| Personal Information |
| Legal Last Name/Family Name: |
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| All Legal Given/First Names in Full: |
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| Email Address: (Required) |
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| Sex: |
Male Female |
| Date of Birth: |
Day: Month:
Year:
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| Country of Birth: |
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| Current Mailing Address & Current Country of Residence: |
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| Home Address if Different than Mailing Address: |
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| Phone Number (Please include area codes and country codes also): |
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| Marital Status: |
Single Married Divorced/Separated Widow |
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| Languages |
| First Language: |
English French Other |
| English Language |
| Speak: |
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| Read: |
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| Write: |
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| Understand/Listen: |
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| Total # of years in an English-language school system outside of Canada |
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| Country where you attended an English-language school system: |
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| French Language |
| Speak: |
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| Read: |
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| Write: |
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| Understand/Listen: |
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| Education |
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You may type any other related educational experience that you have in the space provided below:
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| Total Years of Study (Including Primary/Elementary Schooling): |
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| Activities |
| Indicate your activities when you were not attending school full-time. |
| Activity 1 |
| Activity: |
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| Employer: |
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| Activity Period: |
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| Activity 2 |
| Activity: |
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| Employer: |
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| Activity Period: |
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| Activity 3 |
| Activity: |
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| Employer: |
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| Activity Period: |
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Please type in the field below any additional employment experience that you want to explain in detail:
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| Relatives in Canada if Any |
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| Other |
| Do you intend to apply for financial assistance from the Ontario Student Assistance Program (OSAP)? |