Imperial Hotel Management College - Admission Form

Imperial Hotel Management College
Suite 1801
Pacific Centre
701 W. Georgia St.
Vancouver, BC
Canada V7Y 1C6
Telephone:
+1-604-685-3272
Facsimile:
+1-604-688-0252
Email:
info@ihmc.ca

Application for Admission
* required field

Personal Data

* First Name:

* Last Name:

* Gender:

Date Of Birth:

* Address:

* City:

* State/Prov:

* Country:

* Postal/Zip:

Home Phone:

Mobile Phone:

* Passport, SIN or Social Security No.:

* Email Address:

Citizenship

* Country of Citizenship:

If not Canadian:

Type of Visa:

If Other:

Expiry Date:

Emergency Contact

Emergency Contact:

Relationship:

Address:

Emergency Mobile Phone:

Emergency Home Phone:

List here any medical conditions that may interfere with your work experience:

Are you on any medication? If so, what kind?

Program Selection

Program Selected:

* Start Date:

Language spoken at home:

Schooling Preference:

Other Information

* Did you apply through a Recruiting Education Consultant?

Name of the Consultant:

Form of payment:

	Bank Deposit
	Cash
	Cheque, certified (bank draft)
	Cheque, personal
	Other

If other:

I certify that the above information is correct to the best of my knowledge and that I hold a high school diploma, G.E.D., or equivalent and that I am 18 years of age or older.

An application/entrance fee of CAD$300 must accompany this submission for international students and an application/entrance fee of CAD$200 must accompany this submission for Canadian citizens and permanent residents.

International applicants who have English as a second language, must submit proof of a TOEFL score of 500 and above, or equivalent, or pass our language proficiency assessment.