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| *Date of Birth: |
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| *Eligibility to study in Canada: |
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| *Current Level of Study: |
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| Father Information |
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Father Information Provided |
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Check this box if the same address and home telephone number as applicant |
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*Street: |
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| Mother Information |
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Mother Information Provided |
| *Surname: |
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Check this box if the same address and home telephone number as yourself |
| *Address: |
*Street: |
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| Guardian Information |
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Guardian Information Provided |
| *Title: |
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Check this box if the same address and home telephone number as yourself |
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| *Correspondance: |
Father |
| Mother |
| Guardian |
| Emergency Contact Information |
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| Academic Information |
| *Applying For: |
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| *Starting: |
Year: 20__ |
| *Future Plan of Study: |
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| *Program of Interest: |
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| Transcript(s): |
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| Residence Application |
| Room preference: |
Room preference: *All international students are required to live in residence
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| Meal Plan Information |
| Special Diet |
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Allergies: |
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| Other Information |
| *How did you hear about Bronte? |
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| Other information that you would like Bronte College to know: |
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