Application Form

Personal Information

First Name*

Last Name*

Email Address*

Daytime Phone*

Evening Phone

Date of Birth*

Street Address*

Street Address 2

City*

Province / State*

Postal Code*

Please provide alternate contact information in the form of your Next of Kin and a Personal Reference:

Next of Kin Name

Next of Kin Phone

Personal Reference Name

Personal Reference Phone

How did you hear about our college? If a friend told you, please enter their name.

Academic Information

Pre-Requisite*

Choose the most applicable pre-requisite below:

A high school diploma endorsed by a provincial or territorial education authority; A high school equivalent such as a General Education Development (GED); Mature Student Status (see below for requirements)

Certain programs also have academic requirements - please contact your admissions rep for more details.

Required Documentation

No application can be processed without appropriate support documentation. Please submit copies of transcripts, certificates, diplomas, and/or degrees, as well as any other documentation noted below.

I verify that I will gather and submit the required academic documentation as outlined above.

Payment Options*

• Government Student Loan
• Personally Financed
• Government Sponsor
• Corporate Sponsor
• Visa
• Mastercard
• AmEx
• Other (Please Specify):

Terms & Conditions

Please read and confirm each of the following 4 terms and conditions.

* I have read, understand, and agree to the conditions outlined in the Policies, Rules & Regulations section.

* I have read, understand, and agree to the conditions outlined in the Schedule "A" - Private Career Colleges Regulation Act.

* I have read, understand, and agree to the conditions outlined in the Diploma Program Time Tables.

* I verify that I have read and understood the policies outlined in this application form.

Declaration: Private Career College

The Centre for Distance Education hereby certifies that:

1. The student has been, prior to signing this contract, provided with:
1. an outline of the content of the program;
2. a breakdown of the duration of the program by subject;
3. a program cost breakdown;
4. a copy of the college's policies, rules and regulations;
5. a copy of the Tuition Refund Policy (Schedule A of the General Regulations pursuant to The Private Career Colleges Regulation Act ("The Act").
2. This contract has been fully explained to the applicant and the applicant has acknowledged full understanding of all terms, conditions, policies, rules, and regulations associated with the fulfillment of all contractual obligations of both parties.
3. I understand that the Minister of Education will undertake periodic audits of Private Career Colleges files to ensure that all student contracts meet the requirements of the Act and Regulations.
4. I understand this contract is subject to the Act and its Regulations.
5. A student having graduated from the program and having paid in full all fees, will receive their certificate/diploma no later than 30 days following the registered end date.
6. Upon request, the school will make available to the student information on the number of former students obtaining training-related employment.

Declaration: Applicant

I hereby certify that:

1. I have been, prior to signing this contract, provided with:
1. an outline of the content of the program;
2. a breakdown of the duration of the program by subject;
3. a complete program cost breakdown;
4. a copy of the college's policies, rules, and regulations, and;
5. a copy of the Tuition Refund Policy detailed in the General Regulations of The Private Career colleges Regulation Act ("The Act").
2. I fully understand and agree to the terms, conditions, policies, rules, and regulations of the College which are described in the body of this contract or as attached annexes to this contract.
3. I understand that by signing this contract I have not been guaranteed employment upon completion of the program requirements.
4. I understand this contract is subject to the Act and its Regulations.
5. I understand that financial assistance in the form of a loan may be available and it is my responsibility to repay the loan as determined by the lender.


6. * I understand that by submitting this web-based form, I am electronically signing an application to the Centre for Distance Education, and that my electronic signature is just as legally binding as my signature would be on any other document.