Student Enrolment Contract
Career Training Program
Part C. Checklist
Institution Operating Name
Institution Number
This checklist serves as a detailed index to aid the Agency in finding specified portions of the student enrolment
contract. A copy of this checklist is to accompany each student enrolment contract copy sent to the Agency. The
checklist should be marked to show the page numbers on which each item listed below appears in the accompanying
student enrolment contract. The student enrolment contract should then be marked to correspond to the item
numbers on the Checklist. The student enrolment contract must include all required items. The institution’s student
enrolment contract may also include additional items if needed.
Student Enrolment Contract – Career Training
Item
Item
Number
INSTITUTION INFORMATION
1.
Legal name of the institution
2.
Operating name of the institution
3.
Institution contact information – main address, telephone, fax and email address
of the institution
4.
Location of campus being attended (if different from main institution address –
address and telephone number)
5.
Institution’s Agency registration number and disclosure as regards whether the
institution is registered or accredited
STUDENT INFORMATION
6.
Name, including entire legal given name (last, middle name, first)
7.
Usual first name
8.
Previous name (if applicable)
9.
Full mailing address – including street, city, province/state, postal code, country
10.
Personal Education Number (where available)
11.
Telephone number
12.
Main email address
13.
Date of birth
14.
Gender
PROGRAM INFORMATION
15.
Name of program
16.
Start and end dates for program
17.
Program duration expressed both in total hours and in weeks (or portions thereof)
18.
Language of instruction
19.
Method of delivery (i.e. site-based, distance learning, on-line or combination)
20.
Credential to be awarded upon completion (i.e. certificate or diploma)
21.
If the program is designed to lead to positions in a profession, occupation, trade
or career field requiring registration or licensing with a regulatory body in the
Province of British Columbia, a notice to that effect and a list of the requirements
for registration or license eligibility
INS.160.032
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Page
Number
2015.01.05
Student Enrolment Contract
Career Training Program
Part C. Checklist
ADMISSION REQUIREMENTS
22.
Minimum admission requirements for the program
23.
Statement confirming the student has represented to the institution that they
meet the admission requirements
TUITION AND FEES
24.
Total amount of tuition due under the contract in Canadian dollars, less discounts
or scholarship amounts applied to the tuition
25.
Itemized list of all other fees such as administrative fees, textbooks, materials,
consumables, etc. in Canadian dollars
26.
Terms and conditions of payment (e.g. method of payment, charges for late or
insufficient payment, fee deferrals, student loans, etc)
FEES – REGISTRATION/APPLICATION FEE and ADMISSIONS TESTING/ASSESSMENT FEE
27.
If applicable, a non-refundable registration fee/application fee (maximum $250.00
for local students, $1,000 for international students)
28.
If applicable, a Prior Learning / Portfolio Assessment fee (may not exceed
$250.00)
POLICIES AND SIGNATURES
29.
Tuition and Fee Refund Policy
30.
Statement: “Under the Personal Information Protection Act, you are entitled to
access your student file.”
31.
Statement: “The student’s personal information collected by the institution will
only be used for the purpose for which it was originally collected or for a use
consistent with that purpose, unless the student expressly consents otherwise.”
32.
Reference to the Agency, its mandate and contact information
33.
34.
35.
36.
Student statement confirming that the student has read, understood and agreed
to the terms and conditions of the contract
Confirmation that the student has read, understood and agreed to the school
policies : Tuition and Fee Refund Policy, Dispute Resolution/Grade Appeal Policy,
Withdrawal Policy, Dismissal Policy, Admissions Policy, Attendance Policy,
Program Outline and, where applicable, Work Experience Policy, Prior Learning
Assessment Policy, Language Proficiency Assessment Policy, and Credit Transfer
Policy
Statement: I hereby consent to the sharing of my enrolment and/or reporting
information between [insert name of institution] and Citizenship and Immigration
Canada, as necessary for the purposes of the International Student Program, in
accordance with applicable provincial privacy legislation
Statement: This contract is legally binding when signed by the student and
accepted by the institution.
Signature of the student (or parents/legal guardian if the student is under 19)
Signature of authorized institution representative
37.
38.
GENERAL
39.
Verify text is in a font size that is no smaller than 10 points
INS.160.032
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2015.01.05