Name and Date of Birth
|
Last Name
(Surname or Family Name)
|
First (Given) Name |
Middle (Second) Name |
|
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| Country of Citizenship
|
| |
Mailing Address
Street Number and Name, Apartment Number, Post Office
Box Number,
City, Province/State, Country and Postal Cod |
| |
Communication |
Telephone:Area Code and Number |
Fax:Area Code and Number |
Agent E-mail Address |
Student E-mail Address |
| |
Program Selection |
| Choice |
Program Name |
| Preparatory |
ESL/English Language Studies
|
| Click "Available Programs" link at the right side of the following textbox to get a list of all available programs. Please use copy and paste to transfer the title of the program into the appropriate textbox field. |
| 1. Available Programs |
| 2. Available Programs |
Start Date:
Note * Only available for admission to the English Language Studies Program |
| |
| Note: If applicants are fully qualified for their program choice in all areas except their English language skills (minimum TOEFL 550 with TWE of 4.5 or IELTS overall band of 6.0 with no band less than 5.5 (Diploma/Certificate) and IELTS overall band of 6.5 with no band less than 6.0 (Post Graduate and Degree) they will be required to complete the ESL/English Language Studies program. |
Comments/Questions:
|
| Agents/Recruiters: |
|
| Company Name: |
|
| Company Contact: |
|
| Company Address: |
|
| Company Telephone: |
|
| Company Fax: |
|
| Company Email: |
|
WOULD YOU LIKE THE COLLEGE TO COMMUNICATE DIRECTLY WITH YOUR AGENT?
Yes
No
|
| |
|
Fax or mail copies of your:
- Secondary School Transcript(s)
- College/University transcript(s), if applicable
- English Language Test Results (TOEFL, IELTS, etc), if applicable
- Other transcript(s), if applicable
- Submit $100 CDN application fee.
The certified cheque, bank draft or money order must be received to
process the application form.
|
To:
International Admissions Office
Conestoga College
299 Doon Valley Drive
Kitchener, Ontario, Canada N2G 4M4
Phone: (519) 748-3556 Fax: (519) 748-5926 |
I certify that the above information
is true and complete. I understand that any false or incomplete
information submitted in support of my application may invalidate
my application.
Yes
No
|
| |
|
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Collection and Use of Personal Information |
The information obtained on this application will be used
by the College for making decisions related to the admission
process and later for administrative and statistical purposes.
The information may be shared with the Ontario College Application
Service as part of the admissions process. Afterwards, this
information may be used by the Ontario College Application
Service, and relevant Ontario Government Ministries and
Statistics Canada for statistical and research purposes.
For information about the collection of this information,
please contact the Director, International Education at
telephone number. |
| |
Additional Information is Available from:
International Education Office
Conestoga College
299 Doon Valley Drive
Kitchener, Ontario, Canada
N2G 4M4 |
| |
Telephone: (519) 748-3556
Fax: (519) 748-5926
E-Mail: wwed@conestogac.on.ca
Website: www.conestogac.on.ca |
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