Trinity Western University Application Applicant's Personal InformationName* First English Name (if you have) Last Date of Birth* MM slash DD slash YYYY Gender* Male Female Marital Status Married Single Phone (with area code)* Email* *(Please make sure that this email address is the one that you regularly check. If you apply through an agency, please do not put your agent’s emailaddress here; we have space below for the agency information.)Address* Street Address City State / Province / Region AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Enrolment InformationDesired Enrolment Date (Year) Semester Spring (January – April) Summer (May – August) Fall (September – December) Visa InformationInternational Student Currently holding a Canadian study permit Currently holding a visitor visa Applying for a Canadian study permit Program InformationIf you are applying for a Language and/or University Program, please check the boxes below:English Pathway: TLC – Richmond University ProgramsUniversity Programs Undergraduate/U1 (Langley Campus Only) Major of Interest BA Leadership Program Richmond Campus Langley Campus Master of Business Administration (MBA) Richmond Campus Langley Campus Master of Arts in Leadership Richmond Campus Langley Campus Stream Other Richmond Campus Langley Campus Other Education Agency InformationSpecific Agent/Counselor Name Name of Agency Company Address Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email Phone (with area code) English Proficiency TestsHave you taken any English Proficiency tests (IELTS or iBT TOEFL)? Yes No If yes, please indicate your score and the test date. Your level placement will be based on both overall and writing score.IELTS ScoreWriting ScoreDate Taken (mm/dd/yyyy) iBT TOEFLiBT TOEFL ScoreWriting ScoreDate Taken (mm/dd/yyyy) Education InformationSecondary Education (Please list all high schools that you previously attended. If you have attended more than two high schools, please attach a separate page and list them following the format below)Secondary Education 1From (yyyy/mm)To (yyyy/mm)School NameCityProvince/StateCountry Obtained high school diploma Yes No Secondary Education 2From (yyyy/mm)To (yyyy/mm)School NameCityProvince/StateCountry Obtained high school diploma Yes No Education InformationPost-Secondary Education (Please list all colleges or universities that you previously attended. If you have attended more than two post-secondary institutions, please attach a separate page and list them following the format below)Post-Secondary Education 1From (yyyy/mm)To (yyyy/mm)School NameCityProvince/StateCountry Obtained degree/diploma Yes No Post-Secondary Education 2From (yyyy/mm)To (yyyy/mm)School NameCityProvince/StateCountry Obtained degree/diploma Yes No Please upload APPLICATION DOCUMENTS here* Drop files here or Select files Max. file size: 128 MB. Kindly submit the following documents with your application. Application will not be processed until all documents are received. You may upload your supporting documents with your application or scan and email to virtuallearning@meadowhallschool.org - Completed and signed U1 application form - proof of payment for $150 application fee and $25 administrative fee (non-refundable) - Signed refund policy - Copies of high school transcript (notarized) - A copy of high school diploma (SSCE/A-levels/IB) - School enrolment certificate (if you have not graduated from a high school) - Official proof of English Language proficiency or letter of English proficiency (from your high school). - Completed and signed ESL application from (conditional admission) - Study gap (if the study gap since high school graduation is longer than six months) - A copy of student’s passport - A copy of a valid student study permit (if applicable)Account DetailsAccount Name: MEADOW HALL JUNIOR SCHOOLDOM Account Number: 0112685190Bank: GUARANTY TRUST BANK****All payments are received in US dollars.SignatureBy my signature, I confirm that all information supplied in this application is true and correct to the best of my knowledge* Confirm Applicant’s Signature (Full Name)* Date* MM slash DD slash YYYY Full Name of Parent/Legal Guardian Signature (If under 19 years old)* Full Name of Parent/Legal GuardianDate* MM slash DD slash YYYY Agree I understand that I am responsible for submitting complete, accurate and true information on my application form and in all related application documents. I certify that the information contained in this application form and all related application documents is complete, accurate and true. I understand that submission of fake and incorrect information by me or at my direction may be sufficient cause for terminating my enrolment. I understand that I am responsible for notifying the Admissions any changes regarding to my documents provided initially during the application processes for evaluations or after arriving at TWU. TWU reverses the right to alter terms of admission, up to and including revocation of the admission offer, if necessary. TWU reserves the right to admit students on the basis of academic performance and personal qualifications. TWU does not discriminate on the basis of race, sex or national or ethnic origin in its education programs or activities. Items submitted to TWU Admissions become property of Admissions at Trinity Western University and will not be returned under any circumstances. Δ
