Summer Program Application Form





VPC is a very good and pleasant school. I have met many new people here, and I learn new things all the time. I am happy to have chosen this school and I'm grateful to be here.



     

  Personal Information
Mr.  Ms.
Family Name: *   First Name: *
Other Name:  
Mailing Address: *
City: *   State/Province: *
ZIP/Postal Code: *   Country: *
Telephone: *   Fax:  
E-Mail: *   First Language: *

Citizenship Status: Canadian   Landed Immigrant  
If landed immigrant then please state country of origin:
International Student with: Student Visa   Visitor Visa  Working Holiday Visa

  Program Selection
Number of Weeks:
Start Date: End Date:

  Academic History
Highest Education Level:

  Emergency Contact Person
Mr.  Ms.   Name:    Relationship:
Telephone:    Fax:    E-mail:

  Applicants Applying Through an Agent Only
Agency Name:
Contact Person: Mr.  Ms.   Name:
City:   Country:
Telephone:   Fax:

* Required

  Submitting Your Application Package

The previous information is complete and correct to the best of my knowledge. I know my charge card will be billed the application fee upon receipt of this application by Vancouver Premier College. By submitting this form, I am agreeing to all of the above.


Will you need homestay accommodations?
If yes, please complete the homestay application.