Application Form for Taylor Pro College

Legal last name (family name) *

Legal first name *

Middle name(s)

Preferred first name *

Previous last name (if applicable)

Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Home Phone:

Email *

Mobile

BirthDate / Time *

Other phone *

Birth country *

Gender *

Status in Canada: *

Visa or Permanent Resident identification #

Country of citizenship *

Issue date (DD/MM/YY) *

Native language *

Expiry date (DD/MM/YY) *

Name *

Relationship to you

Phone number *

DECLARATION

I understand that submission of this application does not guarantee admission to a program or course, and that admission is subject to meeting Taylor pro college admission requirements and program availability.
I certify that the information I have provided in this application is complete and accurate and may be verified by Taylor pro college. I understand that falsifying any documents or information submitted will result in immediate cancellation of my admission or registration at Taylor pro college.
I have read and understand the Taylor pro college Protection of Privacy disclaimer on the back of this form.
I agree to receive email communication from Taylor pro college.

Signature *

Clear Signature

Date *

Have you graduated from high school in any Country? *

Last high school attended *

Country *

Last date attended (Month/year) *

Highest grade completed (10, 11, 12) *

Previous post-secondary institution(s) attended

Country

Last date attended (Month/year)

Program