Students Information Form

Referral Name (Ignore if not applicable)

Start Date interested in? * Date

Students First Name * (As per government-issued ID)

Students Last Name * (As per government-issued ID)

Gender *

Date of Birth * (As per government-issued ID)

Status in Canada *

Refugee Claimant

Permanent Resident (PR)

Canadian Citizen

Work Permit - Only allowed to study 6 Months, must apply study permit after

Students WhatsApp Number (Not Family) *

Students Email Address *

Age *

Have you applied OSAP previously? *

The address must match the driver`s license.

Address *

City *

Province *

Country *

Postal Code *

My Permanent Address is Same as Residential Address *

Program applying for *

Class time interested in *

Where are you filling up this form? Home or College? *

I am at home right now

I am at the college right now

Preferred Campus?

Scarborough:
Address: Unit #1 2210 Markham Road, Scarborough, ON, M1B5V6

Brampton:
Address: Unit #25 2565 Steeles Ave E, Brampton, ON, L6T4L6

Ontario Secondary School Diploma? *

I confirm that the information provided above is true and correct. *