First Name Last Name Date of Birth Gender Gender Male Female Other New Field New Field Other Phone Number Email Address Address City Province (State or Region) Postal / Zip Code Country Student Maturity Student Maturity I am recently out of High School but did not graduate It has been more than 2 years since I was in High School but I did not graduate None of the above I understand the Basic Skills Assessment MUST be completed. Education Education High School Diploma GED College/University Citizenship/Language Citizenship/Language Canadian Citizen Canadian Permanent Resident International Student Is English Your First Language? Is English Your First Language? Yes No (The TOEFL Score Document is REQUIRED for interview) Program Readiness Program Readiness ASAP Within 3 Months Accommodations Required? Accommodations Required? Yes No Choose Specialization Choose Specialization Tattooing Piercing Submit Click here for printable verion of this form.