Fleming College Application Form
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1
2International Student Application
Office of Admissions
Sutherland Campus
599 Brealey Drive, Peterborough, Ontario
CANADA K9J 7B1
Legal last name or family name
All legal given or first names (underline most commonly used)
Date of birth (DD/MM/YYYY)
Telephone (include country code)
Male
Female
Apartment
Street address
District
City
Province/State/Territory
Country
Postal Code
Country of citizenship
Fax number
E-mail address
Languages
Mother tongue
English Language Requirement (Chose one option)
Recognized English language test* (ie: TOEFL, IELTS)
o
Attached
Other languages
o
To follow
Registered or will register for English as a Second Language program at a partner
institution.*
*Details on all options to meet Fleming College’s English
Name of institution:______________________________________________________
language requirements, the list of accepted English
Start Date (DD/MM/YYYY):________________________________________________
language tests and the list and contact information of partner
Anticipated graduation date (if known) (DD/MM/YYYY):__________________________
institutions for English language can be found on our
website.
Three (3) years of full time secondary of post-secondary study in an English language
environment.* (acceptable documentation required)
Program Choice
First Choice
Start Date
JAN 20_____
MAY 20_____
SEP 20_____
Second Choice
Start Date
JAN 20_____
MAY 20_____
SEP 20_____
Third Choice
Start Date
JAN 20_____
MAY 20_____
SEP 20_____
Secondary school attended
Start date (MM/YYYY)
Name of school
Graduation date
Documents
Attached
To follow
Post-secondary institutions attended (if applicable)
Start date (MM/YYYY)
Name of institution
Graduation date
Documents
Attached
To follow
Start date (MM/YYYY)
Name of institution
Graduation date
Documents
Attached
To follow
Applicant’s signature
I hereby certify that all statements are correct and complete including my declaration of citizenship. I understand that I may be required to supply documentation
at some future date to substantiate my claim and that any misrepresentation of this data may result in the cancellation of my admission or registration status. I
understand that in the case of suspected misrepresentation of application information, other Canadian colleges may be contacted. I authorize the colleges to
verify any information provided as part of this application and understand that an admission granted on the basis of this application or supporting documents will
be revoked if the information given is untrue in any material respect. I accept that information on falsified documents is shared with the Association of Canadian
Date
Community Colleges, and the colleges.
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