International Application

Enclose application fee of $75.00 Canadian* (non-refundable) when applying directly to Humber, or $50.00 Canadian* (non-refundable) when applying through an official Humber Representative (for a complete listing visit http://international.humber.ca/contact_us.php and scroll down to International Representatives). The fee is payable by credit card, International bank draft (with encoding) or by wire transfer to Humber Institute of Technology & Advanced Learning. Return your international application and application fee to: Humber Institute of Technology & Advanced Learning 205 Humber College Boulevard, International Centre, Room D224, Toronto, Ontario, CANADA M9W 5L7 Fax: 1.416.675.6386 Phone: 1.416.675.5067 Email: international@humber.ca
If faxing the application and supporting documents, send originals or attested copies and application fee by mail. (Humber is not responsible for returning originals or attested copies). * Final assessment of this application cannot be made until the application fee is received.

P E R S O N A L I N F O R M AT I O N (please print clearly)
Mr. Mrs. Ms. Miss Given / FIrst Name (as it appears on your passport) Second Name (as it appears on your passpor t) Date of Bir th: YEAR MONTH DAY Family / Last Name (as it appears on your passport)

Mailing Address:
Current Address Apt. Number

City

Province/State

Countr y

Postal Code

Telephone: Area Code and Number

FAX: Area Code and Number

Country of Citizenship: __________________________________ Student Email (required) ______________________________________________________ Agent Email (optional) __________________________________ Internet ____________________________________________________ Other ______________________________________________________

How did you hear about Humber? Education Fair ________________________________________________________
Name

Agent (please see back of form) ________________________________________
Name

First Language:

English

Other ________________________________________________________________________________________ Visa Mastercard

Credit Card Number: _________________________ Expiry Date: ________________ Cardholder’s Name: ____________________

A C A D E M I C I N F O R M AT I O N
Name of school most recently attended: ________________________________________________________________________________________________ • Secondary School Transcript • College Transcript • University Transcript Yes Yes CHOICE 1 2 3 No No College Graduate University Graduate • TOEFL/IELTS/CAEL Score ____________ • Other Transcripts PROGRAM NAME September September September September October/November January March
ATTACHED ATTACHED ATTACHED ATTACHED ATTACHED TO FOLLOW TO FOLLOW TO FOLLOW TO FOLLOW TO FOLLOW N/A N/A N/A N/A N/A

Are you or will you be a graduate by the first day of college? Yes No Secondary School Graduate

START DATE January January January May May May May June/July

English for Academic Purposes Program

NOTE: If applicants are fully qualified for their program choice in all areas (ie: including portfolio, interview, subject prerequisites etc.) except their English Language skills they may be granted conditional acceptance into their program of choice and guaranteed admission upon successful completion of Level 8 of the English for Academic Purposes (EAP) program, depending on their country of citizenship. (Number of EAP levels required will be determined upon placement testing). I certify that the above information is true and complete. I understand that any false or incomplete information submitted in support of my application will invalidate my application.

SIGNATURE OF APPLICANT

DATE THIS IS A DOUBLE-SIDED FORM – PLEASE TURN OVER

Student Information Release Form

T H I S F O R M T O B E C O M P L E T E D A N D S I G N E D B Y T H E S T U D E N T O N LY

I,

Student Given / FIrst Name (as it appears on your passpor t)

Student Family / Last Name (as it appears on your passpor t)

Home Address

City

Country

Postal Code

Telephone

Email

Date of Birth (Month / Day / Year)

hereby authorize:

my Agent
Agent First Name Agent Last Name

Male

Female

other
First Name Last Name

Male

Female

Company Name

Address

Address

City

Countr y

Postal Code

City

Countr y

Postal Code

Telephone

Telephone

Email

Email

Relationship to Student

to act on my behalf in all matters concerning my application for admission to Humber. Humber College is subject to the provisions contained within the Province of Ontario’s Freedom Of Information and Protection of Privacy Act. As such, Humber College has the obligation to inform you about the collection and use of your personal information. By completing this Student Information Release Form, you are authorizing Humber College to release your personal information to the person(s) you have authorized to act on your behalf concerning your application for admission to Humber College, including all international admission matters. Your signature on this form con rms your acknowledgment and understanding of this noti cation. Humber College assumes no responsibility or liability for the use of your personal information by those you have authorized.

DATE

SIGNATURE OF APPLICANT

CITY, COUNTRY

REV JULY 2008

THIS IS A DOUBLE-SIDED FORM – PLEASE TURN OVER

Sign up to vote on this title
UsefulNot useful