Application Form - canquest

Student Enrollment Contract / Application Form

#104-1975 Lonsdale Ave., North Vancouver, BC CANADA V7M 2K3

Phone: 604-990-1717 / Website: www.canquestacademy.com / Email: info@canquestacademy.com

Can Quest International College Inc. is designated by the Private Training Institutions Branch (PTIB). Our ESL Program is approved by PTIB.

Before you submit this form, you must read the information about each course, especially costs, refund, length, and your rights as a student.

Date *

First Name *

Middle Name

Last Name *

Usual First Name (if you have one)

Gender *

DOB (Birthdate) *

Personal Education Number (if applicable)

Mailing Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone *

Email *

Status in Canada *

Your Citizenship *

Upload Government Issued Photo ID (passport preferred) *

Current English Level *

Instruction Type *

Preferred Days *

How did you hear about us?

Class Size *

I accept the fees and refund policy posted in the school's brochure and website. *

You must submit this application form only if you understand and accept the information in the Student Guide. Do you confirm? *