International student expression of interest enrolment Form

Surname

First Name

Last Name

First Names

Birthdate

MM

DD

YYYY

Gender

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Phone (Cell)

(###)

###

####

Email Address

Name of previous School Attended

Previous School address:

Current Class Level: