join the experience

Application

To register yourself or your child in the CampusPlus Canada Program please fill out the form below. One of our team will contact you to assist you with our registration process.

Please note that the application below does not guarantee enrolment.

Contact Info

Name

First Name

Last Name

Email Address

Phone

Country

(###)

###

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Semester Year

Student Info

Student Name

First Name

Last Name

Email Address

Phone

(###)

###

####

Were You Referred?

Who Referred You?

Additional Comments