ALGONQUIN COLLEGE, INTERNATIONAL EDUCATION CENTRE

1385 Woodroffe Avenue, Room C429

Ottawa, Ontario, Canada K2G 1V8
Tel: 613-727-4723 Ext. 7031/7038 Fax: 613-727-7665
Email: international@algonquincollege.com
www.algonquincollege.com

INTERNATIONAL STUDENT APPLICATION FORM

PLEASE PRINT CLEARLY.

PERSONAL INFORMATION
Citizenship: ___________________________________________________________________________________________________________

Male

Female

Date of Birth: ___________/___________/___________

Year
Month
Day

Age ________

Family Name: _____________________________________________________ Given Names: ________________________________________

Address: ______________________________________________________________________________________________________________
City: _______________________________________________ Country: ___________________________ Postal Code: __________________
Telephone Numbers: (Home) ___________________________________________ (Work) __________________________________________
Fax Number: _________________________________ E-mail: __________________________________________________________________

IN CASE OF EMERGENCY please indicate who to contact:

Name: _______________________________________________________________ Relationship: _____________________________
Address: ______________________________________________________________________________________________________
Telephone Numbers: (Home) ______________________ (Work) ______________________ E-mail ___________________________

APPLYING TO ALGONQUIN
A. Applying for Academic Studies
Program Name:

1st Choice ____________________________________________________________________________________________

2nd Choice ___________________________________________________________________________________________

Expected Start Date:

m Fall

REQUIRED DOCUMENTS:

m Winter

m Spring

m Completed Application Form

m $95 CAD non-refundable application fee
m High School Transcripts (Mark Sheet for last 2 years) m Proof of Graduation
m TOEFL, IELTS or proof of English (if applicable)
m University/College transcripts (if applicable)

B. Applying for ESL

ESL Start Date: __________________________________________________ End Date: ____________________________________________
REQUIRED DOCUMENTS:

m Completed Application Form and $95 CAD non-refundable application fee

NOTE: When applying to both ESL and an academic program using the same application form,
you are required to submit the non-refundable application fee of $95.
CONTINUED ON BACK

HOW DID YOU HEAR ABOUT THIS PROGRAM?

m Counsellor
m Agent

m Friend
m Internet

m Education Fair
m Facebook

m Algonquin Site

m Other ___________________________________________________________________________________________________________
If applying through an agent or family member, please provide the full name and contacts:
Name of Agency or Family Member: _____________________________________________ Agent # (if applicable) ___________________
Telephone and Fax numbers: _________________________________________________________________________________________
Email: ____________________________________________________________________________________________________________

HOUSING
m Homestay
m Living with family members or friends

m Residence/Dormitory
m I will arrange my own accommodations.

METHOD OF PAYMENT
Please indicate how you are submitting your payment of $95 CAD

m Visa

m Master Card

m American Express

Name of Credit card holder: ______________________________________________________________

Credit Card #:______________________________________________ Expiry Date: ________/________
Month
Year
or by:

m International Money Order

m Certified Cheque

m Bank Transfer

Signature: ______________________________________________________________________ Date: _______________________________

All fees should be made payable to Algonquin College of Applied Arts and Technology, preferably in Canadian Funds.
Be sure to include your full name, date of birth and Algonquin College student ID number (if applicable).
Please note that your admissions letter with your unique Student ID number will be issued upon receipt of your $95 payment and your
completed application form. In this case, please include your full name and date of birth on the bank transfer so that we can easily identify
your bank transfer.
Please fax a copy of the bank details to 1-613-727-7665.
Payments may be made by: MasterCard, VISA, American Express, Money Order, Certified Cheque or by Electronic Bank Transfer.
Bank
Bank Address
ABA Number
Bank Transit Number
Bank Account Number
Swift Code
Account Holder

Bank of Montreal
1381 Woodroffe Avenue, Ottawa, Ontario, Canada K2G 1V7
026 0077 60
24426
1056-981
BOFMCAM2
Algonquin College

SAVE FORM

NOTE: INTERNATIONAL STUDENTS APPLYING FROM WITHIN CANADA

Students applying from within Canada are required to send a copy of their Canadian Immigration Documents (Study Permit, Visitor
Permit) and a photocopy of their Passport.
One semester tuition fees must be paid prior to issuing a Letter of Admission. Payment can be made by credit card, money order or
certified cheque. Personal cheques will not be accepted.
Updated September 2012