INTERN
ATIONAL 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
(MM/DD/YY)
/ / Country of birth
Male
Female
Other
Personal
Phone
Personal Email
Other contact
Email / Phone
MAILING ADDRESS (The address where the study permit application will be lodged)
Street
City /
Province
Postal Code
Country
Native Language
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)
Tuition Deposit*
$2,200 for Post-Secondary Program, OR
$1,600 for English EAP Program
Below is for post-secondary and post-graduate applicants only
Translated and notarized transcripts and diploma(s) from
senior secondary school and higher education
IELTS or TOEFL scores or English Credit, Ontario
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 FI
LL OUT THE PAYMENT FORM ON PAGE 2
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INTERNATIONAL EDUCATIO
N
APPLICATION FOR ADMISSION
PAYMENT FORM
Student Name
Student ID
(if applicable)
Email address
for receipt
Date of Birth
(MM/DD/YY)
/ /
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
Reference #:
MHK
Amount:
$
Date:
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:
- - -
Amount:
$
Expiry Date
(MM / YY)
/
CVV
number
(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
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