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ADMISSIONS APPLICATION 2018
□
□
High school or post-secondary certificate or transcript
□
□
Application form (Please type this form)$200 Application Fee (non-refundable)Passport (Copy of page with picture)
□ Official English Score as required by your chosen program
Payment Plan:YES NO
ACE (English Program):
Arbutus Student Number:______________________
Proposal Number: _____________________
Full Name:
Last Nickname
Gender: female male
First
Birthdate (DOB):
Street Address Apartment/Unit #
City Province Country ZIP Code
Skype: Email
EDUCATION
High School/College/Other: City: Country:
From: To: YES
Did you graduate? NO
Highest achievement:
AGENT INFORMATION
Agent Name:
Agency:
Address:
PAYMENT
Bank name: Bank Address: Account Name:
RBC Royal Bank Of Canada (Hastings & Granville Branch) 685 West Hastings St, Vancouver, B.C., V6B1N9 Arbutus College of Communication Arts, Business & Technology
I would like my payment to be made:
Date:
Promotion Code:
Academic Term: months
Academic Term: months months
APPLICANT INFORMATION
Directly to the College OR through my agency
I certify that my answers are true and complete to the best of my knowledge.
REQUIREMENTS & DOCUMENTS CHECKLIST
PROGRAM CHOICE
Co-op Term:
Transit: 06550 Institution: 003 Account: 1043066 Swift Code: ROYCCAT2
Address:
Career Program:
English Program Start Date:
Career Program Start Date:
All payments may be made by bank transfer, credit card or International money order.If paying by money order add an additional fee of $30 and send a payment proof to [email protected]; be certain to include the student's full name.
DISCLAIMER AND SIGNATURE
Signature:
IELTS score: Other:
Account Manager: ___________________________
Phone:
DLI#O19219834012
Email:
Phone:
Does the agency require an agent quote?YES NO
Comment :
Please complete this form by typing.
