Fillable Application Form - Mohawk College printable pdf download

INTERNATIONAL EDUCATION

APPLICATION FOR ADMISSION

FOR OFFICE USE ONLY

Application #:

Student #:

Date Received:

PERSONAL INFORMATION

Family Name

Given Name(s)

Date of Birth

□ Male

□ Female

Country of Birth

Gender

(Day/Month/Year)

Personal Email

Phone #

Agent (if applicable)

Agent Phone # / Email

Contact person in

home country

Canada



PERMANENT MAILING ADDRESS (in home country)

Street

Postal Code

City

Country

(PIN Code)



MAILING ADDRESS IN CANADA (if applicable)

Street

Postal Code

City

Province

(PIN Code)

POSTSECONDARY PROGRAMS

Program Name

Program #

Start Date (Month / Year)

First Choice

Second Choice



GENERAL ARTS & SCIENCE – ENGLISH FOR ACADEMIC PURPOSES / ENGLISH AS A SECOND LANGUAGE

□ Jan. - Feb.

□ Mar. - Apr.

□ May - Jun.

□ Jul. - Aug.

□ Sept. - Oct.

□ Nov. - Dec.

Year: ____________

APPLICANT CHECKLIST

$1600 Seat confirmation fee

Application

Copy of Passport

$100 Application Fee

□

(Refundable only when study permit is denied)

Form

(Photo page)

(Non-refundable)

(Must pay upon receipt of Letter of Acceptance)



Documents for post-secondary and post-graduate application only

Translated and notarized transcripts and diploma(s) from senior

IELTS or TOEFL scores or English Credit, Ontario Secondary

□

secondary school and higher education

School Diploma (Grade 12)

LETTER OF ACCEPTANCE MAILING INSTRUCTION (Please select one only)

□ Mail to International Address

□ Mail to Address in Canada

□ Pick Up

□ By email: __________________________________________

SUBMISSION

Print, sign and confirm payment information. Submit the Application Form with documents by email, in PDF format, to: intered@mohawkcollege.ca. If paying

application fee by credit card, all documents must be faxed to 905-575-2362 for security reason. Copies are acceptable however originals may be required upon

request. Additional details can be found at:

DECLARATION / RELEASE OF INFORMATION

I declare that the above information is true and complete. I understand that any false information submitted in support of my application may invalidate my

application and result in withdrawal of a “Letter of Acceptance” and/or registration. This withdrawal may take place at any time during my enrolment and

information will be given to Canada Immigration.

Signature of Applicant: _________________________________________________________________________

Date: _________________

Freedom of Information and Protection of Privacy Act. The information on this form is collected under the legal authority of the Ministry of Education and Training,

R.S.O.. 1990, cM19:R.R.O 1980, Reg 770. It is used for administrative and statistical purposes. For further information, please contact the Registrar, Mohawk College,

P.O. Box 2034, Hamilton, ON L8N 3T2 or

PLEASE CHECK PAYMENT INFORMATION ON THE BACK OF THIS FORM

MOHAWK COLLEGE | INTERNATIONAL PARTNERSHIPS & RECRUITMENT | J107 | P.O.BOX 2034 | Hamilton, Ontario L8N 3T2 CANADA

P 905-575-2254 | F 905-575-2362 | E

intered@mohawkcollege.ca

| W

/international