International

Application
Enclose application fee of $75.00 Canadian* (non-refundable) when applying directly to Humber, or $50.00
Canadian* (non-refundable) when applying through an official Humber Representative (for a complete listing
visit http://international.humber.ca/contact_us.php and scroll down to International Representatives). The
fee is payable by credit card, International bank draft (with encoding) or by wire transfer to Humber Institute
of Technology & Advanced Learning. Return your international application and application fee to:
Humber Institute of Technology & Advanced Learning
205 Humber College Boulevard, International Centre, Room D224, Toronto, Ontario, CANADA M9W 5L7
Fax: 1.416.675.6386 Phone: 1.416.675.5067 Email: international@humber.ca
If faxing the application and supporting documents, send originals or attested copies and
application fee by mail. (Humber is not responsible for returning originals or attested copies).
*
Final assessment of this application cannot be made until the application fee is received.

P E R S O N A L I N F O R M AT I O N (please print clearly)

Mr. Family / Last Name (as it appears on your passport)

Mrs.
Given / FIrst Name (as it appears on your passport)
Ms.

Miss Second Name (as it appears on your passpor t) Date of Bir th: YEAR MONTH DAY

Mailing Address:

Current Address Apt. Number

City Province/State Countr y Postal Code

Telephone: Area Code and Number FAX: Area Code and Number

Country of Citizenship: __________________________________ Student Email (required) ______________________________________________________

Agent Email (optional) __________________________________
How did you hear about Humber?
Education Fair ________________________________________________________ Internet ____________________________________________________
Name

Agent (please see back of form) ________________________________________ Other ______________________________________________________

Name

First Language: English Other ________________________________________________________________________________________

Credit Card Number: _________________________ Expiry Date: ________________ Cardholder’s Name: ____________________ Visa Mastercard

A C A D E M I C I N F O R M AT I O N

Name of school most recently attended: ________________________________________________________________________________________________

Are you or will you be a graduate by the first day of college? • Secondary School Transcript ATTACHED TO FOLLOW N/A

• College Transcript ATTACHED TO FOLLOW N/A

Yes No Secondary School Graduate
• University Transcript ATTACHED TO FOLLOW N/A
Yes No College Graduate
• TOEFL/IELTS/CAEL Score ____________ ATTACHED TO FOLLOW N/A

Yes No University Graduate • Other Transcripts ATTACHED TO FOLLOW N/A

CHOICE PROGRAM NAME START DATE

1 September January May
2 September January May
3 September January May

English for Academic Purposes Program September October/November January March May June/July

NOTE: If applicants are fully qualified for their program choice in all areas (ie: including portfolio, interview, subject prerequisites etc.) except their
English Language skills they may be granted conditional acceptance into their program of choice and guaranteed admission upon successful completion
of Level 8 of the English for Academic Purposes (EAP) program, depending on their country of citizenship. (Number of EAP levels required will be determined
upon placement testing).
I certify that the above information is true and complete. I understand that any false or incomplete information submitted in support of my application will
invalidate my application.

SIGNATURE OF APPLICANT DATE

THIS IS A DOUBLE-SIDED FORM – PLEASE TURN OVER

 Student Information Release Form

T H I S F O R M T O B E C O M P L E T E D A N D S I G N E D B Y T H E S T U D E N T O N LY

I,
Student Given / FIrst Name (as it appears on your passpor t) Student Family / Last Name (as it appears on your passpor t)

Home Address City

Country Postal Code

Telephone Email

Date of Birth (Month / Day / Year)

hereby authorize:

my Agent Male Female other Male Female

Agent First Name Agent Last Name First Name Last Name

Company Name Address

Address City Countr y Postal Code

City Countr y Postal Code Telephone

Telephone Email

Email Relationship to Student

to act on my behalf in all matters concerning my application for admission to Humber. Humber College is subject to the
provisions contained within the Province of Ontario’s Freedom Of Information and Protection of Privacy Act. As such, Humber
College has the obligation to inform you about the collection and use of your personal information. By completing this Student
Information Release Form, you are authorizing Humber College to release your personal information to the person(s) you have
authorized to act on your behalf concerning your application for admission to Humber College, including all international
admission matters. Your signature on this form confirms your acknowledgment and understanding of this notification.
Humber College assumes no responsibility or liability for the use of your personal information by those you have authorized.

DATE

SIGNATURE OF APPLICANT CITY, COUNTRY

REV JULY 2008

THIS IS A DOUBLE-SIDED FORM – PLEASE TURN OVER