Beal University Canada Application

Please do not complete this application if you have not paid your $30 application fee and met with Admissions within the last six months. Contact us today at 800-660-7351.

Name: *

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Middle

Last

Prior Name:

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Middle

Last

Social Insurance Number: *

Date of Birth: *

Place of Birth: *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Do you own a mobile phone? *

Phone Number: *

Email Address: *

Are you a Canadian citizen or Permanent Resident? *

Do you identify as Indigenous? *

Is English your first language? *

If no, please email your TOEFL, IELTS, or CAEL information to admissions@bealuniversity.ca

Program: *

Location: *

Are you looking to transfer any credits to Beal University Canada from your previous college/university? *

How did you hear about Beal University Canada? *

Education Level: *

Name of High School you attended: *

High School Graduation Date: *

Have you applied to Beal University Canada before? *

Desired Start Date: *

Have you taken any classes at Beal University Canada before? *

Have you attended any other Post-Secondary Institution? (please list them):

Emergency Contact Name *

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Last

Emergency Contact Phone: *

Relationship To You: *

Reference Contact Name: *

First

Last

Reference Contact Phone: *

Reference Contact Email Address: *

Relationship To You: *

Who is your BUC Admissions Representative? *

Event Code (If applicable):