The Osteopathic College of Ontario (OCO) Admissions Application

1. Personal Information:
   

First Name:

Initial:

Last Name:

e-Mail:

   

Street Address:

City:

Province/State:

Postal Code:

Country:

Day Phone:

Night Phone:

   
2. Educational Background:
Please use the space below to detail your college or university background.
   

College / University:

Address:

Degree Earned:

   
3. Health Care Practitioner Background:
Please use the space below to detail your background as a health care practitioner.
   

Practitioner Title:

Type of License Held:

   
4. Please use the space below to state your desire in pursuing this program:
 
   
   
5. For which courses are dates are you interested?:
Assessment   Ligamentous Articular Strain 2
Counterstrain   Lympathics
Cranial   Myofascial
Cranial Advanced   Muscle Energy
Integration   Visceral
Ligamentous Articular Strain 1   Visceral Advanced
Nov 19-21_2010   June 8-10_2012
Mar 18-20_2011   Sept 14-16_2012
June 10-12_2011   Nov 16-18_2012
Sept 16-18_2011   March 8-10_2013
Nov 18-20_2011   June 7-9_2013
Mar 18-20_2011      
6. You may submit this form below but as this time payment must be made by postal mail.

Please include your cheque in the amount of $1467.87 (Can) a recent photo and copy of your college registration. There is not an application fee for the Quanta, however, the fee for the course is due upon acceptance and you will not be enrolled without payment.

CANADA COURSE: Mail to:
OSTEOPATHIC COLLEGE OF ONTARIO
18 Crown Steel Drive, Suite 308
Markham, Ontario  L3R 9X8  CANADA
Phone: (647) 477-2071
Fax: (905) 947-1705