Adult Basic Education Application Form Page 3
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4Adult Basic Education
Application Form
Program & Course Awareness
How did you become aware of this program or course?
Program Guide or Flyer
Career Fair or Tradeshow
College Staff
Website
School Presentation
Friend/Relative
Newspaper
Email
Other
Radio or TV
Letter or Postcard
Don’t Remember
Social Media
Would you like to receive promotional information about Carlton Trail College’s programs and events via email?
Yes
No
Authorization and Consents
The information on this form is collected under the legal authority of the Regional Colleges Act 1998 and the Local Authority Freedom of
Information and Protection of Privacy Act (LAFOIP). The information is used for administrative and statistical purposes by Carlton Trail
College and/or Ministries and Agencies of the Saskatchewan Government and the Government of Canada. If you have any questions
about the collection or use of this information, please contact the Carlton Trail College Privacy Officer at 1.800.667.2623.
Carlton Trail College reserves the right to revise or cancel program and courses, revise policies and procedures and alter tuition, fees and
other charges as deemed necessary without notice.
By submitting this form, I hereby acknowledge, authorize and consent to the following:
I grant permission for authorized personnel of Carlton Trail College to access my academic records in the Saskatchewan Ministry of
Education's Student Information System for the purpose of determining appropriate program or course placement.
If I am being funded by a government agency or ministry, Band or employer to participate in this program, I hereby give authorized
personnel of Carlton Trail College permission to disclose information about my performance and attendance.
I agree to abide by the rules and regulations of Carlton Trail College.
By submitting this application, I hereby certify that all of the information provided is true and complete. I understand that false
information may result in the cancellation of my status as a registered student.
Please Submit…
*If you are not a Canadian citizen, your Immigration Documents.
*If you have received your education outside of Saskatchewan, your Official Transcripts.
*If you have had an English language assessment, your English Proficiency Documents.
Please submit the required documents to your nearest Carlton Trail College office or mail to:
Carlton Trail College
611-17th Street, PO Box 720
Humboldt, SK S0K 2A0
Note: Faxed or photocopies of your documents are not accepted. Original documents must be seen and verified by authorized
Carlton Trail College personnel.
Signature
___________________________________
__________________________________________ _____________________________
Name of Applicant*
Signature*
Date of Application*
1.800.667.2623
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