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Full Legal Name

Ensure that your name is listed here exactly as it appears on your passport

First Name *

Middle Name

Last Name *

Contact Information

Street Address *

City *

Province/State *

Postal Code *

Country *

Email Address *

Phone Number *

Alternative Phone Number

Personal and Citizenship Information

Gender *

Female

Male

Non-binary

Prefer not to say

Prefer to self-describe

Date of Birth *

Languages Spoken *

Residency Status *

Country of Residence *

Country of Citizenship *

Passport Expiry Date

Passport Number

Emergency Contact Information

Your emergency contact should be a close family member such as your mother, father, brother or sister. The emergency contact should not be your Agent.

First Name *

Last Name *

Phone Number *

Contact Email *

Agent Information

Are you applying through an education agent? *

No, I am applying on my own

Yes, I am applying through an education agent

Education Agent Information

Agent Full Name *

Agency Name *

Agent Email Address *

Agent Phone Number *

Required consent

Privacy & Application Consent *

I consent to Focus College collecting, using, and storing my personal information for the purpose of processing my application and communicating with me, in accordance with the Privacy Policy.

Marketing & Communications (Optional)

Yes, I agree to receive marketing emails from Focus College, including program updates, events, promotions, and helpful resources. I understand that I can unsubscribe at any time.

Applicant Declaration

I confirm that the information provided in this application is complete and accurate to the best of my knowledge. I understand that providing false or misleading information may result in the refusal or cancellation of my application or enrollment.

Signature *

Signature Date *

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Program Preferences

Please select two programs in order of preference.

High School Details

Mature Student Verification

Secondary Education in English

Post-Secondary Education in English

English Language Proficiency Test

Education Agent Information

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