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* Documents with multiple pages must be submitted as one file
Self-assessed language level
Emergency Contact in your home country
Emergency Contact Full Name*
Emergency Contact Telephone*
*You may voluntarily provide the personal information listed below:
Do you identify yourself as an Aboriginal person, that is, First Nations, Métis, or Inuit?
If you answered “Yes”, please indicate if you are:
Do you have a long-term physical or mental health condition that limits the kind of activity that you can perform on a daily basis?
If yes, are you requesting accomodation?
How did you hear about SELC?
Program Schedule(Not Guarantee)
Desired Start Date*
Payment Plan Request (9 month,1 or 2 years program only)
Do you want SELC to arrange Medical Insurance?
Do you want SELC to arrange accommodation (homestay) for you?
Do you smoke?: If yes, you must agree to smoke outside.
Are you OK living with pets?
Are you OK living with children?
Do you have any allergies?
Special requests or needs?
Special requests or needs? (Please specify)
Please upload the following documents:
1. copy of passport
2. copy of diploma (high school, college or university). Or, a copy of attendance records from University.
3. Student Visa
4. Work Visa
5. Proof of English ability (example IELTS, TOEFL)
By submitting this form, I agree that SELC Career College Canada may call, text and/or email me about their educational services