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Student Information

Last Name
First Name
M.I.
Birth Date
Gender
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
Address
City
Country
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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