CanadaWest Academy

1520 Pemberton Ave.
North Vancouver, BC
Canada
V7P 2S2

Tel: 604.980.4681
Toll Free: 1.888.921.4680
Fax: 604.980.4008
E-mail: info@canadawest.net

International Student Application Form

Please Follow These Instructions:

1 Complete this application form and press the submit button at the bottom of the page in order to send your information.

2 After we have received your application form, you will be contacted by one of our directors.

3 Send your application fee of $150 dollars and tuition fees by certified cheque or bank draft in Canadian funds to Canada West Academy.

4 When CanadaWest Academy receives all applicable funds an acceptance letter will be sent to you.

Note: A student visa is not required for students who study non-credit courses for 90 days or less.

Last Name

First Name

English Name

Date of Birth: (m/ d/ y)

Gender: Male Female

Citizenship: Other:

Passport Number:

Visa Classification: Visitor Student

Do you have Medical Insurance ? Yes No

Permanent Mailing Address:

Street

City

Country

Postal Code

Telephone #

Contact Telephone #

E-mail Address

Program Applied For:

FULL TIME

PART TIME

SUMMER PROGRAM

WINTER PROGRAM

INTENSIVE LANGUAGE PROGRAM

INTENSIVE WRITING PROGRAM

SAT

SSAT

TOEFL

TOEIC

PREPARATORY PROGRAMS K-12

Flight Information:

(complete this section only if you have a plane ticket)

Airline

Flight Number #

Arrival Date (m/ d/ y)

Arrival Time

Do you want free airport pick-up ? Yes No

Do you want to stay at a Homestay ? Yes No