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NLC Application for Admission

Program Information

Select a Program *

Select an Offering *

Select a Starting Session *

Location *

Schedule *

Full-Time

Part-Time

Have you attended Northern Lakes College before? *

Yes

No

Which program did you take?

What year was it taken?

Personal Information

Legal Last Name *

First Name *

Middle Name

Date of Birth *

Male/Female *

Male

Female

NLC Student Number

Preferred First Name

Former Names if applicable (e.g. maiden name)

Home Telephone *

Other Telephone

Email *

Mailing Address

Street Address *

City or Town *

Province *

Postal Code *

Country *

Permanent Address

My Permanent Address is the same as my Mailing Address

Street Address *

City or Town *

Province *

Postal Code *

Country *

Validating Address...

Additional Information

Is English your First Language *

Yes

No

Social Insurance Number

Alberta Student Number

Marital Status *

Single

Married/Common Law

Other

Citizenship Status

Status *

Canadian

Permanent Resident

Refugee

International

Country of Citizenship *

Study Permit

Work Permit

Other Visa

Emergency Contact

Last Name *

First Name *

Home Telephone *

Business Telephone

Relationship *

School Information

Last School Attended

Location(s)

Last Grade Completed

Last Year Attended

Higher Education

Institutions(s)

Location(s)

Qualification Received

Last Year Attended

Miscellaneous Information

Transcript/Reference Document

If you wish to declare you are an Aboriginal person, please specify:

Status Indian/First Nation

Non-Status Indian/First Nation

Metis

Inuit

What were you doing last year?

Student

Employed or seeking employment

Other Activity

To avoid any communication delays, please ensure that we have your up-to-date and current information about your mailing address and your email address on your student record. Please call us Toll Free at 1-866-652-3456 or email us at admissions@northernlakescollege.ca or records@northernlakescollege.ca.

DECLARATION OF APPLICANT AND CONSENT TO RELEASE INFORMATION

I certify that the information provided is true and complete in all respects and that no information has been withheld. I understand that falsifying or omitting documents or information on this application will result in immediate and permanent dismissal from the College or a rejected application. I agree, if admitted to Northern Lakes College, to comply with all rules and regulations of the College.

I authorize Northern Lakes College, should I attend, to disclose relevant personal information from this form as required:

To its contracted agents, partners or societies, award donors, funding agents and other post-secondary institutions for the purpose of confirming my enrollment and to determine my eligibility for services.
To Innovation and Advanced Education for statistical, funding, planning, or research purposes, and to obtain a statement of marks or student identification number(s).
To release information regarding my attendance and progress to my funding agency/agencies.

I agree with the above and consent to release information *

Yes

No

PROTECTION OF PERSONAL INFORMATION

Your personal information requested on this form is collected under the authority of Section 33© of the Freedom of Information and Protection of Privacy (FOIP) Act of Alberta, Sections 65 and 118 of the Post-secondary Learning Act of Alberta, the Statistics Act (Canada),and the Taxation Act (Canada). This information is protected under the authority of Part 2 of the FOIP Act. This information will be used to determine your eligibility for admission to program(s)/service(s) of Northern Lakes College, to manage your enrolment, determining your eligibility for scholarships, bursaries, and awards, convocation, distributing follow-up educational information, issuing tax receipts, evaluate effectiveness of marketing and generate statistics and reports for the College’s research and planning. Certain personal information will also be disclosed to Statistics Canada to comply with the Statistics Act; Alberta Innovation and Advanced Education to meet reporting requirements; Alberta Jobs, Skills, Training and Labour for determining and monitoring student eligibility for their services; work experience and practicum sites to set up appropriate placements; Students’ Association for the purposes of membership, fee collection, and contacting students. For information about the collection and use of this information, contact the Office of the Registrar at Tel. 1.866.652.3456.

Programs & Courses