application for admission INTERNATIONAL STUDENTS

Part 1: Personal Data

Date of Birth: Gender:

Year Month Day Male Female

Last Name or Family Name:

First and Middle Name:

Mailing Address

Street Address:: Apt #:

City: Province/State (if applicable) Country:

Postal Code: Home Telephone Number: Fax Number:

E-mail Address:

Tel: 519-452-4150

Fax: 519-659-9393

E-mail: [email protected]

PLEASE COMPLETE OTHER SIDE

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Country of Birth: First Language: Citizenship:

Part 2: Programs (please specify the program(s) to which you are applying)

English Studies

ESL Program Number of months for ESL Program ESL Start Date Requested

Year Month Day

application for admission

INTERNATIONAL STUDENTS

(Specify program by name)

Program Start Date Requested

September or January*

Year

March* May*

Part 3: Accommodation

*Please refer to the Web site

www.fanshawec.ca or the Program

Guide since not all programs start

in January, March or May.

DATE: ___________________________________SIGNATURE: __________________________________________________________________

(APPLICANT)

(PARENT/GUARDIAN/CANADIAN CONTACT PERSON IF APPLICANT IS UNDER 18 YEARS OF AGE)

Fanshawe College Application for Admission

Part 4: English Testing

Give TOEFL or IELTS Score:* Date Completed

(If applicable) Year Month

Part 5: Agency Information (If applicable)

Agent Name: (if applicable) Company Name:

City: Country:

Business Telephone Number: Fax Number:

E-mail Address: Web Page:

Part 7: Declaration/Release of Information

Part 6: $100 (CAD) Non-Refundable Application Deposit

Fanshawe College has partnered with peerTransfer to streamline the deposit payment process for international students.

The peerTransfer system allows you to pay from any country and any bank. This system allows you to pay in your home

methods such as Visa, MasterCard, and UnionPay are also available for many countries.

To make a deposit payment:

1. Go to www.peertransfer.com/school/fanshawec to begin the payment process.

ccount.

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Last Name or Family Name: First Name:

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

wal may also happen at any time

during my enrollment.

I hereby authorize Fanshawe College to obtain any details regarding my academic record at the institutions listed in this document in order to evaluate my application.

I also authorize Fanshawe College to release application information, Letter of Admission, transcripts, progress and attendance records, as may be requested by my

parents, agents, sponsor or other educational institutions.

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, Fanshawe College,

P.O. Box 7005, London, ON, N5Y 5R6, telephone (519) 452-4277.

or IELTS if applicable. TOEFL and IELTS results must be within the past

24 months. TOEFL scores must be sent directly by the TOEFL testing

centre to Fanshawe College (Institution #9120). If you are submitting an

you will be allowed to start your college program.