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Simon Fraser University - Navitas

Simon Fraser University - Navitas

Simon Fraser University - Navitas

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Application formPlease print in BLOCK LETTERSPersonal detailsTitle: Mr Ms OtherFamily name:Given names:Preferred name:Education detailsSecondary education – highest level achievedName of qualification (eg. Year 12, HKALE or ‘A’ Levels):School attended:Date of birth: / / (day/month/year)Gender: Male FemaleContact detailsAddress in Canada (if known):Completed: Yes NoCountry/State:Language of instruction:Post-secondary and further educationName of qualification:Institution attended:Address in home country (must be student’s address):Completed:Yes NoPlease attach certified copies of all academic transcripts or mark sheets.Employment historyIf you believe you have relevant employment experience, pleaseattach details.Program selectionMobile telephone:Home telephone:Email (must be student’s email address):Country of birth:Nationality:Passport number:Do you hold Permanent Resident status in Canada?Yes NoEnglish requirementsIELTS or TOEFL score:Other:Will you be studying English in Canada before starting at FIC?Yes NoIf “Yes”, name of school:Please complete the relevant section for each program you wish toundertake. If you wish to study at FIC and then at SFU, you must completeboth FIC and SFU sections.<strong>Fraser</strong> International College (FIC)Pre-university levelUTP Stage IStudy Abroad Program (one semester)<strong>University</strong> levelUTP Stage II in Business AdministrationUTP Stage II in Computing ScienceUTP Stage II in Engineering ScienceUTP Stage II in Arts and Social SciencesSummer Study Abroad Program (one semester)CommencementPlease indicate the year and term you wish to begin your studies.Year: January May September<strong>Simon</strong> <strong>Fraser</strong> <strong>University</strong> (SFU)Preferred program (if known):When? (Dates)Preferred major (if known):

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