Application Form – Deadline August 1st, 2010




See also our printable version of this form for mail in.

See Tuition & Quantum Dates


OSTEOPATHIC COLLEGE OF ONTARIO

Diplomate in Osteopathic Manipulative Theory & Practice
 
1. Personal Information:

First Name:  Init.:
Last Name:
Street Add.:
City:
State:
Postal Code:
Country:
Day Phone:
Night Phone:
e-Mail:

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. Please mail this application along with your check, a recent photo, and a copy of your license:


    OSTEOPATHIC COLLEGE OF ONTARIO

18 Crown Steel Drive, Suite 308
Markham, Ontario  L3R 9X8  CANADA
Phone: (647) 477-2071   Fax: (905) 947-1705


Application fee is $56.50 ($50 + HST) (CAN) funds.  All application and course registration fees are not refundable.