Application Forms and Supporting Information YUKON COLLEGE INTERNATIONAL APPLICATION PACKAGE

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YUKON COLLEGE INTERNATIONAL APPLICATION PACKAGE Application Forms and Supporting Information 500 College Drive PO Box 2799 Whitehorse, YT Y1A 5K4 Canada international@yukoncollege.yk.ca yukoncollege.yk.ca/international

ADMISSION APPLICATION APPLICATION INSTRUCTIONS APPLICATION INSTRUCTIONS AND CHECKLIST: ** Complete application form ** Complete Campus Housing or Homestay application, if applicable ** Submit Transcript (high school or post-secondary) please see notes below ** Provide a copy of IELTS or TOEFL ibt score sheet in academic testing (this must be current within two years) ** Pay application fee (s) (non-refundable) - Admission ($100), Campus Housing ($25), and/or Homestay ($200) ** Email above documents to international@yukoncollege.yk.ca Note: Transcripts are to be evaluated by a Canadian evaluation service if you would like your credentials recognized for admission purposes. Please request a comprehensive evaluation. Yukon College accepts evaluations from International Credential Evaluation Service (ICES - http:// www.bcit.ca/ices/whatwedo.shtml) International Qualifications Assessment Service (IQAS - http://work.alberta.ca/immigration/international-qualifications-assessment-service.html). At times we experience a high volume of applications, so please expect a response within 5-10 business days. TUITION DEPOSIT PAYMENT Yukon College requires a tuition deposit payment of $4,000 from students applying to certificate, diploma, and/or trades programs before an official Letter of Acceptance will be issued. This tuition deposit will be applied to your course fees. Once you arrive in Whitehorse, the remainder of your fees will be paid when you register for your courses. The tuition deposit must be paid by electronic funds transfer unless you are currently in Yukon. For Application Process, please see our website: https://www.yukoncollege.yk.ca/international/future-students/apply.php

ADMISSION APPLICATION FULL LEGAL NAME (THIS MUST MATCH YOUR PASSPORT) Family Name* Given Names *Please write N/A if you do not have a family/ last name. CURRENT MAILING ADDRESS Mailing Address (for receiving mail) City Country Email o Male o Female Province/District/State Postal Code/Zip Code Phone Date of Birth: / / (dd/mm/yy) Country of Citizenship Your First Language/Native Language YOUR PERMANENT ADDRESS (IF DIFFERENT FROM THE ADDRESS ABOVE) Mailing Address (for receiving mail) City Country Province/District/State Postal Code/Zip Code PROGRAM START DATES Application deadlines may apply. Generally, the College requires a few weeks to process your application and get the Letter of Eligibility, or Letter of Acceptance back to you. What program are you applying for? o Certificate (one-year) o Diploma (two-year) o ESL Only Dates you are planning to study: from / / (dd/mm/yy) to / / (dd/mm/yy) ACADEMIC INFORMATION High School Have you finished high school? o Yes o No What is the highest grade finished? English o IELTS o TOEFL o Other Post Secondary Have you ever studied at a college or a university? o Yes o No Admission Application / Page 1 of 3

ADMISSION APPLICATION EMERGENCY CONTACT IN CANADA Name Home Phone Cell Phone Email Address EMERGENCY CONTACT IN HOME COUNTRY Family Name Relationship to you First Name Phone Email Address Does this person speak English? o Yes o No If no, what language do they speak? REPRESENTATIVE (AGENT) INFORMATION If you are using a representative or agent, please provide details: Representative Company Name Mailing Address Province/District/State Postal Code/Zip Code Contact Name (Mr/Ms/Mrs/Miss) City Country Phone Email RELEASE OF INFORMATION I give Yukon College permission to discuss my information with: A relative or friend Name My emergency contact Name Email Applicant s signature, in English (typed signatures will not be accepted) Admission Application / Page 2 of 3

ADMISSION APPLICATION COLLECTION, USE AND DISCLOSURE OF STUDENT INFORMATION Personal information collected from applicants will be held and used in accordance with the Yukon Access to Information and Protection of Privacy Act (ATIPP) and the Yukon College Information Access and Privacy Protection Policy. This information will be used for admission, registration, fee collection, and maintenance of your student record and other purposes consistent with the mandate of the Institution. Contact information is shared with the Yukon College Student Union. The personal information you provide is also used for authorized statistical and research purposes. Students who would like Yukon college to release financial and/or academic information to an individual, a parent, or an agency external to the College must give the college written permission to release that information. At the time of registration, students may authorize the release of specific information to individuals or organizations. Please refer to the Yukon College Information Access and Privacy Protection Policy at yukoncollege.yk.ca for more information on the use of student information. If you have any questions about the collection, use and disclosure of student information, please contact the Office of the Registrar at 867.668.8710. Signature of Applicant Date Admission Application / Page 3 of 3

PAYMENT: ADMISSION, CAMPUS HOUSING, HOMESTAY APPLICATION FEE(S) Applications cannot be processed until we receive an application fee(s). Fee(s) can be paid by credit card and are non-refundable. PLEASE PLACE A CHECK MARK BESIDE THE APPLICATION FEE(S) THAT APPLY: o Admission Application Fee $100 o Campus Housing Application Fee $25 o Homestay Application Fee $200 Total Enclosed $ PLEASE INDICATE YOUR METHOD OF PAYMENT: o International Bank Draft or Money Order (drawn on a Canadian bank) o Credit Card Credit Card Information: o Visa o MasterCard Credit Card number: / / / Expiry Date: / (mm/yy) Credit Card Security Code (located on back of credit card) Cardholder s name: Cardholder s Signature: (typed signatures will not be accepted) CAMPUS HOUSING AND HOMESTAY RELATED FEE INFORMATION Campus Housing: A full semester s rent and a damage deposit is required prior to occupancy. Homestay: The first month s rent and damage deposit will be charged prior to students arrival. After the first month, students will pay a $750/month homestay rent directly to their host families by cash or cheque. Damage deposit and the first month rent may be paid by credit card, International Bank Draft or Money Order (drawn on a Canadian bank) payable to Yukon College. Note: Damage deposit is refundable once you leave your homestay if there is no damage to your room. Application Fee Payment Form / Page 1 of 1

CAMPUS HOUSING APPLICATION APPLICATION INSTRUCTIONS: Complete and send application with $25 CDN non-refundable Campus Housing application fee YUKON COLLEGE STUDENT ID NUMBER APPLICATION INSTRUCTIONS: You will be required to pay one full semester and damage deposit prior to your occupancy. Please see http://www.yukoncollege.yk.ca/international/future-students/accommodation.php for fee information. Note: Damage deposit is refundable, if, upon inspection, there is no damage to your room. PERSONAL INFORMATION Family Name First Name Date of Birth: / / (dd/mm/yy) o Male o Female Country of Citizenship Have you lived in Yukon College Campus Housing before? o Yes o No If yes, when? YOUR MAILING ADDRESS Mailing Address City Country Province/District/State Postal Code/Zip Code ACADEMIC INFORMATION Program Name Program Length (e.g. 6 Weeks/ 8 Months) Expected Occupancy: from / / (dd/mm/yy) to / / (dd/mm/yy) TYPE OF ACOMMODATION REQUESTED I am Requesting a: o Main Singles Room o Main Singles Double Room o Mature Room (Ages 25+) o 2 Bedroom Apartment o 3 Bedroom Apartment DECLARATION I declare the information given in this application is complete and correct Signature of Applicant (typed signatures will not be accepted) Date Campus Housing Application / Page 1 of 1

HOMESTAY APPLICATION APPLICATION INSTRUCTIONS: YUKON COLLEGE STUDENT ID NUMBER Complete application and send with $200 CDN non refundable Homestay application fee If you would like homestay accommodation, please complete this form at least 6 weeks before your classes start. Homestay Fees Required Prior to Student s Arrival The first month s rent and damage deposit will be charged upon students arrival. After the first month, students will pay $750/month homestay rent directly to their host families by cash or cheque. Family Name First Name Mailing Address City Country Email Province/District/State Postal Code/Zip Code Phone Date of Birth: / / (dd/mm/yy) o Male o Female Citizenship Emergency Contact Name Relationship to you Day Phone Home Phone Email Are you using a representative/agent? o Yes o No If yes, please provide details Name Phone What is your first language? Email How long have you studied English? Have you ever lived away from your home/family? o Yes o No If yes, how long? Approximately how long do you plan to be with a host family in Canada? Expected Homestay Occupancy: from / / (dd/mm/yy) to / / (dd/mm/yy) Please answer the following questions If you mark yes please add more information in the space provided. Are there any foods you do not like to eat? o No o Yes, Do you have any allergies (food, pollen, pets)? o No o Yes, Do you have any physical or mental illnesses or conditions that may require special arrangements for your Homestay placement? o No o Yes, Do you prefer a host with young children? o No o Yes, Homestay Application / Page 1 of 2

HOMESTAY APPLICATION Would you live in a house with animals? o No o Yes: o dog(s) o cat(s) o bird(s) o reptile(s) Do you smoke? o No o Yes (outdoors only) Do you drink alcohol? o No o Yes Do you play a musical instrument? o No o Yes, Do you enjoy sports? o No o Yes, Do you require a host with similar religious beliefs? o No o Yes, We like to match a host with your personality What hobbies and interests do you enjoy? Many hosts offer their homes for homestay because they want to help students and learn about different countries. Why do you want to live in homestay? What are you planning to study while at Yukon College? Additional information / Questions HOMESTAY STUDENT AGREEMENT I have completed this International Student Homestay Application with correct information about what I like and dislike, as well as other information important to finding a suitable placement. I know that the Homestay Coordinator will work to match a host to what I have written, but I understand it may not be possible to meet all of my requests. Homestay placement information will not be sent to me without payment of the Homestay fees. I will comply with all rules and regulations of the Yukon College International Homestay program. If I plan to move out from my host family s home, I agree to tell the host 30 days before the day I move and be responsible for the accommodation fee until this date. I agree to purchase adequate medical coverage during my stay in Canada. I agree to purchase adequate insurance to cover my belongings and personal liability. I give permission to Yukon College to give this Homestay application to my host family. Signature of Applicant Date Homestay Application / Page 2 of 2