On-Location Programs Registration Form
* fields are required. |
Note: Application fee of $25 MUST accompany the Registration Form. If registering online, please phone or fax your visa number to us or mail a cheque to our address.
Applicants can print this form, complete and fax to us at: 1(306) 933-9362 or send to our postal address as specified on the contact us. For the printable version of the registration form, please click here
Note: Application will not be processed until a $25 application fee is receieved. |
| Personal Information |
Surname:*
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First Name:*
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Middle Name:
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Social Insurance #:
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Birth Date:*
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Marital Status:*
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Mailing Address - Permanent Address |
Street, Box, Apt #:*
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City or Town:*
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Province:*
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Postal Code:*
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Home Telephone:*
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Business Telephone:
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| Email:* |
Next of Kin - Mailing Address |
Name:*
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Relationship to you:*
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Street, Box, Apt #:*
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City or Town:*
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Province:*
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Postal Code:*
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Home Telephone:*
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Business Telephone:
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Education |
| High School Edcation (list all schools atended from Grades 10 to 12 inclusive). Please send a copy of your transcripts with your application fee. |
Name of School:*
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City of Town:*
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Province:*
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From (mm/yyyy):*
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To (mm/yyyy):*
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Academic Level:*
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Diploma Achieved:*
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Name of School:
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City of Town:
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Province:
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From (mm/yyyy):
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To (mm/yyyy):
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Academic Level:
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Diploma Achieved:
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Application Details
When do you wish to begin attendance (mm/yyyy):* |
Method of Payment
Method of Payment:* |
Visa Number:
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Expiry Date:
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Program Desired
Certificate in Sewing & Fashion Design
Diploma of Fashion Design |
Declaration
I certify that the information given above is correct and complete. I understand that falsifying documents or information on this application will result in permanent dismissal from the Academy of Fashion Design program and may result in criminal prosecution. I agree that all documents required for admission to the Academy of Fashion Design become the property of Academy of Fashion Design and that they will not be returned to me. If admitted, I agree to comply with all rules and regulations of the Academy of Fashion Design. |