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INTERNATIONAL EDUCATION
APPLICATION FOR ADMISSION
For Office Use Only Regional Specialist: Date Received:

A T InC P R Application #: Student #:

1. PERSONAL INFORMATION (The names on your passport)

Family Name Given Name
Date of Birth
/ / Country of birth
(MM/DD/YY) Male Female Other
Personal
Personal Email
Phone
Agency / other Other contact
contact (Optional) Email / Phone
• MAILING ADDRESS (The address where the study permit application will be lodged)
Street 1111
City /
Postal Code Country Native Language
Province
2. PROGRAMS OF CHOICE Number Program Name & Note Start Date (MM / YY)
English Program (EAP) 478 Duration: for __________ Months /

Post-Secondary Program 1 /

Post-Secondary Program 2 /

3. CHECKLIST
Application Form Copy of Passport (Photo page) $100 Application Fee (Non-refundable)

$2,200 Tuition Deposit*

• Below is for post-secondary and post-graduate applicants only
Translated and notarized transcripts and diploma(s) from IELTS or TOEFL scores or English Credit, Ontario
senior secondary school and higher education Secondary School Diploma (Grade 12)
4. CONSENT TO RECEIVE COMMERCIAL ELECTRONIC MESSAGES (OPTIONAL) I consent
Under Canada’s Anti-Spam Legislation our ability to connect with you may be affected. We want to make sure you continue
receiving important e-communications from Mohawk and the Mohawk Students’ Association, including: newsletters, event
information and invitations, registrarial communications; extra-curricular activities and course offerings, updates and notifications,
fundraising and volunteer opportunities; and, messages from approved third parties. You may withdraw your consent at any time.

5. DECLARATION / RELEASE OF INFORMATION

I declare that the above information is true and complete. I understand that any false information submitted in support of my
application may invalidate my application and result in withdrawal of a “Letter of Acceptance” and/or registration at any time during
my enrolment and information will be given to Canada Immigration.
*All payments are subject to Mohawk International’s fee and refund policy available on our website.

Signature of Applicant: ___________________________________________ Date: ______________

Freedom of Information and Protection of Privacy Act. The information on this form is collected under the legal authority of the
Minister of Advanced Education and Skills Development under s. 15 of the Ministry of Training, Colleges and Universities Act, R.S.O.
1990, Chapter M. 19. It is used for administrative and statistical purposes. For further information, please contact the Registrar,
Mohawk College, 135 Fennell Ave. West, Hamilton, Ontario L9C 0E5 or www.mohawkcollege.ca for the Privacy and Legal
Statements.

6. SUBMISSION / CONTACT INFORMATION

Mohawk College International Partnerships & Recruitment, Room J107
135 Fennell Ave. West, Hamilton, Ontario L9C 0E5 Canada
Phone: 1-905-575-2254 | Fax: 1-905-575-2362 | Email: intered@mohawkcollege.ca
www.mohawkcollege.ca/international

PLEASE FILL OUT THE PAYMENT FORM ON PAGE 2

 INTERNATIONAL EDUCATION
APPLICATION FOR ADMISSION

PAYMENT FORM
Student ID
Student Name
(if applicable)
Email address Date of Birth
/ /
of Payer (MM/DD/YY)
Note: Receipts are issued to the supporting agent, or student where there is no agent

PAYMENT FROM OUTSIDE CANADA (ONLINE) - FLYWIRE

1. Go to MohawkCollege.Flywire.com
2. Select “Mohawk College Application Fee” option
3. Create a new account if you do not have one.
4. Type the amount ($100.00) and choose the country where you make the payment.
5. Follow the instruction to complete the payment.
6. Once it’s completed, Please provide the transaction information below

$
Flywire
MHK Amount: Date:
Reference #:

FLYWIRE CUSTOMER SUPPORT (Multilingual support available)

Toll-Free: 1-800-346-9252 Email: Support@Flywire.com Web (Live chat): Flywire.com/help

PAYMENT FROM INSIDE CANADA

□ Certified Cheque | Money Order | Bank Draft

Payable to Mohawk College and include student name/ID.

Submit it to Mohawk College Fennell Campus Room J107
135 Fennell Ave. W., Hamilton, ON, Canada L9C 0E5
(Attention: International Dept., J107)

□ VISA or MasterCard

Card
- - -
Number:

$
Expiry Date CVV number
Amount: /
(MM / YY) (back of card)

Cardholder’s Name: ________________________ Signature: __________________________________

This page must be faxed (905-575-2362) when including credit card information.
We do not accept credit card payments via e-mail.

CONTACT INFORMATION
Mohawk College International Partnerships & Recruitment, Room J107
135 Fennell Ave. West, Hamilton, Ontario L9C 0E5 Canada
Phone: 1-905-575-2254 | Fax: 1-905-575-2362
Email: intered@mohawkcollege.ca | Web: mohawkcollege.ca/international