Online Live Application

Section 1: Student Information

All fields are required unless otherwise indicated.

Student First Name

Student Last Name

Pronoun

Country Code

Student Home Phone Please Include Area Code

Country Code

Student Mobile Phone Please Include Area Code

Student Email / Confirm Email

Confirm Email

Street Address

Address Line 2

Country

Name of Country

State/Province

Province

State

City

Postal Code/Zip Code

Present High School

Guidance Counsellor (Not Mandatory)

First Name

Last Name

Email