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    Please complete the following application form in its entirety.

    Part 1: Application Information

    Last Name*

    Middle Name

    First Name*

    Grade Applying For*

    Semester applying For*

    Future Plans*

    Current School*

    Grade or Level Completed*

    Applicant lives with*

    Citizenship*

    Gender*

    Date of Birth*

    Send billings, reports, etc. to*:

    Future Post Secondary Program*

    Email Address*

    Part 2: Family Information

    Father/Guardian 1

    Last Name*

    First Name*

    Date of Birth*

    Street Address*

    City*

    Country*

    Telephone*

    Email Address*

    Occupation*

    Mother/Guardian 2

    Last Name*

    First Name*

    Date of Birth*

    Street Address*

    City*

    Country*

    Telephone*

    Email Address*

    Occupation*

    Sibling Information

    Please give the names(s), current school(s), and age(s) of the applicant's siblings, if any.

    Name

    Current School

    Age

    Name

    Current School

    Age

    Name

    Current School

    Age

    Part 3: School Information of Applicant

    Current School*:

    Address*:

    Country*:

    Current Grade*:

    City*:

    Part 4: General Information (all fields are required)

    How did you hear about CIC?

    Are you applying to other schools?

    Does your family have any alumni connections to CIC?

    Are you working with an educational consultant/agent? If yes, who?

    Does your child have any medical conditions, physical/social/emotional limitations or needs of which we should be aware? If yes, please explain.

    Is your child experiencing any learning challenges? If yes, please explain.

    CIC is committed to fostering a learning environment that promotes the adoption of health enhancing attitudes and behaviors. It recognizes that personal well-being and positive school environment enhances academic success and may set a pattern for life long, healthy living standard. CIC prohibits alcohol and other illicit substances from all its residences and school properties. The use of any illegal drug(s) will lead to expulsion from school and residence.

    Refund Policy

    Students admitted to Canadian Independent College are required to pay all fees in advance.

    When a student is unable to obtain a study permit/student visa, Canadian Independent College will refund the tuition fee less CDN $550.00 processing and bank fees. To request a refund, the student must return all original Canadian Independent College documents and the original rejection letter from the appropriate government authorities or Immigration Canada.

    When a student is asked by the Principal to withdraw from Canadian Independent College as a result of a disciplinary action, unused tuition fees will not be refunded.

    When a student's application has been submitted to immigration and the family decides to withdraw the application, Canadian Independent College will refund the tuition fee less CDN $2,500.00 processing and bank fees. To request a refund, the student must return all original Canadian Independent College documents and a letter stating the reasons for the application withdrawal.

    When a student has been granted a study permit/student visa by the Canadian Immigration Authority but decides not to come to Canadian Independent College; no refund will be issued.

    For further information on Canadian Independent College's refund policy and other policies refer to our website www.cicbaden.ca

    By clicking on the Submit button below, you are agreeing to the following agreement:

    Agreement of Correctness

    I hereby certify that the above information is true and complete. I understand that any false or incomplete information submitted in support of my application may invalidate my application and result in the withdrawal of an offered seat at any time during my period of enrolment by the academic administration at Canadian Independent College.

    Please attach a copy of your bio-data page (please save as PDF)

     

    Please attach a copy your last two year's report cards/transcripts (please save as PDF)

    Current Year:

    Previous Years:

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