after your phone number under “Ext.”

Question 5

Check the appropriate box to indicate if the facsimile (fax) number is from Canada and United States or Other (any other country or territory).

If applicable, type your facsimile (fax) number, including country code, area or regional codes, etc.

Question 6

If applicable, type your e-mail address using a format similar to the following: name@provider.net

Note: Please ensure this email address is checked regularly. Any emails sent to you by Immigration, Refugees and Citizenship Canada (IRCC) will end in “@cic.gc.ca”, or “@canada.ca”, or “@international.gc.ca”. Please add these to your “safe senders” list in your email program and check the junk mail folder in case important emails get filtered. If IRCC is advised that the email address you provided is not functional or no longer exists, we will communicate with you by mail. By indicating your e-mail address, you are hereby authorizing transmission of correspondence including file and personal information to be sent electronically to you at the address provided.

Question 1

Provide the date and the place where you first entered in Canada

Question 2

1. Indicate the purpose of your original visit:
   • Business
   • Tourism
   • Study
   • Work
   • Other (medical visit, transit, etc.)
2. If you choose “Other” in question 1a), provide details.

Question 3

Provide the date and the place of your recent entry to Canada.

Question 4

Provide the document number of your most recent Visitor Record, study or work permit.

Question 1

1. Write the full name of the school or institution;
2. From the list, select your level of study;
3. From the list, select your field of study;
4. Write the address of the school:
   • Province or Territory
   • City/town
   • Address

Question 2

1. Write your Designated Learning Institution (DLI) number
2. Write your student ID number.

Question 3

Write the expected duration of studies using the From ─ To fields.

Question 4

Provide details about the cost of your studies in the following sections:

• Tuition
• Room and board
• Other (e. g., books, transport, pocket money, etc.)

Question 5

1. Write the amount of funds (money) in Canadian dollars that you have available for your studies in Canada.
2. From the list, select who will be responsible for your expenses in Canada:
   • Myself
   • Parents
   • Other
3. If you choose “Other”, indicate who will cover your expenses (e.g., relative, a scholarship, a business, etc.).

Question 6

1. Check Yes or No to indicate if you are also applying for a work permit
2. Indicate the type of work permit you want:
   • Co-op Work Permit
   • Open Work Permit
   • Post-Graduation Work Permit
3. Refer to the Document Check List for Students Applying for a Work Permit [IMM 5583] (PDF, 1.51 MB) to ensure you submit proper forms and documents for the processing of your application.

Question 7

If you received an attestation of issuance of your Québec Acceptance Certificate (CAQ), provide:

• the certificate number
• the expiry date

Check the box to indicate if you have any post-secondary education (including university, college or apprenticeship training).

The following table provides examples of post-secondary education:

Trade or Apprenticeship

Training completed in a specific trade, such as carpentry or auto mechanics.

Non-university certificate or diploma

Training in a profession that requires formal education but not at the university level (e.g., dental technician or engineering technician).

Bachelor’s degree

Academic degree awarded by a college or university to those who completed an undergraduate curriculum; also called a baccalaureate. Examples include a Bachelor of Arts, Science or Education.

Master’s degree

Academic degree awarded by a graduate school of a college or university. You must have completed a Bachelor’s degree before a Master’s degree can be earned.

PhD

Highest university degree, usually based on at least three years of graduate studies and a thesis. Normally, you must have completed a Master’s degree before a PhD can be earned.

If you checked “Yes”, provide full details of your highest level of post-secondary education:

• Enter the dates (year and month) you attended the institution,
• Fields of study (mechanics, social sciences, medicine, etc.),
• School or Facility name,
• City or Town,
• From the list, select the country or territory, and
• Province or State.

Provide the following information about your employment for the last 10 years. If you are retired, provide the 10 years before your retirement.

Question 1

Current Activity / Occupation

Provide details about your current Activity / Occupation:

• Enter the dates (year and month) you have been working at your occupation,
• The activity/occupation or a brief description of your position. If you do not work, describe what you are currently doing (retired, not working, going to school, etc.),
• Indicate the name of the company or employer or facility where you work,
• City or Town,
• Country or territory,
• Province/State, if applicable.

Question 2

Previous Activity / Occupation

Provide details of your previous Activity / Occupation for the past 10 years. If you are retired, provide the 10 years before your retirement:

Note: If you need more space, print out an additional page of the form, complete this section and submit it with your application.

All questions in this section must be answered or the application will be considered incomplete and will be returned.

Question 1

Check the box to indicate if:

1. you or any of your family members have ever had tuberculosis of the lungs or been in close contact with a person with tuberculosis within the past two years.
2. you have any physical or mental disorder that would require social or health services other than medication during your stay in Canada.
3. If you checked “Yes” to any of the above questions, provide details and the name of the family member, if applicable.

Question 2

Check the box to indicate if you have ever:

1. remained beyond the validity of your status, attended school without authorization or worked without authorization in Canada.
2. been refused any visa or permit, denied entry or ordered to leave Canada or any other country or territory.
3. applied previously to enter or remain in Canada.
4. If you checked “Yes” to one of the above questions, provide details.

Question 3

1. Check the box to indicate if you have ever:
   1. committed,
   2. been arrested for, or
   3. been charged with or convicted of any criminal offence in any country or territory.
2. If you checked “Yes”, provide details.

Question 4

1. Check the box to indicate if you have ever served in any military, militia, civil defence unit, or serve in a security organization or police force (including non-obligatory national service, reserve or voluntary units).
2. If you checked “Yes,” provide your dates of service and the countries or territories where you served.

Question 5

Check “Yes” or “No” to indicate if you have ever been a member or associated with any political party, or other group or organization which has engaged in or advocated violence as means to achieving a political or religious objective, or which has been associated with criminal activity at any time.

Question 6

Check “Yes” or “No” to indicate if you have ever witnessed or participated in the ill treatment of prisoners or civilians, looting or desecration of religious buildings.