Issue link: http://georgiancollege.uberflip.com/i/366028
15 INTERNATIONAL STUDENT APPLICATION FORM One Georgian Drive, Barrie, Ontario, Canada L4M 3X9 | Tel: 705.728.1968, ext. 1218 | Fax: 705.722.5158 | Website: georgiancollege.ca/international | Email: international@georgiancollege.ca Personal details (Name must be as it appears on your passport) * Required fields Title Mr. Mrs. Miss Ms. *Family name *First name Middle name *Date of birth: *Sex Female Male *Address (printed on letter) House/Apt # Street City Province/State Postal code/Zip Country Current mailing address (if different than above) House/Apt # Street City Province/State Postal code/Zip Country *Telephone *Applicant email First language *Country of citizenship Passport number Agent information *Are you working with an agent? Yes No If "Yes", please provide the following: Agency Agency ID# Agency email address English for Academic Purposes (EAP) programs Weeks of study Choose your START date Choose your FINISH date 7 weeks January Year February Year 14 weeks (1 semester, 4 months) March Year April Year 21 weeks May Year June Year 28 weeks (2 semesters, 8 months) July Year August Year 35 weeks September Year October Year 42 weeks (3 semesters, 1 year) October Year December Year Postsecondary programs Which program(s) are you applying to Start Date 1st Choice Program name Code Length (years) Month Year 2nd Choice Program name Code Length (years) Month Year 3rd Choice Program name Code Length (years) Month Year For co-operative education program applicants only: I understand that I have applied for a co-operative education program and it is my responsibility to find the co-operative work placement. Georgian College does not guarantee any student a co-operative position. Signature of applicant (full signature) Date Academic information Is English your first language? Yes No If NO, have you taken any English tests (i.e:, TOEFL, IELTS, CAEL)? Yes No Name of English test taken English test score Date of English test taken or to be taken Name of last school attended Highest level passed Official transcripts included in this application? Yes No YYYY / MM / DD YYYY / MM / DD