Full-time Application Form

Full-time Application Form
Which program do you wish to study?*
Personal Student Information

This information is kept confidential and is solely used to create your student profile in our registration system.
Name (as in ID/Passport)*

First NameLast Name
Country of Citizenship*
Country of Residence*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of birth*

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.
Your gender*
Email*
example@example.com
Mother Tongue*
How did you hear about the Language School?*
Agent Information
Are you working with an agent?*
Agency Name*
Name of primary contact at agency*
Agent Email:*
example@example.com
Emergency Contact
Are you an international student?*
Do you have any contacts (friends/family) who are currently in Canada?*
Name of Emergency Contact*

First NameLast Name
Phone Number of Emergency Contact*
Please enter a valid phone number.
Email of Emergency Contact*
example@example.com
Relationship*
Length of Study

Our full-time French/English programs run year-round. Each session lasts 5 weeks.
Intended Start Date*

MonthDayYear
Date
Intended End Date*

MonthDayYear
Date
Status in Canada
Have you been referred to the Vanier Language School by Emploi-Quebec?*
Are you currently in Canada?*
Please indicate if you are one of the following:*

Canadian CitizenPermanent ResidentRefugeeInternational student already in possession of a Study PermitTourist (already in Canada)Other (specify)
Do you require a Study Permit?*
(for stays over 6 months or non-visa exempt see this link: https://www.vaniercollege.qc.ca/language-school/programs/full-time-english/ )
Do you require a CAQ? (for stays over 6 months)*
Should be Empty:

Full-time Application Form

Personal Student Information

Agent Information

Emergency Contact

Length of Study

Status in Canada