Admission Application Form

PART I - Intended Program of Study

Intended Program(s) of Study *
Seneca CollegeLakeland CollegeVocational Training

Expected Start Year *

Preferred Learning Environment *
On-SiteOnline
For international student only

PART II - Applicant Information

Mr./Ms.

Legal Surname *

Legal Given Name *

Gender *

Date of Birth *

Place of Birth *

Citizenship *

No. of Residence Identity Card (if applicable)

No. of Passport *

Passport Date of Issue *

Passport Date of Expiry *

Mobile Phone *

Home Phone

Email Address *

Home Address (Apt, Unit, Building and Street) *

City *

State/Province *

Zip/Postal Code *

Country *

Marital Status *
SingleMarriedWidowedDivorced

Date of Marriage

Spouse Name

Spouse Date of Birth

Spouse Occupation

Do you have children? *
YesNo

Child Name

If more than one, please separate by ","

Child Gender and Age

If more than one, please separate by ","

Emergency Contact *

Emergency Contact Mobile Phone Number *

High School Name and Address *

Year of High School Graduation *

Highest Level of Education Completed *

e.g. High School, College, University, etc.

Year of Graduation *

English Proficiency Level *

e.g. IELTS 6.0

Do you have a valid Canadian study permit? *
YesNo
For international student only

Working Time Periods *

Company Name *

Job Position *

Job Description *