International Student Application Form

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INTERNATIONAL STUDENT APPLICATION FORM
Office use only: Student ID #______________________________
PERSONAL INFORMATION
□ Male □ Female
Date of Birth: Year:
Month:
Day:
Nationality:
Family Name:
Given Name (s):
Street Number and name:
Mailing
City:
Province/State:
Address
Country:
Postal Code:
Phone Numbers: Home (
)
Work (
)
E-Mail:
Fax Number: (
)
First Language:
Other:
Country of Origin:
Contact Person in Canada (complete only if application is being submitted by someone in Canada on behalf of the applicant)
Name:
Telephone:
E-mail:
How did you hear about St. Lawrence College? ___________________________________________________________________
Are you using a recruiting agency?
Yes
No
Agent Name: _________________________________________________________________
Agent E-mail: _________________________________________________________________
PROGRAMME
Are you applying for EAP Programme?
Yes
No
English for Academic Purposes (EAP) Programme
14 Weeks
28 Weeks
Start Date ________/________/________
42 Weeks
___ Weeks
Year
Month
Day
Post Secondary Programme (Which programme are you applying to?)
PROGRAMME CODE
PROGRAMME
PROGRAMME LENGTH
START DATE
(IF Known)
TITLE/CAMPUS
Month
Year
1.
Month
Year
2.
Month
Year
3.
OFFICE USE ONLY:
ICAS: ____________________________________
Application Fee: ____________________________
English: ___________________________________
LOA SENT: ________________________________

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