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Application
Thank you for your interest in Trillium Student Exchange. Please fill out this form completely. We will contact you once we have reviewed your application.
First Name 
Phone 
Last Name 
Fax 
Address (line 1) 
E-mail 
Address (line 2 if needed) 
Date Of Birth 
City 
Birthplace
Province, Territory, State  How long do you wish to study in Canada? 
Postal or Zip Code 
Starting date: 
Country 
End date:
What type of education are you requesting? 
 Highschool
College
University
Language Education Centre
About you:
 Male
Female
Do you smoke? (check for Yes)
Do you like pets? (check for Yes)
Do you have allergies? (check for Yes). If yes, give details of allergies:
Your questions and comments:
  



Thank you for your interest in Trillium Student Exchange.
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 Why Canada? Trillium Student Exchange
  1. The United Nations ranked Canada as the best country to live in, among 173 other countries.
  2. You can enjoy Canada's breathtaking natural beauty and four distinct seasons.
Primary Contacts
Trillium Student Exchange
1 Newton St.
St. Catharines, Ontario, Canada
L2S 1N9
Home # 905-641-1888
Office # 905 - 684-0222
Fax # 905 - 684-0222
exchange@iaw.on.ca
Trillium Student Exchange learn more
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