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Student Information

Last Name
First Name
Birth Date
Ethnicity  African American Hispanic/Latino Asian Caucasian Native American/Alaskan Hawaiian/Pacific Islander Middle Eastern Prefer not to answer Other
E-mail Address
Home Phone Number
Cell Phone Number
Postal Code

Visa Information

Do you have valid Study Permit?  Yes No
If yes, the study permit expiry date?

Choosing a School

Which type of school you are applying for?
 Graduate School University College High School ESL Institution
Please list schools and programs you want to attend in Canada. Thank you.

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