ELDA/TOP & TOW Registration Form
Print out and mail to: COPE Testing
Ltd. 7B Pleasant Boulevard, Box 957, Toronto, Ontario, M4T 1K2
(Note: this is a mailing address only)
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Family name: |
Given names: |
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Title: (Mr. / Mrs. / Ms. / Dr.) |
Gender: (M/F) |
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Home telephone number (including area code): |
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Work telephone number (including area code): |
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Date of Birth: / / (YYYY/MM/DD) year / month / day |
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E-mail address (if available): |
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Street Address: |
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Suite: |
City: |
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Province: |
Postal Code: |
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Choose a test: ___ TOP & TOW ___ TOW only ___ TOP only |
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Choose a test date: |
_____ October 25, 2008 (TOP not available) |
_____ November
22, 2008 |
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Send my results: |
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___ To Admissions & Awards at the University of Toronto (for Undergraduate and Graduate study). |
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___ To OISE B. ED programme at the University of Toronto. |
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___ To OISE Additional Qualifications |
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___ To a Graduate Faculty / Department / Certificate Program at the University of Toronto - name, address and contact person must be supplied below: |
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Name of University of Toronto Graduate Faculty / Department / Program: |
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Contact Person: |
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Full Postal Address: |
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Official transcripts can be sent to your home address or the University of Toronto if requested after the test for a fee of $10.00 per transcript (complete Transcript form) |
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Results can be sent to institutions other than the University of Toronto after the test for a fee of $20.00 per transcript (complete Transcript form) |
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Have you remembered to include? |
1. COPE Identification Statement (next page). |
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2. One passport photos attached to Section A of the COPE Identification Statement. |
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Payment Options: |
3. Cheque or money order for $70.00 (TOW) or $75.00 (TOP) or $145.00 (ELDA/TOP & TOW) in Canadian Funds payable to COPE Testing Ltd or: VISA [] MASTERCARD [] NUMBER __________________________________ EXPIRY DATE _________________________SIGNATURE ___________________________
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