LIVING WORD
BIBLE COLLEGE
DLI # 0213392219317

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Please Use a Desktop Computer to Fill Out Application

ESL STUDENT APPLICATION FORM

Name:

Address:

Date of Birth:

*Sex:

Telephone:

Email:

Birthplace:

Occupation:

Country of Citizenship:

*Immigration Status:

Date of Entry:

*Marital Status:

Spouse Name (If Applicable):

Note: If your spouse plans to take classes at LWBC, please have him/her complete a separate application.

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NEXT OF KIN
In case of medical or other emergency, indicate name and telephone number of person to contact:

Name:

Telephone:

Relationship:

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SPIRITUAL INFORMATION

Home Church:

Address:

Head Pastor:

Denomination:

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MEDICAL INFORMATION

Provincial Health Card Number:

Province:

*Please list any medications that you must take on a regular basis:

*Have you ever received treatment for a social or a mental disorder?  If so, please explain.

*Please list any conditions or illnesses that you may have had.

We recommend that you have a medical checkup prior to arriving as a student at the Living
Word Bible College. Please notify us of any medical condition which may interfere with your
studies.

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INTERNATIONAL STUDENT AND SPONSOR INFORMATION

For the 8 week (summer) ESL program, you will need to obtain a Visitor's Visa from the Canadian government.

If you are applying for the Full-Year program, you will need to obtain authorization from the Canadian government to study in Canada.  An international student who is applying for the Full-Year program must have a Canadian Citizen sponsor, or a Permanent Canadian Resident sponsor, or be a US Citizen to apply for a study visa.  Please review and submit the following documents which will used to support your visa application.

*The documents can be mailed or emailed along with the Personal Reference documents.

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FEE SCHEDULE
 

Application Fee $50.00

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                                                                    SUMMER (8 WEEKS)           FULL (1 YEAR)
Tuition Fee & Room and Board             $ 3000.00                               $ 8000.00
 

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Note: Full year International Students arriving with Sponsored financial support - Tuition &
Room/Board fees must be paid in full (entire year) by the first day of class.
 

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PERSONAL REFERENCES
 

A reference letter is required to be submitted using the form below.
It must be completed by a Pastor, Youth Pastor, or Christian Leader who is not a relative.
The completed reference form should be mailed directly to Living Word Bible College at:

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Living Word Bible College

Admissions Department

Box 969

Swan River, Manitoba

R0L 1Z0

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or emailed to  with the subject heading, "Personal Reference Submission".

* Required Fields