FOR OFFICE USE ONLY

Application For Admission

1 Application Information $150 CDN

4 Select Program and Term(s)

I wish to apply for the following program and term(s):

English Language School Letter of

Acceptance

ID : __________________

Intensive Day Program (IDP) 4-Week Summer Intensive Day Program

Letter of Acceptance

English For Academic Purposes (EAP)

Study Permit

Preparing For Graduate Studies: EAP 550

* You should wait for the Letter of Acceptance before making any travel arrangements.

2 Personal Information (on passport)

For EAP program application, please provide one of your current English language proficiency (ELP) test results below: TOEFL iBT________ IELTS_______ Other ___________________ Visit our website at www.uab.ca/ELS for our ELP requirements. ALL

(on passport)

2016 Schedule

2017 Schedule

First Language:

Country of Citizenship:

of Birth

Status in Canada Work Permit

uab.ca/ELS

3 Home Country Address

5 Payment Options The Application Fee is $150 CDN Choose one of the payment options below: Visa©

MasterCard©

American Express©

Please send my Letter of Acceptance by: Pick up in person

Mailing Address (If different than above)

English Language School Faculty of Extension

Phone: Website:

(+1) 780.492.5530 0627 s www.uab.ca/ELS

The personal information requested on this form is collected under the authority of Section 33 (c) of the Alberta Freedom of Information and Protection of Privacy Act for authorized purposes including application for admission, registration, administration of records, scholarships and awards, student services, alumni relations and fundraising, and university planning and research. A student’s and alumni’s personal information may be disclosed to academic and administrative units according to University policy, federal and provincial reporting requirements, data sharing agreements with student governance associations, and to contracted or public health care providers as required. Questions concerning the collection, use or disposal of this information should be directed to: FOIPP Officer, Faculty of Extension, 10230 Jasper Ave NW, Edmonton, AB T5J 4P6. Phone 780.492.5047

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