ONLINE APPLICATION FORM

ONLINE APPLICATION FORM

Please write in BLOCK CAPITALS using black ink and complete all sections.

GENERAL AND PERSONAL INFORMATION

Title (Mr., Mrs., Ms, Miss, etc.)

  • Last Name
  • First Name
  • Middle Name

Gender

  • Male
  • Female

Date Of Birth

NATIONALITY AND CITIZENSHIP STATUS

  • PERMANENT RESIDENCES
  • Citizenship
  • Passport number
  • Issue Date
  • Expiry Date

CONTACT INFORMATION

  • First Name
  • Middle Name
  • Last Name
  • Address
  • City
  • State / Province
  • Country
  • Postal Code
  • Phone
  • Email

Are you in currently in Canada?

  • Yes
  • No

Is mailing address same as the residential address

  • Yes
  • No
  • Address
  • City
  • State / Province
  • Country
  • Postal Code
  • Phone
  • Email

EDUCATION HISTORY

Have you previously been enrolled at a University, College or other institution?  (if Yes, state all detail below)

Previous Tertiary Education

  • NAME OF
    INSTITUTION
  • PROGRAM
    TITLE
  • FROM
    (MM/YYYY)
  • TO
    (MM/YYYY)
  • CITY/
    COUNTRY
  • CREDENTIAL
  • COMPLETED YES/NO

School Details

  • NAME OF
    SCHOOL
  • FROM
    (MM/YYYY)
  • TO
    (MM/YYYY)
  • HIGHEST LEVEL
    ATTAINED
  • CITY/
    COUNTRY
  • COMPLETED YES/NO

ENGLISH PROFICIENCY

Is English your first language?

  • Yes
  • No (if No, answer English Proficiency Test below)

Do you hold a certificate of English proficiency (e.g. IELTS)?

  • Yes
  • No

Did you complete secondary, tertiary or English language studies in an English-speaking country?

  • Yes
  • No

Did you complete secondary or tertiary study with English as the language of instruction?

  • Yes
  • No
  • Yes, I would like to apply.
  • No, I will advise results.

DISABILITY

  • Yes, I would like to apply.
  • No, I will advise results.

EMPLOYMENT HISTORY

  • EMPLOYER
  • POSITION
  • FROM (DD/MM/YYYY)
  • TO (DD/MM/YYYY)
  • REASON FOR LEAVING
  • CITY/COUNTRY

REFERENCES

PLEASE PROVIDE 2 REFERENCES In country of citizenship

  • NAME
  • RELATIONSHIP
  • POSITITION:
  • CONTACT PHONE NUMBER:
  • EMAIL:
  • NAME
  • RELATIONSHIP
  • POSITITION:
  • CONTACT PHONE NUMBER:
  • EMAIL:

In country of Residences

  • NAME
  • RELATIONSHIP
  • POSITITION
  • CONTACT PHONE NUMBER
  • EMAIL
  • NAME
  • RELATIONSHIP
  • CONTACT PHONE NUMBER
  • EMAIL

SECURITY INFORMATION

Have you been convicted of a felony (serious crime)?

  • Yes
  • No

Have you been institutionalized for threatening or causing physical or emotional injury to persons or property?

  • Yes
  • No

Have you been dismissed and / or suspended from a college for disciplinary (non-academic) reasons?

  • Yes
  • No

Have you ever been required to register as a sexual or violent offender?

  • Yes
  • No

This question should be answered by all applicants, regardless of nationality or country to residence . An affirmative response to any of these questions will not automatically prevent admission, but you will be required to provide additional information. We are commited to campus safety.

SUPPORTING STATEMENT

Please tell us why you want to study at ARV Canada College

Write 50 or more characters, up to a maximum of 2000

PROGRAM SELECTION

Study Area

Semester Enrollment

  • Part-Time
  • Full-Time
  • 2013 Term One November, 2013
  • 2014 Term One February, 2014
  • 2014 Term One July, 2014
  • 2014 Term One October, 2014
  • Computing and Information System - Certificate
  • Business International Trade – Certificate
  • Project Management (Oil & Gas) - Certificate
  • Fashion Modeling - Certificate
  • Business Administration – Entrepreneur - Certificate
  • Information Technology -Diploma
  • Business Administration – Post Diploma
  • International Trade - Diploma
  • Mobile Application Design and Development – Post Diploma
  • English as a Second Language - Certificate
  • Information Technology – System Administration & Network management

STUDENT DECLARATION

I hereby certify that to the best of my knowledge the foregoing information is true and complete without evasion or misrepresentation. I understand that if it is later found otherwise, it is sufficient cause for rejection or dismissal. If my application is approved, I agree to abide by the rules and regulations, both academic and non- academic, of its colleges, schools, departments and institutes, including but not limited to those rules and regulations stated in both the Postgraduate and graduate catalogs. I further acknowledge that, if admitted to , I may be dropped therefrom if I fail to abide by these rules and regulations and that my registration atmay be subject to cancellation.

  • English as a Second Language
  • Date of Application
  • Applicant's Signature
  • SIGN COMPLETE LEGAL NAME