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Tuition and Other Fees
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How to apply

Semester and Year for which application is being made.

To download the .pdf form, click here.

Semester/Year:
Have you previously applied to Queen’s College
Have you previously attended Queen’s College
If yes, when did you last attend
Campus
Other Campus:
Please indicate your intended category of attendance.
Program:
Email:

Personal Information

Title: (Mr., Mrs., Ms, Dr., The Rev’d, etc.)
Full Name:
Permanent Mailing Address Street or P.O. Box #:
City/Town:
Prov./State:
Country:
Postal/Zip Code:
Telephone # (Home):
Fax:
(Work)
E-mail:
(Cell)
Preferred First Name:
Date of Birth:
Denominational Affiliation:
Gender:
Social Insurance Number (SIN) {Canadian applicants only}:
Country of Citizenship:
MCP Number (NL Residents only):

Next of Kin/Guardian Information

Full Name :
Street:
Title :
City/Town :
Telephone # (Home):(1)
Country :
Relationship to Applicant:
(Work):
Prov./State :
Postal/Zip Code :
(Cell):

Education (Post-Secondary): all applicants who have attended other post-secondary institutions must complete
this section.

Institution 1:
From:
To:
Name of Degree/Diploma/Certificate received:
Institution 2:
From:
To:
Name of Degree/Diploma/Certificate received:
Institution 3:
From:
To:
Name of Degree/Diploma/Certificate received:

Application Processing Fees for Continuing Education Students:
Please note that all Applications must be accompanied by the appropriate non-refundable fee as indicated below. This fee is
applied to tuition at registration.
$40.00 Domestic Students $150.00 International Students - If you have never attended this institution.
$40.00 Domestic Students $150.00 International Students - If you have previously attended Queen’s College and have not
attended for two consecutive semesters. (Fall & Winter)
Payment should be made by cash, credit card, cheque or money order, payable to Queen’s College. Payments from outside
Canada or U.S. should be drawn on a Canadian or U.S. bank.

I hereby apply for enrolment at Queen’s College and certify that the information contained herein is complete and correct. I
understand the failure to disclose information required on this application form is considered to be an academic offence. If
admitted, I agree to abide by all the rules and regulations set out by the College. I make this Application in acknowledgment
that it is subject to all of the provisions of current and future College Calendars which govern my course of study at the
College, including, without restricting the generality of the foregoing, any and all limitations and qualifications set out therein.
I hereby authorize Queen’s College to obtain all relevant records from any school or post-secondary institution which I have
attended, and to release to agencies with a legitimate interest any non-confidential information.

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