8/8/2019 George Brown College Application Form

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payment information

Payments can be made by Bank Drat/Money Order, Certffed Cheque, Credit Card (Visa/Master Card/AMEX), Bank Transer (with correspondin bank in Canada).

Student Name Student ID

BY CREdit CaRd BY Bank tRansfERCard Type AMEX Master Card Visa Bank Name The Bank of Nova Scotia

Bank Address 44 King Street West, Toronto, Ontario, CanadaAccount Holder George Brown CollegeAccount Number 91132-0417610Transit Number 47696-002SWIFT Code NOSCCATTRoutin Number 026002532

Card Number

Expiry Date (Month/Year)

Cardholders name (please print)

The applicants full name and student ID number should be quoted on the banktransfer form.

CAD $10.00 should also be added to cover the Bank o Nova Scotia service chare.The sendin bank may also levy a service chare.

A copy o the receipt rom the sendin bank should be sent to us, as proo o payment.Cardholders sinature

BY Bank dRaft/monEY oRdER/CERtifiEd ChEquE Payable to: GEORGE BROWN COLLEGE

personal informationPLEASE PRINT CLEARLY SINg CAPITAL LETTERS.

Last (Family) Name given (First) Name(s)

Full Name in Your Own Lanuae

Male Female

Date o Birth Year Month Day

Country o Residence Nationality

Have you applied to geore Brown Collee beore? No Yes I yes, what is your Student ID #?

pERmanEnt addREss in homE CountRY

Street Number & Name Apartment Number

City Province/State Country

Postal/Zip Code Email

Home Telephone Number Fax Number

mailing addREss (if diffEREnt fRom aBovE)

Street Number & Name Apartment Number

City Province/State Country

Postal/Zip Code Email

Home Telephone Number Fax Number

program selection

post-sECondaRY pRogRam diploma/CERtifiCatE/post-gRaduatE/dEgREE

Program Priority Program Title Program Code Start Date

1st Choice Year Month

2nd Choice Year Month

i n tEns ivE Engl ish pRogRam ( i f nEEdEd) Start Date

8 Weeks 16 Weeks 24 Weeks Year Month Day

32 Weeks 40 Weeks 48 Weeks

international student application

8/8/2019 George Brown College Application Form

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emergency contact

Last (Family) Name given (First) Name(s)

Home Telephone Number Alternative Telephone Number

Email

how did you hear about george brown college? (please check all that apply)

Our Website Other Website Canadian Embassy/Consulate Canadian Education Centre

Education Fair guidebook/Maazine Relative/Friend Aent

I rom an Aent, please speciy the name

Other please speciy

declaration

I certiy that the above inormation is true and complete. I understand that any alse or incomplete inormation submitted in support o my applicationmay invalidate my application and result in the withdrawal by geore Brown Collee o an oered seat at any time durin my enrollment.

Applicants name (please print)

Applicants Sinature Date

Please mail, courier or submit in person the completed application form, supporting documents and $65 non-refundable applicationfee to the address below:

George Brown College

International Centre200 King St. E. , Main floorToronto, ON M5A 3W8Canada

Telephone: 416-415-5000 ext. 2115

Freedom of information: The information on this form is collected under the legal authority of the Ministry of Colleges and Universities Act R.S.O. 1980 regulation

640. The information is used for the administration and statistical purposes of the college and/or ministries and agencies of the Government of Canada. For further

information please contact the Registrar, George Brown College, P.O. Box 1015, Station B, Toronto, Canada M5T 2T9

Do you need Homestay Service? Yes (Please submit the Homestay Application) No

Do you need Airport Pick-up (with Homestay Service only)? Yes No

Did you enclose the following documents?

Translated and notarized transcripts rom senior secondary school and/or other level o education

Translated and notarized secondary school diploma and/or diploma(s) rom other level o education

TOEFL or IELTS or other internationally reconized test report, i you have

CAD$65.00 Application ee (non-reundable)

If you are accepted, how would you like to receive your offer letter? Call or pick up (i you are in Toronto)

Mail / Courier