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Application to Study in a Lester B. Pearson Career Programs
Welcome to the Lester B. Pearson School Board International Programs.
To facilitate your application process please take note of the following:
• Application forms that are not filled out in full or missing some of the documents can cause delays in processing. Make sure that the required documents check-list is complete before submitting your application.
• Please make sure to submit the $150.00 CAD application/processing fee. (non-refundable)
• When applying for your Study Permit, make sure that your request is for the province of Quebec.
• Tuitions fees in effect are those stated on the Price List of the school year corresponding to the start date of your class/program.
• It is necessary to maintain regular and consistent attendance in all of the program classes as attendance is a mandatory part of the studies at the Lester B. Pearson School Board.
• Material Fees are not included in the tuition or administrative fees.
• Please note that some programs require functional French speaking skills (specifically those that interacts with patients or clients).
• As of January 1st, 2018 the Lester B. Pearson School Board will no longer be offering student insurance coverage. New applicants will be required to obtain their own insurance coverage.
Thank you for choosing the Lester B. Pearson School Board for your studies. If you have any questions, please contact us at: [email protected]
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E D U C AT I O N E YO N D B O R D E R S
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The Lester B. Pearson International Career Program Application Form
$150.00 CAD application/registration fee paid by money order (Payable to Lester B. Pearson School Board)
or by credit card (non-refundable)
Attendance Agreement signed by the student
Cancellation Policy signed by the student
Insurance Contract signed by the student
Language Information signed by the student (proof of English requirement IELTS or equivalent)
Payment Policy signed by the student
A copy of a valid passport with signature (1 copy)
A translated (English) original or notarized and original language copy of student’s transcripts and High
School Diploma.
Students are asked to submit any other documentation pertaining to Higher Education degrees
or diplomas (within or outside of Canada)
A notarized and translated (English) copy of the student’s birth certificate indicating the parents’ names
and place of birth (1 original copy)
Two recent photos of the student (passport size)
Copy of CAQ to be provided at least 30 days prior to the start of the program. (Quebec Acceptance
Certificate) – Level of study must be indicated as “Diplôme D’études Professionnelle” (1 copy)
Please include the completed CAQ application (1 original)
Copy of Canadian Study Permit to be provided at least 30 days prior to the start of the program. Field of
study must be indicated as “Any Post-Secondary” and the province of Quebec (1 copy)
Please be sure to send the above checklist along with all completed documents to your registrar or [email protected].
Originals can be sent to:Registrar International Career Programs
6050 boulevard Champlain Verdun, QC, H4H 1A5Tel: 514.798.8787
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Application to Study in aLester B. Pearson Career Program
1. Applicant Information
2. Mailing Address
3. Residential Address (if different from mailing address)
Agent Name (if applicable):
Family Name
No. Street Name City
Date of Birth (dd/mm/yyyy)
City of Birth Province Country
Province Country Postal Code
No. Street Name City
Province Country Postal Code
Gender
Home Tel #
E-mail Address
Mobile Tel #
Given Name Middle Name
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Application to Study in aLester B. Pearson Career Program
4. Program Options
*Note: Some Career Programs are offered/held in the evenings.For more information please contact:
Registrar Office/AdmissionLester B. Pearson School Board, Tel: (514) 798-8787
I declare that I have answered all required questions in this applicationfully and truthfully.
Signature of Applicant Date (mm/dd/yyyy)
1st Choice
2nd Choice
3rd Choice
Fall Winter Spring
(continued)
Program Name Year
Year
Year
Program Intake: (please circle one of the above)
Fall Winter SpringProgram Name Program Intake: (please circle one of the above)
Fall Winter SpringProgram Name Program Intake: (please circle one of the above)
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Print Name
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Refund and CancellationAgreement International Programs Department
I have carefully read the above information and completely understand the meaning of this agreement and commit to abide by these terms.
Student’s Signature Date (mm/dd/yyyy)
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Print Name
REFUND:1. In the event that a Visa Application is refused by the Canadian or Quebec Government, a refund request must be filed. To receive the refund stated below you must submit your refusal letter from the Canadian Embassy no later than 3 months after being issued. The full amount paid will be refunded with the exception of: • A $150.00 CAD Application/Processing Fee • Quebec Acceptance Certificate application fee applicable
The above refund policy is not applied in the case that a student has started in a program by holding a valid Study Permit and his/her Study Permit renewal application is refused during the study period.
2. There will be no tuition refund made to any student who drops or withdraws from the program once classes have begun. The only tuition refund made will be to students who withdraw 8 weeks prior to the start of their classes (with the exception of costs stated in number 1). Students who withdraw anytime during the 4 week period prior to the start of classes will lose the total administrative fee.
3. In such a case whereby the behavior of a student necessitates their removal from the program, there will be no refund granted in regards to any prior fee payments.
CANCELLATION:The school board reserves the right to cancel or delay the start of a program for the following reasons: • Insufficient registration to start a cohort • Lack of space
Students impacted by this decision will have the choice to wait for the next available starting date or intake or to be refunded as stated above (# 1).
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International StudentA�endance Agreement
Student’s Signature Date (mm/dd/yyyy)
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Print Name
I, acknowledge and understand that it is necessary to maintainregular and consistent attendance in all my classes.
I understand that attendance is a mandatory part of my studies at the Lester B. Pearson School Board.
I recognize that regular attendance will allow me to maintain the status of a student “In Good Standing”.
Any failure to abide by this agreement may result in the student losing the privilege to attend subsequent classes, as well as write any exams or the necessary retakes associated with their program.
I have carefully read the above information. I understand the meaning of this agreement and agree to abide by these terms.
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International StudentInsurance ContractVocational E D U C AT I O N E YO N D B O R D E R S
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As of January 1st, 2018 the Lester B Pearson School Board no longer offers student insurance coverage for Vocational Programs. New applicants will be required to obtain their own insurance coverage and provide a copy to Lester B Pearson School Board.
Health insurance is a legal requirement for any international student studying in the province of Quebec.
Students will have thirty (30) days prior to the start of their program to provide Lester B. Pearson International Programs Department with a copy of their valid student insur-ance policy. Failure to do so could result in delay of the student's studies in their chosen program. Also this could result in the student being removed from their program.
If you have any questions regarding this policy please contact your responsible registrar or email [email protected].
I have carefully read the above information.
Signature Date (mm/dd/yyyy)
Print Name
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Signature Date (mm/dd/yyyy)
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Last Name First Name
The Lester B. Pearson School Board is an English school board that offers programs in English. Students are expected to have functional English skills to succeed in the programs. Students with basic skills need to take English classes as a prerequisite prior to starting their program. English programs can be found at the following link:
http://www.lbpsb.qc.ca/eng/intlstudies
Please note that some programs (specifically those that interact with patients or clients) require functional French speaking skills. The school board offers classes for French as A Second Language. Although, French classes can be taken at the same time as your program, some programs do require it as a prerequisite.
To help us have a preliminary insight of the student’s English skills and French skills, please put a check mark (√) in the column that best describes the student.
Please note:• Depending on the information above, an interview with the student may be scheduled to ensure the capacity to succeed in their program.
I have carefully read the above information, and I have been provided an exact translation of this information in my native language.
English skills
speaking
listening
reading
writing
Beginner Intermediate Average Strong
French skills
speaking
listening
reading
writing
Beginner Intermediate Average Strong
*Not all programs require French speaking but it is an asset in Quebec.
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Language Information
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Payment Structure
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Student’s Signature Date (mm/dd/yyyy)
I understand that failure to submit payments on schedule will result in (but not limited to): late fee charges and interest fees, hold on student account, removal from program, etc.
I understand that MATERIAL fees are not included in the tuition or administrative fees. These fees are paid directly to the school/centre. I understand that a non-refundable fee of $200.00 will be applied in the case of a course change prior to the start of class.
Please do not make any payments to recruiters. Make your payments directly to the Lester B Pearson School Board as per indicated on the invoice. We are not responsible for any payments made to recruiters.
Tuitions fees in effect are those stated on the Price List of the school year corresponding to the start date of your class/program.
Print Name
Step
1 S150.00 Application/processing fee Must be submitted with application package.letter of o�er will be issued with Mozaik #
Con�rms your registration Letter of acceptance will be issue with tuitionfee invoice and payment schedule
Payment to be made upon receipt of invoice
Administration fee
CAQ fee only if applicable
Tuition fees for programs of 999 hours or lessTuition fees prior to start of classTuition fees ½ way to completion mark
Tuition fees for programs of 1000 hours or moreTuition fees prior to start of class (30 days before)Tuition fees prior to 6 months of start of classTuition fees prior to 12 months of start of class, before completion of program
$1350.00
CAQ fee
50%50%
33%33%34%
2
3
4A
4B
Type of FeeAmount Notes
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