New APPLICATION FOR ADMISSION

APPLICATION FOR ADMISSION

Program

Are you a returning student?

Yes No Not Selected

YTC Student ID number

(if known)

Applying to begin

Student Status:

PERSONAL INFORMATION

First Name

Preferred Name

Middle Name

Last Name

Maiden Name

(If applicable)

Gender

Birth Date

Alternate Email

Home Address

Street

apt # or box #

City

State/Province

Zip/Postcode

Mailing Address

Street Address

Apt # or Box #

City

Province

Postal Code

-----

Cell Phone

Home Phone

Emergency Contact

Contact Name

Home Phone

Cell Phone

ACADEMIC INFORMATION

Alberta Student Number

Name of School

Last High School Attended

City

Province

Last Year Attended

Please select

Previous Post-Secondary Institutions- most recent first

Post-Secondary Institutions

Program of Study

Location City/Province

Last Year Attended

Attending/Credits Earned/Graduate

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Post-Secondary Institutions 2

Program of Study 2

Location City/Province 2

Last Year Attended 2

Attending/Credits Earned/Graduate 2

FIRST NATIONS/METIS/INUIT ANCESTRY DECLARATION- optional

ABORIGINAL ANCESTRY DECLARATION

If yes, please select

If First Nations, I am

Required Documents

Please ensure YTC receives the following documents.

Official High School Transcripts from Alberta Education

Official Post-Secondary transcripts

(if applicable) - must be sent by Institution to YTC directly

Program Application package

Release of Information Waiver

I authorize Yellowhead Tribal College to release:

Unofficial Transcripts

Official transcripts

Course registration changes/performance

Program registration changes/performance

References

Other

If other, please specify:

A authorize Yellowhead Tribal College to release to the following persons/organizations:

Effective from:

Effective till:

(one year maximum)

Payment Agreement

If tuition fees are not paid in full, Yellowhead Tribal College has the right not to release transcripts to the sponsor or student until outstanding fees are paid.

*Please note that all payments and letters should be sent to the Sub Office, Attention Registrar’s Office.

Select YTC Sponsorship:

My tuition, books and fees will be paid by:

If Other, please specify:

If BAND SPONSORSHIP, please complete the following section

Approval progress is:

Band Name:

Contact Person:

Phone No.:

-----

Signature

Date

I certify that this information in this application is true and complete in all respects and I have withheld no information. I also under-stand that any misrepresentation on my part may result in cancellation of my admission or registered status. Falsification of documents or withholding of requested information regarding this application are serious offences. I agree that YTC retains the right to nullify my application if the information is false or incomplete. I am also aware that I will not be able to continue onto the following term if tuition and fees are outstanding from the previous terms.

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Required