International Student Application Cancellation Form
I have read the above statement and hereby authorize the release of information contained herein to the above mentioned.
FREEDOM OF INFORMATION AND PROTECTION OF PRIVACY ACT
Personal information on this form is collected in accordance with sections 21, 39 and 49 of the Freedom of Information and Protection of Privacy Act and under the legal authority of the
Ministry of Training, Colleges and Universities Act, R.S.O. 1990, and the Ontario Colleges of Applied Arts and Technology Act, 2002, Regulation 34/03, and may be used and/or disclosed
for administrative, statistical and/or research purposes of the College and/or the ministries or agencies of the Government of Ontario and the Government of Canada. If you have any
questions concerning the collection and use of personal information, please contact the Privacy Office at (416) 491-5050 extension 77846 or email privacyoffice@senecacollege.ca.
TO BE DUPLICATED ONLY BY THE OFFICE OF THE REGISTRAR Last Revised: April 7, 2020
APPLIED USING AN AGENCY
I have entered into an initial contract with the above named agency, giving this initial agency the authorization to
represent me by signing the Student Release Form. I agree to terminate my original application, no matter its progress
(including an existing offer of admission), and have designated a new agency who will lodge a new application for me.
I understand that a new application with my new agency will have to be submitted online with academic documentation,
program(s) selection and payment of a new application fee ($90.00 CAD).
APPLIED MYSELF
I applied on my own to Seneca College but now wish to cancel my application. By doing so, I understand that I will
have to reapply, along with a payment of a new application fee of $90.00. I agree to terminate my original application,
no matter its progress (including an existing offer of admission), and have designated a new agency who will lodge a
new application for me. I understand that a new application with my new agency will have to be submitted online with
academic documentation, program(s) selection and payment of a new application fee ($90.00 CAD).
Applicant Signature: Date:
Email: international.documents@senecacollege.ca
Telephone: (416) 491-5050 ext. 22800
Important Academic Dates: senecacollege.ca/registrar/dates/
Office of the Registrar
Last Name: First Name:
Student ID Number
Application Number Date of Birth
Alternate Email Address
Seneca Email Address
Preferred Telephone Number
( )
Program Name
Name of Initial Agency (if applicable)
I wish to cancel my application and its progress, thus far, at Seneca College.
