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Home
Programs
Destination
- Ottawa
- Toronto
- Vancouver
- Calgary
- Edmonton
- Montreal
- Winnipeg
Gallery
About
Contact

Apply Now

Self-Funded Application Form - 550$

First Name *

Last Name *

Email Address *

Phone

Country of Current Residence *

Select Gender *

Nationality *

City *

State/Province *

ZIP / Postal Code

Country *

Do you require a visa to travel to Canada? *

If yes, please specify the country from which you will apply for the visa *

Passport Number (optional)

Have you traveled internationally before?

List your active social media accounts and Urls *

Rate your proficiency in English

How have these experiences prepared you for participating in this program? *

Explain your interest in Canadian culture and why you want to participate in this program: *

What do you hope to achieve by participating in the Discover Canada - Cultural Exchange Program?

Agreement *

Yes, I agree with the privacy policy and terms and conditions.

Declaration *

I have read and understood this declaration. I accept the terms and agree to release the Canadian Center for Cultural Diplomacy from any related responsibility.

Refund *

I have read and understood this refund. I accept the terms and agree to release the Canadian Center for Cultural Diplomacy from any related responsibility.

Credit / Debit Card *

Application Fee - 550 $

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652 Whiting Way Coquitlam , BC

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