Summer institute in the new evangelization 2014

General
Student Number (optional)
Title	MR. MRS. MISS
Surname
Given names
Previous surname (if applicable)
Date of birth
Permanent home address
No. and street		Apt.
City		Province
Country		Postal code
Home Tel. No.		In case of emergency please contact :
Work Tel. No.		Name
Cellular Tel. No.		Tel.
Email
Personal information
Sex	Male Female
Marital status	Single Married Other:
Mother tongue	French English Other:
Correspondence language	French English
Preferred language of instruction	French English
Status in Canada
Country of birth
Country of citizenship
If non canadian, indicate date of arrival in Canada
What will be your status at the time of registration?
Permanent resident	Student visa
Convention refugee	Diplomatic visa
Other:
I wish to register for
SINE Certificate - ONLINE (THO 2176WN)	$225.00
SINE Certificate - on Campus (THO 2119NE)	$449.00
3 university units - ONLINE (THO 3148W)	$677.67
3 university units - on Campus (THO 3148)	$677.67
I hereby agree to pay the fees arising from the refistration and recongnize that I shall remain indebted to Saint Paul University in respect of any unpaid fees unless I inform the university in writing (letter or appropriate form) of my intent to cancel my registration prior to the deadline for full refund as specified under sessional dates in the university web site.

General

Title

MR. MRS. MISS

Given names

Date of birth

No. and street

Apt.

Country

Postal code

Work Tel. No.

Name

Email

Sex

Male Female

Mother tongue

French English Other:

Preferred language of instruction

French English

Country of birth

If non canadian, indicate date of arrival in Canada