Agent Online Application Form

Agent Online Application Form

Apply to Brescia

This two-step application form is for students intending to apply only to programs offered at Brescia University College, an affiliated university college of Western University.
If accepted into Brescia University College, all international students will need to obtain a Study Permit and may also require a Temporary Resident Visa through the local Canadian embassy or consulate office. If you are not a Canadian Citizen or Permanent Resident, you should contact the embassy as soon as possible to inquire about the application deadlines and specific requirements. For more information, visit:www.cic.gc.ca/english/study/study.asp

Agent Information
(Last name, First name)
If the student is being referred by a Brescia partner (e.g. Culture Works, Huron, King's) please indicate below. Please use N/A if Not Applicable.
Applicant Information
Background Information
If you are a Canadian citizen, please provide proof of citizenship (e.g., passport photo, birth certificate, etc.)
 
English Language Proficiency
*Please consult with an Admission Officer when completing this form
Optional
Optional

Thank you for completing step 1 of the application process. Continue to part 2 by clicking "save".