YUKON COLLEGE INTERNATIONAL
APPLICATION PACKAGE
Application Forms andSupporting Information
500 College Drive PO Box 2799 Whitehorse, Yukon Canada Y1A 5K4
t e l 867.668.8897 / fa x 867.668.8899
yukoncollege.yk.ca/international
ADMISSION APPLICATION
CHECKLIST—PLEASE CHECK THAT YOU HAVE INCLUDED THE FOLLOWING:
o Completed admission application form
o Application fee
o Transcripts–high school and college or university
(Not required if applying for ESL, but could help us
to assist you after you finish ESL and want to begin
academic studies). You can send us a copy of your
transcripts and bring the original for our review.
o Copies of other credentials
o TOEFL iBT or IELTS test scores for academic
or career program applications if you have them.
o TOEFL iBT or IELTS test scores for ESL applications.
This is not required but will assist with your placement.
If you don’t have either of these scores, you need to send
an English writing sample and take an assessment test
at Yukon College upon your arrival. We will use the
results of that assessment to place you in the most
appropriate level.
APPLICATION INSTRUCTIONS:
1. Send completed application form and application fee (see Admission Application page 4 of 4). Incomplete application forms
will not be processed.
2. If applying for ESL programs, it is not necessary to send anything other than your application form and application fee,
although TOEFL iBT or IELTS scores can help us evaluate your level. Please submit these test results if you have them.
3. For academic and career programs, submit official copies of high school, college or university transcripts in your language,
and a certified copy translated into English.
4. For academic and career programs, send IELTS or TOEFL iBT test results if you have them (for non-native speakers of English),
along with your application form. You must be able to show proof that you meet the English Language requirement
before we can accept you into an academic or career program.
5. See Website for application deadlines.
6. Mail, courier, e-mail or fax this application to Yukon College International.
TUITION DEPOSIT PAYMENT
Yukon College requires a tuition deposit payment from students applying for diploma, certificate and trades programs after issuing
a Letter of Eligibility and before sending a Letter of Acceptance. The tuition deposit must be paid by electronic funds transfer.
Instructions will be sent with the Letter of Eligibility. Full tuition fees can be paid upon registering for courses once you arrive in
Whitehorse. These fees are payable by VISA, Mastercard, cash, Traveler’s Cheques or electronic funds transfer. The tuition deposit
will be applied to your tuition payment.
APPLICATION INSTRUCTIONS
Admission Application / Page 1 of 4Yukon College Internat ional / fax 867.668.8899 / internat [email protected] / PO Box 2799 Whitehorse, Yukon Canada Y1A 5K4
ADMISSION APPLICATION
FULL LEGAL NAME (THIS MUST MATCH YOUR PASSPORT)
Family Name First Name
Have you been a Yukon College student before? o Yes o No If yes, please provide student number
YOUR PERMANENT ADDRESS (HOME COUNTRY)
Mailing Address (for receiving mail)
City Province/District/State
Country Postal Code/Zip Code
Email Phone
CURRENT MAILING ADDRESS (IF DIFFERENT FROM THE ADDRESS ABOVE)
Mailing Address (for receiving mail)
City Province/District/State
Country Postal Code/Zip Code
Email Phone
Cell phone or alternate phone
PASSPORT INFORMATION
o Male o Female Date of Birth: ____ / ____ / ____ (dd/mm/yy)
Country of Citizenship
Your First Language/Native Language
Do you have a Study Permit or Visitor Visa? o Yes o No If yes, please include a photocopy of your visa with the stamped page.
I plan to study in Canada for o Six months or less o More than six months
PROGRAM START DATES
Application deadlines may apply. Generally, the College requires a few weeks to process your application and get the
Letter of Acceptance, or Letter of Eligibility back to you.
What program are you applying for?
o Certificate (one year) o Diploma (two year) o ESL Only
Dates you are planning to study: from ____ / ____ / ____ (dd/mm/yy) to ____ / ____ / ____ (dd/mm/yy)
Admission Application / Page 2 of 4Yukon College Internat ional / fax 867.668.8899 / internat [email protected] / PO Box 2799 Whitehorse, Yukon Canada Y1A 5K4
ADMISSION APPLICATION
EMERGENCY CONTACT IN CANADA
Name
Home Phone Cell Phone
Email Address
EMERGENCY CONTACT IN HOME COUNTRY
Family Name First Name
Relationship to you Home Phone
Day Phone Email
Does this person speak English? o Yes o No If no, what language do they speak?
ACADEMIC INFORMATION
High School
Have you finished high school? o Yes o No If no, highest grade finished
Are you presently enrolled in a high school? o Yes o No If yes, name of high school
City Country
English
If you have an IELTS or TOEFL iBT average score, please tell us the score and send a copy of your certificate.
IELTS average score TOEFL iBT average score
Language School, College, University
Are you currently studying in a language school, college or university? o Yes o No
If yes, name of school and city where you are studying
Have you ever studied at a college or a university? o Yes o No
If yes, name of school at which you studied
Admission Application / Page 3 of 4Yukon College Internat ional / fax 867.668.8899 / internat [email protected] / PO Box 2799 Whitehorse, Yukon Canada Y1A 5K4
ADMISSION APPLICATION
REPRESENTATIVE (AGENT) INFORMATION
Are you using a representative or agent? o Yes o No If yes, please provide details:
Representative Company Name
Contact Name (Mr/Ms/Mrs/Miss)
Mailing Address
City Province/District/State
Country Postal Code/Zip Code
Phone Fax
RELEASE OF INFORMATION
I give Yukon College permission to discuss my information with:
My agent – Name
A relative or friend – Name
My emergency contact – Name Email
Applicant’s signature, in English
MAILING INFORMATION FOR LETTER OF ACCEPTANCE (LOA)
o Mail my LOA to my home country address o Mail my LOA to my address in Canada
o Mail my LOA to my agent o Email me so that I can come to the College and pick up my LOA
COLLECTION, USE AND DISCLOSURE OF STUDENT INFORMATION
Personal information collected from applicants will be held and used in accordance with the Yukon Access to Information and Protection of Privacy Act (ATIPP) and the Yukon College Information Access and Privacy Protection Policy. This information will be used for admission, registration, fee collection, and maintenance of your student record and other purposes consistent with the mandate of the Institution. Contact information is shared with the Yukon College Student Union. The personal information you provide is also used for authorized statistical and research purposes.
Students who would like Yukon college to release financial and/or academic information to an individual, a parent, or an agency external to the College must give the college written permission to release that information. At the time of registration, students may authorize the release of specific information to individuals or organizations.
Please refer to the Yukon College Information Access and Privacy Protection Policy at yukoncollege.yk.ca for more information on the use of student information. If you have any questions about the collection, use and disclosure of student information, please contact the Office of the Registrar at 867.668.8710.
Signature of Applicant Date
Admission Application / Page 4 of 4Yukon College Internat ional / fax 867.668.8899 / internat [email protected] / PO Box 2799 Whitehorse, Yukon Canada Y1A 5K4
PAYMENT: ADMISSION, CAMPUS HOUSING,
HOMESTAY APPLICATION FEE(S)
Applications cannot be processed until we receive an application fee(s). Fee(s) can be paid by credit card,
International Bank Draft or Money Order (in Canadian funds, drawn on a Canadian bank, and payable to Yukon College),
or Wire Transfer (additional fees may apply). Application fees are non-refundable.
PLEASE PLACE A CHECK MARK BESIDE THE APPLICATION FEE(S) THAT APPLY:
o Admission Application Fee $100
o Campus Housing Application Fee $20
o Homestay Application Fee $200
Total Enclosed $______
PLEASE INDICATE YOUR METHOD OF PAYMENT:
o International Bank Draft or Money Order (drawn on a Canadian bank)
o Wire Transfer
o Credit Card
Credit Card Information: o Visa o MasterCard
Credit Card number: ____ / ____ / ____ / ____ Expiry Date: ____ / ____ (mm/yy)
Credit Card Security Code (located on back of credit card) ____
Cardholder’s name: _____________________________________ Cardholder’s Signature: __________________________
CAMPUS HOUSING AND HOMESTAY RELATED FEE INFORMATION
Campus Housing: A full semester’s rent and a damage deposit is required prior to occupancy.
Homestay: The first month’s rent and damage deposit will be charged prior to students’ arrival. After the first month,
students will pay $700/month homestay rent directly to their host families by cash or cheque.
Damage deposit and the first month rent may be paid by credit card, International Bank Draft or
Money Order (drawn on a Canadian bank) payable to Yukon College.
Note: Damage deposit is refundable once you leave your homestay if there is no damage to your room.
INTERNATIONAL ADMISSIONS USE ONLY
Amount Paid Receipt # Date ____ / ____ / ____ (dd/mm/yy)
Method of Payment: o Cash o Cheque o International Bank Draft o Money Order o Debit Card o Credit Card
Campus Housing Application / Page 1 of 1Yukon College Internat ional / fax 867.668.8899 / internat [email protected] / PO Box 2799 Whitehorse, Yukon Canada Y1A 5K4
APPLICATION INSTRUCTIONS:
Send completed application form and $20 CDN non-refundable application fee
(Please see Admission Application page 4 of 4). Application form will not be
processed until payment has been received.
PERSONAL INFORMATION
Family Name First Name
Date of Birth: ____ / ____ / ____ (dd/mm/yy) o Male o Female
Country of Citizenship
Have you lived in Yukon College Residence before? o Yes o No If yes, when?
YOUR PERMANENT ADDRESS (HOME COUNTRY)
Mailing Address
City Province/District/State
Country Postal Code/Zip Code
Email Phone
ACADEMIC INFORMATION
Program Name Program Length (e.g. 6 Weeks/ 8 Months)
Expected Occupancy: from ____ / ____ / ____ (dd/mm/yy) to ____ / ____ / ____ (dd/mm/yy)
TYPE OF ACOMMODATION REQUESTED
I am Requesting a:
o Main Singles Room o Main Singles Double Room o Mature Room (Ages 25+)
o 2 Bedroom Apartment o 3 Bedroom Apartment
DECLARATION
I declare the information given in this application is complete and correct
Signature of Applicant Date
YUKON COLLEGE STUDENT ID NUMBER
CAMPUS HOUSING APPLICATION
If you would like homestay accommodation, please complete this form at least 6 weeks before your classes start.
Family Name First Name
Mailing Address
City Province/District/State
Country Postal Code/Zip Code
Email Phone
Date of Birth: ____ / ____ / ____ (dd/mm/yy) o Male o Female Citizenship
Emergency Contact – Name
Relationship to you Home Phone
Day Phone Email
Are you using a representative/agent? o Yes o No If yes, please provide details
Name
Phone Fax
What is your first language? How long have you studied English?
Have you ever lived away from your home/family? o Yes o No If yes, how long?
Approximately how long do you plan to be with a host family in Canada?
Expected Homestay Occupancy: from ____ / ____ / ____ (dd/mm/yy) to ____ / ____ / ____ (dd/mm/yy)
Please answer the following questions – If you mark “yes” please add more information in the space provided.
Are there any foods you do not like to eat? o No o Yes,
Do you have any allergies (food, pollen, pets)? o No o Yes,
Do you have any physical or mental illnesses or conditions that may require special arrangements for your
Homestay placement? o No o Yes,
Do you prefer a host with young children? o No o Yes,
Would you live in a house with animals? o No o Yes: o dog(s) o cat(s) o bird(s) o reptile(s)
Do you smoke? o No o Yes (outdoors only) Do you drink alcohol? o No o Yes
HOMESTAY APPLICATION
Homestay Application / Page 1 of 2Yukon College Internat ional / fax 867.668.8899 / internat [email protected] / PO Box 2799 Whitehorse, Yukon Canada Y1A 5K4
Homestay Application / Page 2 of 2Yukon College Internat ional / fax 867.668.8899 / internat [email protected] / PO Box 2799 Whitehorse, Yukon Canada Y1A 5K4
Do you play a musical instrument? o No o Yes,
Do you enjoy sports? o No o Yes,
Do you require a host with similar religious beliefs? o No o Yes,
We like to match a host with your personality – What hobbies and interests do you enjoy?
Many hosts offer their homes for homestay because they want to help students and learn about different countries.
Why do you want to live in homestay?
What are you planning to study while at Yukon College?
Additional information / Questions
HOMESTAY STUDENT AGREEMENT
I have completed this International Student Homestay
Application with correct information about what I like
and dislike, as well as other information important to
finding a suitable placement. I know that the Homestay
Coordinator will work to match a host to what I have written,
but I understand it may not be possible to meet all of my
requests. Homestay placement information will not be sent
to me without payment of the Homestay fees.
• I will comply with all rules and regulations of the
Yukon College International Homestay program.
• If I plan to move out from my host family’s home, I agree
to tell the host 30 days before the day I move and be
responsible for the accommodation fee until this date.
• I agree to purchase adequate medical coverage during
my stay in Canada.
• I agree to purchase adequate insurance to cover my
belongings and personal liability.
• I give permission to Yukon College to give this Homestay
application to my host family.
Signature of Applicant Date
HOMESTAY APPLICATION
