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Application Form

Name and Date of Birth





Last Name
(Surname or Family Name)

First (Given) Name Middle (Second) Name
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   
 
   
 

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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