The Victoria School of Business and Technology Internship / Co-op Registration

Application for Enrolment

Please fill out the form below

Program

Internship:

Duration: *

Contact

First Name: *

Last Name: *

Birthday

Sex: *

Address: *

City:

Postal Code/Zip: *

Country: *

Province/State: *

Contact Phone: *

Residential Phone:

Email: *

Fax:

Emergency Contact Person

Name:

Telephone:

Dates

Preferred Start Date

Preferred End Date

International Students

Nationality:

English speaking ability:

Education

Education, training and experience (or submit resume):

Upload Resume:

Last secondary institution attended or currently attending

Name of School:

Location:

Qualification:

Certificate/Diploma/Degree Attained

Dates of Attendance:

Post secondary institution attended or currently attending

Name of School:

Location:

Qualification:

Certificate/Diploma/Degree Attained

Dates of Attendance:

About You

Why do you feel you are suited for this program?:

Why do you want to take this program?:

Please list any computer experience you may have:

Character Reference #1:

Please provide the name and contact info of a character reference.

Character Reference #2:

Please provide the name and contact info of a character reference.

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Victoria Campus
301-771 Vernon Ave.
Victoria, BC
V8X 5A7
250.721.9991
1-800-215-6702
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Location

Vancouver Satellite Campus
927 W. 8th Ave.
Vancouver, BC
V5Z 1E4
604.568.4500
1-866-819-3756
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Location

New Brunswick Satellite Campus
8 Industrial
Eel River Crossing, NB
E8E 1P8
506.826.3502
1-877-691-3500
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Application for Enrolment

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