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1. I am applying to study at Northern Lights College in the following Program:
English as a Second Language (ESL): Sept-Dec: Jan-Mar: Apr-June:
University Transfer (UT): Sept-Dec: Jan-Apr: May - June:
Career and College Prep (CCP-Grade 12 Completion): Sept-Jan: Feb-June:
Vocational Training Sept-June:
Trades Training Sept Intake: Feb Intake:
Program:
Personal Information:
Surname/Family Name: First Name:
English or Nick Name:
Mailing address in Home: Address:
City: Province/State:
Country: Postal code:
Gender: Male Female
Telephone: Email:
Date of Birth: Year: Month: Day:
Agency you are dealing with:
First Language: Other Languages: Official Language Score:
Previous and Current Education:
Name of Last High School Attended:
Address of Last High School Attended:
Level Achieved: Year when last in High School:
Name and years attended and Program at other college or university:

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DECLARATION – Please read the following before signing:
1. I declare that the information I have submitted on the application is true and correct. Falsifying any document or
information submitted will result in the immediate cancellation of admission or registration at the College.
2. I understand that this information along with subsequent information is collected under the authority of the College
and Institute Act. This information will be protected and used in compliance with the BC Freedom of Information
and Protection of Privacy Act for the purpose of admission, registration, research, and other purposes consistent
with the mandate of this institution.
3. I understand that submission of this application does not guarantee admission to a program or course, and that
admission is subject to meeting NLC’s prerequisites and space availability.
4. I agree to abide by the rules and regulations of NLC as published in the Calendar and those of the department and
program in which I shall be registered and any changes which may be made while I am a student at NLC.
5. I understand that NLC has the right to cancel a program due to low registration.
6. I understand that it is the student’s responsibility to confirm admission requirements, application procedures,
transfer credit, and graduation requirements at all receiving institutions.
Declaration:
I hereby certify that all of the information on this application is true and complete. I agree to abide by Northern Lights
College rules and regulations, including payment of fees.
Signature Date
If under the age of 19, I authorize Northern Lights College to release my academic records to my parents.
Signature Date
When completed and signed, this document is confidential.
Have you included:
A $100 CDN Application Fee (non-refundable)
Academic Transcripts This is not required for our English as a Second Language (ESL) Program.
Copy of passport photo and address pages
English Language Test Score Report (IELTS, TOEFL). This is not required for our ESL Program.
Send your completed application for admission to:
Director, International Education
Northern Lights College
9820-120 Avenue
Box 1000
Fort St. John, B.C. V1J 6K1 Canada
Telephone: 250 785 6981
Fax: 250 785 1294
Email: inted@nlc.bc.ca