Application For Admission
Application For Admission
Application For Admission
Admission
When to Apply?
Contact us!
Admissions Office Lethbridge College
3000 College Drive South Lethbridge, AB T1K 1L6
Tel. 403.320.3202 ext. 5472 Toll Free. 1.800.572.0103 Fax. 1.888.819.9803
lethbridgecollege.ca
Campus Location:
Type of Student:
Part Time
Full Time
Distance Delivery
Year of Entry: 1 2 3 4
Yes No
Visa
) _________________Cell Phone: (
) _________________
E-mail: _________________________________________________________________
Social Insurance Number: ________________________
Birthdate:____________/______/______
Gender: Male
Female
(YYYY/MM/DD)
Single
Other
Metis
Inuit
Alberta Advanced Education and Technology is collecting this personal information pursuant to section 33(C) of the FOIP Act as the information relates directly to and is
necessary to meet its mandate and responsibilities to measure system effectiveness over time and develop policies, programs and services to improve Aboriginal Learner
success. For further information or if you have questions regarding the collection activity, please contact the Office of the Director, Business Operations and Reporting,
Post-secondary Excellence Division, Alberta Advanced Education and Technology, 10155-102 Street, Edmonton AB, T5J 4L5, (780) 427-7145 or the Lethbridge College
Registrars Office at (403) 394-7371.
Citizenship Status: Canadian Citizen Permanent Resident / Landed Immigrant Refugee Student Visa Work Visa
If not a Canadian Citizen, indicate your country of citizenship and date of entry into Canada:
Country __________________________________________________ Year ___________Month ________ Day ____________
Country of Residence during the previous year __________________________________________________________________
Language First Spoken:
English
Location:
Student
Alberta
Other Province
Other
Outside Canada
Do you believe you may require consultation, accommodations, and/or support from our Accessibility Services office which supports
individuals with learning or physical disabilities, sensory impairments, ADD or ADHD, and chronic or mental health conditions?
Yes
No
Previous Education
High School Last Attended _____________________________________City/Province __________________________________
Years Attended From _______________________ To _______________Highest Grade Completed ________________________
Diploma Received/Expected Yes No
Transcript: Enclosed
Forthcoming
On file
If you have attended more than one post-secondary institution, please attach a listing with the same information as below.
College, Technical Institute or University Attended ________________________________________________________________
Location ________________________________________________________________________________________________
Years Attended From _______ To ________
Program __________________________________________________________
The personal information on this application form is collected and protected under the authority of the Alberta Post-secondary Learning Act, the Alberta Freedom of Information and Protection of Privacy
(FOIP) Act, the Canada Student Financial Assistance Act, the Canada Student Loans Act and the Income Tax Act. This information is used to determine and verify your eligibility for admission to a program
of studies at Lethbridge College, and will form part of the student record. Your information will be used for the purpose of processing your application for admission including, if requested and authorized,
to obtain electronic transcript requests from other Alberta post-secondary institutions and Alberta Education. If your application is accepted, your information will be used to facilitate your registration
and for internal operational purposes including administering and evaluating College programs, facilitating alumni programs and services, for income tax purposes, for statistical purposes and for other
uses consistent with these purposes. Your information may be disclosed to the Alberta government for statistical, funding, planning, policy development, reporting, and research purposes. Your information may also be disclosed to the Alberta Scholarship Foundation for student award nomination/verification purposes, to the Alberta Students Finance Board for student loan reporting purposes, and to
the Lethbridge College Students Association in accordance with contractual agreements. The following information is defined as the students public record: name, dates of registration and graduation,
academic program, and credential awarded. All other data on the student record is considered confidential and will be collected, used and disclosed in accordance with the FOIP Act. Questions can be
directed to the Assistant Registrar, Records and Systems, Lethbridge College, 3000 College Drive South, Lethbridge, AB T1K 1L6, (403) 394-7371.
Rev. 2014/10