Application Information *

First Name

Last Name

Date of Birth *

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Phone Number *

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Home Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date Started *

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Date of Expected Completion: *

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Date Completed *

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Application Procedure *

1) The applicant submits the following documents for admission evaluation: a) This Application Form with signature. b) Passport (bio-page) c) Elementary: Most recent transcript Secondary: Transcripts (from Grade 9 to most recent grade) d) Study Permit (if you have one) 2) Once the applicant is admitted, Heritage Innovation School will send you a Proposed Program of Study Letter and Invoice 3) The applicant provides proof of full payment of the invoice. 4) Heritage Innovation School will issue an official Letter of Acceptance for visa purposes. ___________________________________________________________________________________________________

I authorize Heritage Innovation School to obtain official record from any other educational institution I have attended.

I declare that the information I have supplied on this form is, to be the best of my understanding and brief, complete and correct. I understand that giving of false or incomplete information may lead to the refusal of my application or cancellation of enrollment. I have read and understood the published course information on Heritage Innovation School website and I have sufficient information about Heritage Innovation School to enroll

I accept liability for payment of fees as explained in “Letter of Acceptance and Refund Policy”, and I agree to abide by the Disciplinary System at Heritage Innovation School.

Print Applicant Name *

First Name

Last Name

Print Name of Parent *

First Name

Last Name

Date *

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