APPLICATION FOR ADMISSION AND RE-ADMISSION
New Students and Students Changing Programs
Must Attach a NON REFUNDABLE APPLICATION
PROCESSING FEE OF $30.00
Admission/Registration
Box 8500, 2700 College Way, Cranbrook, BC V1C 5L7
Tel. (250) 489-8239 or 1-877-489-2687 local 239
Fax (250) 489-1790
PERSONAL DATA
COTR Student ID.
Social Insurance Number
HAVE YOU PREVIOUSLY ATTENDED COTR
Legal Last Name
Legal First Name
Middle Name
HOME (
)
City/Town
WORK (
)
Local Address
OTHER (
)
City/Town
YR
MO
GENDER
‰M
DAY
‰ NO
Former Last Name
All official COTR correspondence will be mailed to the permanent home address
unless specified otherwise.
Permanent Home Address
Telephone Number(s)
DATE OF BIRTH
‰ YES
‰F
ABORIGINAL
‰ Yes
‰ No
Province
Postal Code
Province
Postal Code
E-mail Address
CITIZENSHIP
‰ CANADIAN CITIZEN
‰ INTERNATIONAL STUDENT
‰ PERMANENT RESIDENT (LANDED IMMIGRANT)
COUNTRY OF CITIZENSHIP
Who should COTR contact in case of emergency? Name
Phone Number (
)
For Students With Disabilities
To support you more effectively during your studies at College of the Rockies, please notify the Disabilities Coordinator in Student Services who will then contact you
regarding your particular needs. All information received is confidential. Please contact: (250) 489-8283
PROGRAM APPLICATION
PROGRAM APPLIED FOR AT COTR (ENTER PROGRAM CODE, REFER TO LIST ON REVERSE)
‰ New Student
Admission Status:
‰
‰
CAMPUS:
CRANBROOK
CRESTON
‰ Continuing Student (Same Program)
‰ Returning Student (Different Program)
‰ INVERMERE
‰ KIMBERLEY
‰ GOLDEN
‰ FERNIE
DATE YOU WISH TO START:
Intended Load:
Education Goal:
‰ Full Time ‰ Part Time ‰ Online
‰ Certificate ‰ Diploma ‰ Associate Degree
‰ Other
‰ University Transfer
Name of Institution
EDUCATIONAL BACKGROUND
LAST HIGH SCHOOL ATTENDED
LOCATION: (City & Province)
From: (year)
DID YOU GRADUATE?
PROVINCIAL EDUCTION NUMBER (PEN)
To: (year)
‰ YES ‰ NO
Please submit an official Secondary School transcript.
DECLARATION
I declare that the information contained in this application is to the best of my knowledge, complete and correct. I hereby agree to comply with the rules and regulations of the
College.
I understand and agree that acceptance of this application in no way guarantees admission to the program or course. The application is subject to the availability of seats.
I understand and agree that the College reserves the right to modify or cancel any program or course without notice or prejudice.
I understand that personal and group photographs and images may be used by the College of the Rockies to advertise and promote its programs and services. I agree that the
College maintains copyright and ownership of such photographs, images, negatives and advertising materials. I waive all moral rights to the use of such personal photographs,
images, negatives and advertising materials and agree not to sue the College of the Rockies with respect to these moral rights.
SIGNATURE OF APPLICANT
Note: You can also apply online at http://www.cotr.bc.ca/aplicat.asp
7/17/07/do/H:\REGISTRA\forms\App for adm.doc
Date
Application for Admission to the College of the Rockies
Select the code next to your choice of program and enter it in the "Program Applied for at COTR" field on the front of the application form.
Choose one only. If you are unsure what your choice should be, contact an Education Advisor in Student Services at (250) 489-8243.
Program
Code
Access Education (Adult Basic Education)
‰ ABE Fundamental Level Certificate
‰ ABE Intermediate Level Certificate
‰ ABE Advanced Level Certificate
‰ BC Adult Graduation Diploma
‰ Bridge to Health and Technical Program
‰ English Language Training
Career/Technical
‰ Administrative Studies Diploma
‰ Applied Computer Certificate
‰ Business Administration One-year Certificate
‰ Business Administration Major: Accounting
‰ Business Administration Major: General Diploma
‰ Business Administration Major: Marketing
‰ Business Administration Diploma Major:
Event Management
‰ Event Management Certificate
‰ Network Support Technician Diploma
‰ Recreation Management Certificate
‰ Recreation Management Diploma
‰ Recreation Management Diploma Major:
Event Management
ABE6
ABE7
ABE8
ABE9
BHTP
ELT
ADS2
ACCP
BUAD
BUADA
BUADGM
BUADM
BUADEM
EVMT
NST
RECR1
RECR2
RECREM
Child, Youth and Family Studies
‰ Early Childhood Education One-year Certificate
‰ ECE Infant/Toddler Education Diploma
‰ ECE Special Needs Educator Diploma
‰ Child Youth and Family Studies General Studies
One-year Certificate
‰ Child Youth and Family Studies Diploma
‰ Family Child Care Program
‰ Human Service Work One-year Certificate
‰ Teacher Assistant One-year Certificate
CYFSGS
CYFS2
FCCP
HSWR
TAP
Health Programs
‰ Access to Practical Nursing
‰ Certified Dental Assistant
‰ Bachelor of Science in Nursing Program
‰ Practical Nursing
‰ Resident Care/Home Support
ALPN
DEAS
NURSE
PNUR
RCHS
Pre-Apprenticeship / Entry-Level Trades Training
‰ Automotive Service Technician
‰ Carpentry-Joinery
‰ Electrical Training
‰ Heavy Duty/Commercial Transport Mechanics
AST1
CARPE
ELECP
HDMP
Trades
‰ Fire Training Certificate
‰ Timber Framing Program
‰ Basic Welding
‰ Welding Level C
‰ Welding Level B
‰ Welding Level A
‰ Welding Upgrading/Testing
FTC
TIFR
WEBA
WELC
WELB
WELA
WEUP
ECED1
ECIT
ECSN
Program
Code
Tourism
‰ Adventure Tourism Business Operations Certificate
‰ Adventure Tourism Business Operations Diploma
‰ First Nations Tourism Management Certificate
‰ International Expedition and Leadership Certificate
‰ Mountain Adventure Skills Training
‰ Tourism Management Certificate
‰ Tourism Management Diploma
‰ Tourism Management
Diploma Major: Adventure Tourism
University Studies
‰ Associate of Arts Degree (AA)
‰ Associate of Arts (AA) - Canadian Studies
‰ Associate of Arts (AA) - International Studies
‰ Associate of Science (ASc) General Degree
‰ Associate of Science (ASc)
Environmental Sciences
‰ Associate of Science (ASc)
Medical and Health Sciences
‰ Criminal Justice Diploma
‰ Human Kinetics Diploma
‰ Fitness and Exercise Leadership Certificate
‰ Liberal Arts - Applied Psychology Certificate
‰ Liberal Arts Certificate in Applied Fine Arts
‰ Liberal Arts Certificate in Humanities
‰ Liberal Arts Certificate in Social Sciences
‰ Liberal Arts Humanities with a
Concentration in English
‰ Liberal Arts Social Sciences - Economics
‰ Liberal Arts Social Sciences - Math & Economics
‰ Liberal Arts Environmental Studies
‰ Sciences Biochemistry and Molecular Biology
‰ Sciences Environmental Science
‰ Science Certificate Pre-Engineering
‰ Teacher Education - Elementary Professional
Degree (Transfer to UVic Teacher Education)
‰ University Transfer Arts
‰ University Transfer Science
Vocational
‰ Office Administration & Technology
- Accounting Certificate
‰ Office Administration & Technology
- General Office Certificate
‰ Office Administration & Technology
- Administrative Assistant Certificate
‰ Office Administration & Technology
- Legal Assistant Certificate
‰ Office Administration & Technology
- Office Skills Discovery Certificate
‰ Culinary Arts Term 1
‰ Culinary Arts Term 2
‰ Culinary Arts Term 3
ATBO
ATBO2
ATOMA
IELC
MAST
TOMA
TOMA2
TOMAAT
AARTS
AACS
AAIS
ASC
ASCES
ASCMHS
CRIM
HKIN
FELC
LACAP
LACAFA
LACH
LACSS
HUME
LASSE
LASSME
LAES
SCIBMB
SCIES
SCIEPE
EDUC
ARTS
SCIE
OFADAC
OFADGO
OFAA
OFADLE
OFOS
COOKI
COOKII
COOKIII
All Apprenticeship applicants must apply directly to the
Department (250) 489-2751 local 216
Other
‰
For detailed program information visit us on the web at
www.cotr.bc.ca
Freedom of Freedom of Information/Protection of Privacy
The College of the Rockies complies with the Freedom of Information/Protection of Privacy legislation of the Province of British Columbia. Information collected on application forms is
used in the normal course of College operations in accordance with this legislation
7/17/07/do/H:\REGISTRA\forms\App for adm.doc