STUDENT APPLICATION FORM

DATE: ________________

LAST NAME __________________ FIRST NAME ____________________________
DATE OF BIRTH: ______________SEX: ________MARITAL STATUS: __________
HOME ADDRESS: ______________________________________________________
_______________________________________________________________________
MAILING ADDRESS (if different from above): ________________________________
_______________________________________________________________________
HOME PHONE NUMBER: _____________________ FAX: _____________________
WORK PHONE: _____________________CELLULAR PHONE: _________________
EMAIL: ________________________________________________________________

EDUCATION: (Starting from high school)

From
M/Y To
M/Y School Name City / Town / Province Diploma / Certificate

WORK EXPERIENCE:

From
m / y To
m / y Company Name City / Town / Province Title / Position

LANGUAGE TEST

ENGLISH: TOEFL: ________ IELTS: _______

FRENCH: TEF: ________

Remark: Once completed, please fax to 001-416-2926340

CONFIDENTIAL ONCE COMPLETED