Apply

Please send your application form to our email address:

info.upccollege@gmail.com

United Pacific College's Application Form Download

Payment method:

Check pay to: United Pacific College

Email Transfer: info.upccollege@gmail.com

UNITED PACIFIC COLLEGE

Office of the Registrar
#2010-2015，8888 Odlin Crescent,
Richmond, BC V6X 3Z8 CANADA
Phone: (604) 736-2378
Email: info.upccollege@gmail.com

APPLICATION FOR ADMISSION
Instructions:
1. Complete this application form and submit it with the following:

o Application fee $1000CAD and Assessment fee $250CAD
o Official transcript (from post-secondary institutions attended);and
o TOEFL or IELTS score (if available).

2. To submit your application in person:
We accept cheques, bank drafts, money orders.
To submit your application by mail:
We accept cheques, bank drafts, and money orders.

Please make your payment payable to United Pacific College.
Email Transfer: info.upccollege@gmail.com

Office of the Registrar
#2010-2015. 8888 Odlin Crescent, Richmond, BC V6X 3Z8 CANADA
Phone: 1(604) 736-2378

Program Information:

□General Studies Diploma (GSD)
□Business Administration and Management Diploma (BAMD)
□English As A Second Language Diploma (ESL)
□ Corporate Training
□Other course

Personal Information:

Legal Name (Last, First, Middle)			Preferred Name			Date of Birth (mm/dd/yyyy)
Gender □ Male	□ Female		Citizenship					Primary Language
Do you hold a valid study permit to study in Canada? □ Yes □ No If yes, expiration date (mm/dd/yyyy)
Permanent Address:
Street Address			City	Province			Country		Postal Code
Telephone			E-mail Address
Current Mailing Address (if different from above) :
Street Address			City	Province			Country		Postal Code
Emergency Contact (at least one) :
Name		Relationship	Telephone		E-mail Address
Name		Relationship	Telephone		E-mail Address

Education History :
High school

School Name and city	Date of Graduation

Post-Secondary

Institution	Degree Awarded	Field of Study	Dates attended (From – To)

Other Information:

Where did you hear about our program?
□ Internet □ Friend □ Newspaper □ Other (Place specify):________________________

I certify that foregoing statements are correct and I understand that United Pacific College expects a high stand of conduct from its students. I agree to abide by all rule and regulations of the College. I understand that violation of these regulations could result in disciplinary %

Student Name: ____________________________________

Student Signature: _________________________________Date:_____________________