GBE Canadian Student Application Form : D102

GBE Canadian Student Application Form : D102

Connecting people through education.
Canadian Student Form

Form:D102
Disclosure Consent Form

We appreciate your interest in pursuing your education in Canada. We want you to know that we are excited about your decision to pursue the services of GBE and value the security of the information you share with us.

Before continuing with the consultation and planning sessions as steps toward your admission to designated learning institutions in the country, we are seeking your full disclosure and consent on the following:

o That you made a free decision without any form of coercion, intimidation, or unfair influence by the GBE or any of its representatives;

o That you do not hold GBE and its representatives liable resulting from your decision to seek our services;

o That you agree and allow GBE to collect your information relevant to your school admission;

o That you allow GBE to share your personal information with colleges, and universities involved in the admission processes.

o That you willingly provide GBE personal information to assist you in your student loan application, should you require assistance in the application and submission of your student loan.

Please affix your signature below if you agree with the above statements

CONFORME:
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Canadian Residency Status*
When would you like to start your program?*
Choose a field of study, or (see next input box)
List the programs you are interested in.
Program choice # 1*
Program choice # 2
Program choice # 3
Do you require assistance applying for Student Loan and Grants?*
Do you have an existing student loan?
Have you already inquired from a different school?
If yes, please state the name of the school
Do you have any questions or comments you would like us to know?
Signature*

Clear
Date Signed*

MonthDayYear
Date
Thank you for choosing GBE.

We will reach out to you within 2 business days.
Should be Empty:

GBE Canadian Student Application Form : D102

Canadian Student Form

Thank you for choosing GBE.