Noristiege.® INTERNATIONAL APPLICATION FOR ADMISSION ° Iateruational Education Intended Stare date September famuary | | ApubeasLonly (| May Year: 2023, asiness Management Diploma Arca ataitnacFginoing | pg pla imisogy eth ascend LnemE8S1) | puns dagen Acct Ars Degree |_| Executive Asiant j i +} aly Childhood Education and care | Business Management -Heath Admin |/ASocatef Arts Health tues |_| |/BM-Accountng hand and water Eecies Mamspenai, Asst of Scnce Degree Pa merce Technologie poster Memgrment =r = ‘Vand Game Design | Socal Services Worker Diploma Other: Applied business technology (Administrative Assistant Certificate) Reason for choosing campus 5 eee renee | eemeee (7 aceasta Soames eae ouble Surame/ast ame Btnane al Kuisseu Qeila_ = amen Date of Births — 2005 A Ag Male Ci a 7 ar Nowh Day _| Female [Mailing Address i 1 kamdemgeila&@gmail.com 4 icy Prornelate omy lkongsamba ittoral eroon Fosarcoie Tepe “Ena Litt 37 [4237655474215 kamdemgeila&8@gmail.com erevchpitsecngetemaptagcete ‘or ed erent mtn tenes npemtnc resent Fit and ac Name Relationship Name of gency Country Telephone Bra Cooney Teephone Ena Last High Schoo! Attended (Country: Grade completed ‘Year of Completion \Government Bilingual High School Nkongsamba [Cameroon 13 pozs Couey Cen completed [as Post-Secondary School Attend Government Bilingual High School Nkongsamba |Cameroon — jt ISSeore Listening Reading "Writing Speaking oR iptsore 70 thes gl Tange Asem 11401 ath Street Dawson Creek BC VIG 462 Phone 1 250 782 5251 Toll Free 1 836 463 6652 Web nlcbe.ca~ RELEASE OF INFORMATION P Thereby authorize Northern Lights College to release any of the following items: application information, admissions status, Letter of Offer or Acceptance, transcripts, progress and attendance records to my agent, and/or the person I have named on my application form. DECLARATION - Please read the following before signing: 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. 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. 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. 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. Tunderstand that NLC has the right to cancel a program due to low registration. understand that only students who provide written proof from the Canadian High Commission that their Study Permit was denied will be eligible for a refund tuition deposit less a $300 Processing Fee. The written proof must be submitted within 3 months of the date of the letter from the Canadian High Commission. understand that it is the student's responsibility to confirm admission requirements, applic credit, and graduation requirements at all receiving institutions. ion procedures, transfer [DECLARATION: Thereby certify that all of the information on this application is true and complete, l agree to abide by Northern Lights College rules and regulations, including payment of fees. a Tuesday 14 November 2023 Signature Date as Ifunder the age of 19, I authorize Northern Lights College to release my academic records to my parents. == Tuesday 14 November 2023 Set spits ee (ceiee Ese eee Signature Date ‘When completed and signed, this document is confidential. Check List (O] Academic Transcripts (This is not required for our English as a Second Language (EASL) Program.) Copy of passport photo and address pages English Language Test Score Report (IELTS. This is not required for our EASL Program.) Send your completed application and all other required documents to: info@international.nic.be.ca If you are in India, Philippines or South East Aisa please send your application to the corresponding email below India -- india@nlc_be.ca Philippines -- NLC-Philippines@nlc.be.ca South East Asia -- SEasia@nlc.be.ca NLC will send you an email with instructions for application fee payment 411401 Bth Street Dawson Creek BC V1G 462 Phone 1 250 782 5251 Toll Free 1 866 463 6652 Web nicbe.ca