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INTERNATIONAL EDUCATION
APPLICATION FOR ADMISSION
FOR OFFICE USE ONLY
Application #: Student #: Date Received:

1. PERSONAL INFORMATION
Given
Family Name
Name
Date of Birth Country □ □ □
(DD/MM/YY) of Birth Male Female Other
Personal Personal
Phone Email
Agency or contact Email /
person (if applicable) Phone
• MAILING ADDRESS (Must be the address where the study permit application will be lodged)

Street
Postal
City Country
Code

2. PROGRAMS OF CHOICE
English Program: Starts in ____________________________ (Month / Year) for _______________ months.
Post-Secondary Program Program Name Program # Start Date (Month / Year)
First Choice
Second Choice

3. CHECKLIST
Copy of Passport $100 Application Fee $1600 Confirmation/Tuition fee
□ Application Form □ □ □
(Photo page) (Non-refundable) (Refundable only if study permit is denied)
• Required documents 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. SUBMISSION
Print, sign and confirm payment information. Submit the Application Form with documents by email, in PDF format, to:
intered@mohawkcollege.ca. Copies are acceptable however originals may be required upon request. Additional details can be found at:
https://www.mohawkcollege.ca/international/apply

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. This withdrawal may take place at any time
during my enrolment and information will be given to Canada Immigration.
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. CONSENT TO RECEIVE COMMERCIAL ELECTRONIC MESSAGES (OPTIONAL)

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 I Consent
volunteer opportunities; and, messages from approved third parties. You may withdraw your consent at any time.
PLEASE CHECK PAYMENT INFORMATION ON THE BACK OF THIS FORM
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-students
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 INTERNATIONAL EDUCATION
APPLICATION FOR ADMISSION

Payment Information
1. APPLICANT / STUDENT INFORMATION

Family Name Given Name(s)

Date of Birth Student # / Application #

(Day/Month/Year) (if applicable)

2. RECEIPT EMAILING INSTRUCTION/ADDRESS

______________________________________________@_________________________________________________

3. METHOD OF PAYMENT

• □ Certified Cheque | Money Order | Bank Draft

Please make certified cheques, money orders, and bank drafts payable to Mohawk College
and submit in person to Mohawk College Fennell Campus Room J107 or
mail to 135 Fennell Avenue West, Hamilton, ON, Canada L9C 0E5
(Attention: International Education Department, Room J107)

• □ Bank Transfer (Please contact our office for details)

• □ VISA or MasterCard (by fax only: 905-575-2362)

Card Number: - - -
CCV 3 digit Security
Expiry Date
Amount: $ (Month / Year)
Code
(back of card)

Cardholder’s Name:

Signature of Cardholder:

This page must be faxed if the credit card information is included

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-students
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