City University in Canada – International Student Application

Instructions: Please use this application if you are a potential International student looking to student in Canada on a student visa to earn a bachelor's degree, master's degree or a graduate certificate. Note: Your privacy is very important to us. To better serve you, the form information you enter is recorded in real time.

- Step 1 of 7

Do you have a Canadian Social Insurance Number? *

Please enter your social insurance number

Will you study in Canada on a student visa? *

STOP! You are using the wrong form. This application is intended for international students planning to study in Canada on a student visa. If you are a Canadian resident, please use our general student application. If you are planning to study in the US, please visit www.cityu.edu for more information about our US programs.

I understand.

Identification Information

Please complete the fields below. Note that * indicates a required field.

Name Prefix

Legal First Name (as listed on your passport) *

Legal Middle Name

Legal Last/Family Name (as listed on your passport) *

Name Suffix

Preferred Name (Optional)

I have a preferred name other than my legal name

Preferred First Name

Preferred Last Name

Please list any previous legal names or aliases. Be sure to use proper capitalization.

I have a former name

First Former Name (Last Name, First Name)

Second Former Name (Last Name, First Name)

Other information

Date of Birth *

Gender *

Male
Female
Other

Marital status

Citizenship Country *

Country of birth *

Please attach a scanned image of your passport's ID page.

Contact Information

Please enter your contact information in the fields below. Note that * indicates a required field.

Preferred Email *

Secondary Email

Preferred Phone *

Phone type *

Secondary Phone

Phone type

Permanent Home Country Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

I already have an address in Canada, or I am already living in Canada *

Canadian Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

I have a mailing address different than my physical address:

Mailing Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Name of person to be contacted in case of emergencies *

Phone number for emergency contact person *

Email for emergency contact person *

Visa Information

To be completed only by applicants currently residing in Canada

Are you currently living in Canada?

Passport Number

Issued by (Country)

Date of Issue *

Date of Expiry *

Present visa classification *

Student permit
Other visa type

What type of visa are you on? *

Visa classification plans *

I will keep my current visa status and plan on remaining in Canada
I will keep my current visa status and plan on leaving Canada before starting my program at CityU
I will apply to the Citizenship and Immigration Canada (CIC) office to change my visa status to study permit
I will leave Canada and return on a study permit
Other

Please explain your visa plans. *

Date first granted study permit status *

Practical Training or Post Graduate Work Permit Authorization dates (if applicable) *

Date of Issue *

Date of Expiry *

Dependents

Do you have dependents (spouse and/or minor children) who will accompany you on dependent visas? *

Full legal name of first dependent (as appears in his/her passport) *

Date of Birth first dependent *

Relationship to you *

Do you have a second dependent who will be accompanying you on a dependent visa? *

Full legal name of second dependent (as appears in his/her passport) *

Date of Birth second dependent *

Relationship to you (second dependent) *

Do you have a third dependent who will be accompanying you on a dependent visa? *

Full legal name of third dependent (as appears in his/her passport) *

Date of Birth third dependent *

Relationship to you (third dependent) *

Do you have a fourth dependent who will be accompanying you on a dependent visa? *

Full legal name of fourth dependent (as appears in his/her passport) *

Date of Birth fourth dependent *

Relationship to you (fourth) dependent *

Your plans

Please complete the fields below. Note that International Students will only study in Vancouver, BC, Canada. Note that * indicates a required field.

How did you hear about City University of Seattle in Canada? *

Family/Friends
Employer/Administrator
CityU Website
Agent
School/College
International Student Fair
Social Media
Other

If other, please specify.

If agent, please specify

BC Program of Interest *

Note that your Enrollment Advisor may request additional required admissions materials for some programs.

Preferred start term(s). *

Fall (October)
Winter (January)
Spring (April)
Summer (July)

Preferred start year *

English proficiency/placement exam

TOEFL
IELTS
iTEP
PTE
Not available
Other

Please specify your English proficiency placement/exam

Current English placement score

Education History

Please complete the fields below. Note that * indicates a required field.

Do you have a prior post secondary education? *

What is the name of the last college/university you attended? *

Country *

City and Province/State *

Degree earned or expected to earn

Degree date (MM/YYYY)

Do you want to add second college/university?

Name of college/university attended (2)

City / Country (2)

Dates of attendance - start date (MM/YYYY)

Dates of attendance - end date (MM/YYYY)

Certificate, degree or credits earned (2)

Do you want to add third college / university?

Name of college/university attended (3)

City / Country (3)

Dates of attendance - start date (MM/YYYY)

Dates of attendance - end date (MM/YYYY)

Certificate, degree or credits earned (3)

Do you want to add a fourth college / university?

Name of college/university attended (4)

City / Country (4)

Dates of attendance - start date (MM/YYYY)

Dates of attendance - end date (MM/YYYY)

Certificate, degree or credits earned (4)

Please upload your most current resume

Please upload your resume in MS Word or PDF format. Please name your file "Your name - resume" to ensure it is more easily matched with your application.

Have you completed high school in Canada?

In which country did you attend high school?

Other Information

Ethnic Origin(s) *

First Nation / Indigenous
Asian or Pacific Islander
Black / Non-Hispanic
White / Non-Hispanic
Hispanic
Other

As a U.S. institution, this data is reported in aggregate to the U.S. Department of Education. It us used to determine the effectiveness of efforts to provide equal opportunity to education. These are U.S. federally designated categories.

Please specify:

If you like to declare that you are an Indigenous/Aboriginal person please select: *

Please specify:

Status Indian / First Nations
Non-Status Indian / First Nations
Metis
Inuit

Alberta Advanced Education and Technology is collecting this personal information pursuant to section 33(c) of the FOIP Act as the information relates directly to and is necessary to meet its mandate and responsibilities to measure system effectiveness over time and develop policies, programs, and services to improve Aboriginal learner success. For future information or if you have questions regarding the collection activity, please contact the Office of the Director, Business Operations & Reporting, System Capacity and Development Branch, Alberta Advanced Education and Technology, 10155-102 Street, Edmonton AB T5J 4L5, (780) 427-7145.

If English is not your first language, please indicate your primary language.

Disclosures and Agreements

Please complete the fields below. Note that * indicates a required field.

I certify that the information provided in this application is accurate and complete. I understand that to make false or fraudulent statements within this application may result in disciplinary action, denial of admission and invalidation of credits or degrees earned. *

I understand that as part of the application process supplemental materials may be required for some programs. I agree to submit additional materials to my advisor as requested. *

By checking this box, I acknowledge that I am officially applying for admission to City University of Seattle and using an electronic signature. Canadian Immigration regulations require applicants to personally sign the application form. Applications signed by third parties will be invalid.

Signature confirmation

By checking this box, I acknowledge that my application will not be processed by City University of Seattle until my $50 non-refundable application fee has been received. *

I understand

OPTIONAL: Consent to Release Information/Documents: I hereby acknowledge that City University of Seattle will provide information regarding my admission, payment, enrollment status, to the individual/Agent/institution stated below:

Name of individual/Agent/Institution

I understand and acknowledge the statements above. *

Application fee: The mandatory CAD $50 fee is non-refundable *

I have a code for an application fee waiver.
I would like to pay my application fee now via PayPal.
I would like to submit my application fee later. I understand that my application will not be considered complete or reviewed until my payment is made.
I will pay my application fee via cheque or money order

Application Fee (non-refundable)

Price: $ 50.00

Please note that you will need to have or create a PayPal account to use this option.

Please enter your valid application fee waiver code.

Please submit your cheque or money order to:

City University in Canada Attention: Admissions 789 W. Pender Street, Suite 310 Vancouver, BC V6C 1H2

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