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.

Note!

This form serves as an application form and student contract.

The ESL program is an approved program by the Private Training Institutions Branch (PTIB) of the Ministry of Post-Secondary Education and Future Skills.

The Exam Preparation program does not require approval by the Private Training Institutions Branch (PTIB) of the Ministry of Post-Secondary Education and Future Skills. As such, PTIB did not review this program. The graduates will be assessed by an authorized test centre.

Student Information

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 *

Program Information

Instruction Type *

Preferred Days *

How did you hear about us?

Class Size *

One-on-One (private)
Shared with another student (semi private: only 2 students in class)
Group

I have read and understood my rights and responsibilities mentioned in the Student Guide during my education at the school *

I have read and accept the fees, duration, and refund policy for my desired course. *

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

Student Information

Program Information

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