STUDENT SPONSORSHIP FORM - Okanagan

1. Last Name:

Address:

Phone: Email: OC ID# (if known): Program/course: Start & End Dates: Campus: Online

2. Last Name:

Address:

Phone: Email: OC ID# (if known): Program/course: Start & End Dates: Campus: Online

3. Last Name:

Address:

Phone: Email: OC ID# (if known): Program/course: Start & End Dates: Campus: Online

STUDENT SPONSORSHIP FORM

(please print clearly)

First Name:

Continuing Studies

1000 KLO Road Kelowna, BC V1Y 4X8 Phone: 250.862.5480

Fax: 250.862.5434

Date of Birth: (mmddyy)

First Name: Date of Birth: (mmddyy)

First Name: Date of Birth: (mmddyy)

OVER

4. Last Name: Address:

First Name:

Phone: Email: OC ID# (if known): Program/course: Start & End Dates: Campus: Online

5. Last Name:

Address:

Date of Birth: (mmddyy) First Name:

Phone: Email: OC ID# (if known): Program/course: Start & End Dates: Campus: Online

6. Last Name:

Address:

Date of Birth: (mmddyy) First Name:

Phone: Email: OC ID# (if known): Program/course: Start & End Dates: Campus: Online

Date of Birth: (mmddyy)

Please indicate which of the following fees the student is being sponsored for, and a maximum amount if applicable:

Mandatory fees:

Total Sponsorship Maximum Amount:

Tuition: GST: Other Fees: Parking Textbooks Materials Fee

$___________

$___________

$___________

$___________

$___________

Tuition/Fees maximum of: $___________ OVER

This letter is to confirm that ________________________________________ is providing sponsorship for the above named student and is responsible for the specified costs above for his/her education.

Preferred Payment ? Invoice*

EMPLOYER NAME:

_______________________________________________________________________

EMPLOYER CONTACT PERSON:

________________________________________________________________

BILLING ADDRESS:

_______________________________________________________________________

I hereby agree that Okanagan College will invoice for the above mentioned student and program fees as indicated on this form.

Authorizing Signature:

______________________________________________________________________

Print Name:

______________________________________________________________________

*Contact Okanagan College if you wish to discuss other payment methods.

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