Online Tutorial Application

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Student Information
* Family Name:
* Given Name:
* Date of Birth: (day/month/year)		* Gender:
Address/Contact Information
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* City:		* Province:
* Postal Code:		* Country:
* Phone Number:		Fax Number:
* E-mail:

My Fees (CDN$)
Online IELTS Tutorial - (90 days access)			$200
Online IELTS Tutorial - (30 days access)			$100
Online Vocabulary Tutorial - (90 days access)			$200
Online Vocabulary Tutorial - (30 days access)			$100
Online English for Health Tutorial (90 days access)			$200
Online English for Health Tutorial (30 days access)			$100

	TOTAL AMOUNT: $



The information that you provide on this form is collected under the authority of Alberta’s Post-secondary Learning Act and Freedom of Information and Protection of Privacy Act. The information will be used for processing your application, facilitating your registration and maintaining an academic history. As well, this information will be used for administering, evaluating, and marketing University programs, and for statistical purposes. Your personal information is protected by Alberta’s Freedom of Information and Protection of Privacy Act and can be reviewed on request. We treat your information with respect and care and use it to serve you better. If you have any questions about the collection or use of this information, contact the Manager of the Languages Institute, 403.440.5100.