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Student Referral Information Form

International Student Referral Information Form

For immigration assistance you can contact NEW ERA IMMIGRATION. Click on the logo to visit their website.

Applications for March, April and May 2019 will be closed as of Friday, November 23, 2018. Applications for June 2019 and beyond will be accepted starting January 7th, 2019.  

Please be advised that as of January 7, 2019, Herzing College will only accept those applications having an IELTS overall score of 6.5, with no band less than 6.0.


Agent Information:

Agent:

Telephone:

Email:

STUDENT PERSONAL AND GENERAL INFORMATION:

Date:

Last Name:

First Name:

M/F:

Address:

City:

Province:

Postal Code:

E-mail address:

Telephone:

Mobile Phone

Do you have your: MICC TENS TDG

Do you have your CAQ or CSQ?: Yes No

Do you have a work permit?: Yes No

Highest level of education:

Are you a Permanent Resident? Yes No - If No, specify:

Are you an International Student?: Yes No

Preferred Campus Location:

*Select a campus to view the program list.

PROGRAM(S) OF INTEREST: Indicate your choice of program:
Community Service Worker
Medical Office Admnistrator
Network Systems Technology
Website Design
Computer Graphic Design
 
 
Paralegal
Law Clerk
Business Administration
Mediation - Alternative Dispute Resolution

PROGRAM(S) OF INTEREST: Indicate your choice of program:
Microcomputers and Networking
Pharmacy Technical Assistant
Accounting
Early Childhood Care
Graphic Design for the Web
Computing Support
Sustainable Architecture
Business Administration
 
 
Programmer Analyst
Industrial Design
International Commerce Import/Export
Interior Design
Computer Aided Design and Drafting
Network Administration
3D Animation

PROGRAM(S) OF INTEREST: Indicate your choice of program:
Community Service Worker
Personal Support Worker
Accounting & Payroll Administration
Business Administration
Medical Office Administrator
Business Management
Immigration Consultant
 
 
Law Clerk
Paralegal
Web Development
Computer Networking Technology
3D Animation
Pharmacy Technician


 
Indicate session start:
Summer Fall Winter

Please check with an Admissions Counselor regarding class availability, start dates and times for your program(s) of interest.