Vancouver Island University Admission/Application

MBA, Academic and ESL
International Student
On-line Application for Admission


PERSONAL DATA

Family Name
First Name
Middle Name
Mailing Address
Postal Code
Telephone Number
Electronic Mail Address
FAX Number
Date of Birth (yr/month/day)
Sex: Male Female
Place of Birth
First Language
Country of Citzenship
Citizenship status will be:
Student Authorization Minister's Permit Other, specify:
Passport/travel document no.
Sponsoring Agency


PROGRAM APPLICATION (Please indicate the specific program for which you are applying.)

Program Name (as listed in the calendar)
Start Date Requested


EDUCATIONAL BACKGROUND

Year when last in secondary school
Scores:
TOEFL: , OR
Name of last school attended
IELTS:
Grade/Form/Level completed
Address of last school attended (include City and Country)
Year when last in college or university
Name of last college or university attended
Degree/Diploma earned
Address of last college or university attended (include City and Country)


PREVIOUS YEARS HISTORY

Please indicate your main activity during the past year:
Student attending secondary school Other educational institution Attending college
Working Attending university Other
Please indicate where you were located last year:
In British Columbia In another Province In another Country


ACCOMMODATIONS:   Homestay     Student Residence     Other


APPLICATION PROCESSING FEE

There is a non-refundable Application Processing fee of $150 Canadian.

Your application can not be processed until this payment is received. Please select the method of payment you wish to use for this fee:

Cheque/Money Order Make cheque/money order payable to Vancouver Island University and enclose it with your other required documents ( see below ). Please ensure your name appears on the cheque/money order.
Electronic Transfer Contact Jane.Kelly@viu.ca for banking information
Credit Card Card Type
American Express
Visa
Mastercard
Card Number
Expiry Date (mm/yy)
Cardholder's Name ( if different than student's name)


OTHER REQUIRED DOCUMENTS

In addition to the information you have provided here the following items are required to complete your application:

  1. A passport-size photograph.
  2. An official copy of your educational documents in your own language and a certified copy translated into English.
  3. TOEFL score (or equivalent):
    • If you are applying for an ESL program: your latest TOEFL score, or proof of formal English Language study.
    • If you are applying for a non-ESL program and English is not your first language: arrange for a copy of your TOEFL results to be sent to Vancouver Island University by the TOEFL Testing Centre. (Institutional Number 9581); IELTS scores will also be accepted.
Mail these documents ( along with your cheque/money order if that is how you have chosen to pay the application processing fee ), to:

Director
International Admissions
Vancouver Island University
900 Fifth Street
Nanaimo, B.C. V9R 5S5
Canada


IMPORTANT: READ THE FOLLOWING CAREFULLY BEFORE SUBMITTING YOUR APPLICATION:

By submitting this application you are agreeing to the following:

  1. I understand that acceptance of this application in no way guarantees admission to a program or course.
  2. I understand that my admission is subject to the availability of a place for me in the program for which I have applied.
  3. I agree to abide by the rules and regulations of Vancouver Island University and of the department and program in which I shall be registered, and any changes which may be made while I am a student at VIU.
  4. I certify that all statements on this appplication are true and complete. I understand that misrepresentation of this information in any material way may result in cancellation of my admission or registration status.
  5. I understand that this information is provided without my personal signature, and I agree to it being used for registration purposes.

I hereby authorize Vancouver Island University to release transcripts of my record to:
Parents Sponsoring Agency Other Educational Institute

Check this box if you understand, and agree to, all the conditions stated above

The information on this form, collected under the authority of the College and Institute Act, will only be used for registration purposes.  Any concerns about the use of this information, should be directed in writing to Graham Pike, Dean of International Education.


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