EAP Registration Form

EAP Application Form

* Family Name

* First Name

Gender:

* Home Country

* Native Language

Date Of Birth (18 yrs or older)

* Home Address

* City

Province

* Country

Postal Code

Home Phone Number

Work Phone Number

Fax Number

* Email Address

How did you hear about Acadia?

* I wish to apply for the following term at Acadia:

I wish to apply to a degree program at Acadia.

Duration of Study:

Courses are four weeks long and start the first week of every month. Please contact acil@acadiau.ca for exact start dates.

Fee per 4 week course: $1150

Preferred start date

Number of 4 week courses you wish to attend:

I wish to apply to stay with a homestay family.

I wish to apply to stay in residence on campus.