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| * Please select the program you are applying for: |
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| * Start Date: |
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Contact Information
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| * First Name: |
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| Middle Name: |
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| * Last Name: |
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| * Official Identification with photo and address. Passport, Drivers license, etc. (.jpg format/extension): |
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| Previous name (If Applicable): |
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| Usual Name (If Applicable): |
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| Student Personal Education Number (If Applicable): |
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| *Are you an International Student?<br>(International students are defined as non-Canadian students): |
Yes No
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* If you are an international student, what is your citizenship?: |
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| * Do you have a study permit?: |
Yes No
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* If you do not have a study permit, do you have a permit, visa or other written authorization to study in Canada other than a study permit?
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Yes No
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| * Contact Number (Country Code) - (Area Code) - (Telephone Number): |
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| * Alternate Contact Number: |
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| * Email Address: |
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| * Confirm Email Address: |
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| Alternate email address: |
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| Link to art portfolio (website, dropbox, etc.). <br>Required for Diploma Programs: |
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| * Gender: |
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| * Date of Birth (dd-mm-yyyy): |
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Availability for Online Live Classes Pacific Time (Vancouver, Canada)
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| * Time Preference 1: |
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| * Time Preference 2: |
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| * Time Preference 3: |
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Address
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| * Country: |
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| * State/Province |
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| * City: |
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| * Street: |
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| * Suite/Apt/House Number: |
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| * Zip Code: |
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Mailing Address (If different from above)
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| Suite/Apt/House Number: |
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| Street: |
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| City: |
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| State/Province: |
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| Zip Code: |
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| Country: |
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* Person responsible for making tuition payments
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Enrolled Student |
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Another person |
* Fisrt Name: |
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* Last Name: |
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* Email: |
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Email Alternative: |
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* Phone Number: |
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* Relationship to Student: |
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Voluntary Disclosure (Optional)
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| Do you identify yourself as an Aboriginal person, that is, First Nations, Métis, or Inuit?: |
Yes No
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If you answered "Yes", please indicate if you are:
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First Nations
Métis
Inuit
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| 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?: |
Yes No
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If you answered "Yes", What is your health condition?: |
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| Do you have any learning disability we should know about?: |
Yes No
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Please describe: |
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Emergency Contact Information
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| * First Name: |
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| * Last Name: |
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| * Contact Number (Country Code) - (Area Code) - (Telephone Number): |
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| * Relationship: |
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| * Country: |
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Admissions representative
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| * Advisor Name: |
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* How did you hear about VANAS?
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CGTalk |
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Google Ads |
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Internet Search |
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Social Media: Facebook, Instagram, Reddit, Twitter |
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Other |
* Other: |
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* Were you referred to VANAS?
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No |
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Student |
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Teacher |
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Graduate |
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Educational Agent |
* Name:: |
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