Online International Student Application Form

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Welcome to Canadian College of Healthcare and Pharmaceutics online application. We are excited that you are considering professional training at the CCHAP!

First Name

Last Name

Full Name in Mother Language

Date of Birth

Gender

Citizenship

Country of Residence

Permanent Street Address

Permanent City

Permanent Province/State

Permanent Postal Code

Permanent Home Phone

Permanent Cell Phone

Alternate Street Address

Alternate City

Alternate Province/State

Alternate Postal Code

Alternate Home Phone

Alternate Cell Phone

Program Selection Choice #1

Program Choice #1 Start Date

Program Selection Choice #2

Program Choice #2 Start Date

How did you know about us?

Other: Please specify

Payment information

Canadian College accepts international payment by In Person, Bank transfer, E-transfer, and PayPal. Application fee of $500 CAD is a requirement to review your application. More information regarding fee payment will be sent out after receiving your application. Your application will not be processed until the fees have been paid.

Government Issued ID (E.g., Passport) Upload - PDF only

Highest Educational Credential (e.g., High School, Bachelors or Masters) - PDF only

English language proficiency (Wonderlic or TOEFL or IELTS results - PDF only

Declaration:

• I certify that the above information is true and complete. • I understand that any false or in complete information submitted in support of my application may invalidate my application and result in the withdrawal of the seat offerred by the Canadian College of Healthcare and Pharmaceutics. • I understand that the application fees paid to the Canadian College of Healthcare and Pharmaceutics are nonrefundable. • I authorize the Canadian College of Healthcare and Pharmaceutics to verity information provided by third-parties as needed

Signature (Please type-in your full name as signature)

Signature Date

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Attachments will be need to be sent to info@cchap.ca

Online International Student Application Form

Apply Now

Welcome to Canadian College of Healthcare and Pharmaceutics online application. We are excited that you are considering professional training at the CCHAP!

Printer Friendly Adobe Form

Canadian College

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