College Letter Of Acceptance Template Page 3
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3LETTERHEAD OF INSTITUTION
Date:
PERSONAL INFORMATION
5. CAQ:
Yes
No
1. Family name:
6. Student's full mailing address:
2. Given name:
3. Date of birth (yyyy/mm/dd):
4. Student ID number:
INSTITUTIONAL INFORMATION
11. Type of school/Institution:
7. Name of contact:
Private
Public
8. Full name and address of institution:
12. Web site and e-mail address:
13. Licensing information where applicable for private institutions:
9. Telephone number:
10. Fax number:
PROGRAM INFORMATION
14. Academic status:
22. Internship/Work practicum:
Yes
No
Part-time
Full-time
Hours of instruction per week:
length:
15. Field/Program of study:
field of work:
16. Level of study:
23. Length of program (yyyy/mm/dd):
Start date:
Completion date:
17. Year of study:
Or minimum
years of full-time studies
18. Conditions of acceptance specified as clearly as possible:
24. Expiry date for this letter of acceptance (yyyy/mm/dd):
25. Other relevant information:
19. Exchange program:
Yes
No
20. Estimated tuition fee for the first academic year of the program:
21. Scholarship/Teaching assistantship/Other financial aid:
Yes; specify:
No
Signature of institution representative (e.g., Registrar):_____________________________
Printed name of institution representative: _________________________________________
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