Vancouver Island University Admission/Application

MBA, Academic and ESL

International Student
On-line Application for Admission

PERSONAL DATA
Family Name First Name Middle Name

Mailing Address Postal Code Telephone Number

Electronic Mail Address FAX Number

Date of Birth (yr/month/day) Sex: Male Female

Place of Birth First Language Country of Citzenship

Citizenship status will be:

Student Authorization Minister's Permit Other, specify:

Passport/travel document no. Sponsoring Agency

PROGRAM APPLICATION (Please indicate the specific program for which you are applying.)
Program Name (as listed in the calendar) Start Date Requested

EDUCATIONAL BACKGROUND
Year when last in secondary school Scores:
TOEFL: , OR

Name of last school attended IELTS:

Grade/Form/Level completed

Address of last school attended (include City and Country)

Year when last in college or university

Name of last college or university attended

Degree/Diploma earned

Address of last college or university attended (include City and Country)

PREVIOUS YEARS HISTORY

Please indicate your main activity during the past year:
Student attending secondary school Other educational institution Attending college

Working Attending university Other

Please indicate where you were located last year:

In British Columbia In another Province In another Country

ACCOMMODATIONS: Homestay Student Residence Other

APPLICATION PROCESSING FEE

There is a non-refundable Application Processing fee of $150 Canadian.
Your application can not be processed until this payment is received. Please select the method of
payment you wish to use for this fee:
Cheque/Mone Make cheque/money order payable to Vancouver Island
University and enclose it with your other required documents
y Order
( see below ). Please ensure your name appears on the
cheque/money order.
Electronic Contact Jane.Kelly@viu.ca for banking information
Transfer
Credit Card Card Number Expiry Date
Type (mm/yy)
Card Ameri
can
Express
Visa
Maste
rcard
Cardholder's Name ( if different than student's name)
OTHER REQUIRED DOCUMENTS
In addition to the information you have provided here the following items are required to complete your
application:
1. A passport-size photograph.
2. An official copy of your educational documents in your own language and a certified copy
translated into English.
3. TOEFL score (or equivalent):
• If you are applying for an ESL program: your latest TOEFL score, or proof of formal
English Language study.
• If you are applying for a non-ESL program and English is not your first
language: arrange for a copy of your TOEFL results to be sent to Vancouver Island
University by the TOEFL Testing Centre. (Institutional Number 9581); IELTS scores will
also be accepted.
Mail these documents ( along with your cheque/money order if that is how you have chosen to pay the
application processing fee ), to:
Director
International Admissions
Vancouver Island University
900 Fifth Street
Nanaimo, B.C. V9R 5S5
Canada

IMPORTANT: READ THE FOLLOWING CAREFULLY BEFORE SUBMITTING YOUR APPLICATION:

By submitting this application you are agreeing to the following:
1. I understand that acceptance of this application in no way guarantees admission to a program or
course.
2. I understand that my admission is subject to the availability of a place for me in the program for
which I have applied.
3. I agree to abide by the rules and regulations of Vancouver Island University and of the
department and program in which I shall be registered, and any changes which may be made
while I am a student at VIU.
4. I certify that all statements on this appplication are true and complete. I understand that
misrepresentation of this information in any material way may result in cancellation of my
admission or registration status.
5. I understand that this information is provided without my personal signature, and I agree to it
being used for registration purposes.
I hereby authorize Vancouver Island University to release transcripts of my record to:
Parents Sponsoring Agency Other Educational Institute
Check this box if you understand, and agree to, all the conditions stated above

Click here to submit your application

The information on this form, collected under the authority of the College and Institute Act, will only be
used for registrationpurposes. Any concerns about the use of this information, should be directed in
writing to Graham Pike, Dean of International Education.