Please send your application form to our email address:

United Pacific College's Application Form Download 


Payment method:

Check pay to:  United Pacific  College 

Email Transfer:

Office of the Registrar
#2380-2385 ,8888 Odlin Crescent,
Richmond, BC V6X 3Z8 CANADA
Phone: (604) 736-2378
1.     Complete this application form and submit it with the following:
o  Application fee -  CAD$250.00 ; and CAD$1000.00
o  Official transcript (from post-secondary institutions attended);and
o  TOEFL or IELTS score (if available).

2.     To submit your application in person:
We accept cheques, bank drafts, money orders.
To submit your application by mail:
We accept cheques, bank drafts, and money orders.

Please make your payment payable to United Pacific College.
Email Transfer:
Office of the Registrar
#2380-2385, 8888 Odlin Crescent, Richmond, BCV6X 3Z8 CANADA
Phone: 1(604) 736-2378
Program Information:
□General Studies Diploma  (GSD)
□Business Administration and Management Diploma (BAMD)
□English As A Second Language Diploma (ESL)
□ Corporate Training 
□Other course

Personal Information:
Legal Name (Last, First, Middle)
Preferred Name Date of Birth (mm/dd/yyyy)
□ Male
□ Female Citizenship Primary Language
Do you hold a valid study permit to study in Canada?
□ Yes                         □  No                  If yes, expiration date (mm/dd/yyyy)
Permanent Address:
Street Address City Province Country Postal Code
Telephone E-mail Address
Current Mailing Address (if different from above) :
Street Address City Province Country Postal Code
Emergency Contact (at least one) :
Name Relationship Telephone E-mail Address
Name Relationship Telephone E-mail Address

Education History :
High school
School Name
Date of Graduation
Institution Degree Awarded Field of Study Dates attended (From – To)

Other Information:
Where did you hear about our program?
□ Internet     □ Friend     □  Newspaper     □ Other (Place specify):________________________
I certify that foregoing statements are correct and I understand that United Pacific College       expects a high stand of conduct from its students. I agree to abide by all rule and regulations   of the College. I understand that violation of these regulations could result in disciplinary         action. The information supplied on this form is true and correct to the best of my knowledge.
Student Name:_________________________________
Student Signature: _________________________________     Date:_____________________



Contact Us

Call us: Phone: +1 604-736-2378
United Pacific College
#2380-2385 8888 Odlin Cre
Richmond BC
Canada V6X 3Z8
Or send us an email E-mail: