For VisaScreen --
Applicants educated in specific countries where English is both the native language and the language of classroom and textbook instruction (see below) are exempt from having to take an English language proficiency examination. For you to be exempt, you must meet BOTH of the following criteria:
1. your country of entry-level education was in United Kingdom (England, Wales, Northern Ireland and Scotland), Australia, Canada (except for Quebec), New Zealand, Ireland or the United States, and
2. the language of textbooks and verbal instruction of your education was English.
Exemption is not automatic because you meet all the criteria, CGFNS/ICHP must review your educational documents to determine exemption. IF CGFNS/ICHP determines you are not exempt, you will receive a letter.