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LetterOfPermission

Conestoga
 
Letter of Permission Application Form
A Letter of Permission must be requested prior to the student enrolling at another institution. Please complete this application form and submit it along with all the supporting documentation to the Credit Transfer Office a minimum of four weeks prior to the start of the course
Note: • Payment of fees is required at the time of registration (Personal cheques are not accepted.) • A non-refundable fee of $25.00 is charged for each application form. • It is a student's responsibility to ensure that they have met the registration requirements at the host institution
 
OEN (If known)   Student Number *

 
         
Select Title   Last Name *   First Name *
   
         
Apartment Number   Street Name and Number   City
   
         
Province or Country   Postal Code *   Phone *
   
         
Email *       Date

This is required field
 
Select a date from the calendar.
         
Program Name *       Year

This is required field
 
         
Host Institution Information
         
I request permission to attend:      

 
         
Institution Address:      

         
1st Course
         
Course Code and Title at Host institution   Start Date   End Date
 
Select a date from the calendar.
 
Select a date from the calendar.
         
Online / Distance learning education      
 
         
Conestoga College Course Code:      

 
         
Department Use Only Decision      
 
 
         
If denied reason must be stated:       Effective end Date

This is required field
 
Select a date from the calendar.
         
2nd Course
         
Course Code and Title at Host institution   Start Date   End Date
 
Select a date from the calendar.
 
Select a date from the calendar.
         
Online / Distance learning education      
 
         
Conestoga College Course Code:      

 
         
Department Use Only Decision      
 
 
         
If denied reason must be stated:       Effective end Date

This is required field
 
Select a date from the calendar.
         
3rd Course
         
Course Code and Title at Host institution   Start Date   End Date
 
Select a date from the calendar.
 
Select a date from the calendar.
         
Online / Distance learning education      
 
         
Conestoga College Course Code:      

 
         
Department Use Only Decision      
 
 
         
If denied reason must be stated:       Effective end Date

This is required field
 
Select a date from the calendar.
         
Freedom of Information The personal information collected on this is used for administrative purposes of the Registrar's Office under the authority of the Ontario Colleges of Applied Arts and Technology Act, R.S.O 2002, and regulations thereunder. Personal information will be protected in accordance with the Freedom of Information and Protection of Privacy Act (FIPPA).