* = required field 1. Personal Details Title* Mr.Mrs.MsMiss Date of Birth* Family Name* First Name(s)* House No./Post Office Box No./RR* Street* Village/Town/City* Postal/Zip Code* Province/Territory/State* Country* Telephone No.* Mobile Telephone Email* Emergency Contact Name* Telephone No.* Email Address Are you a Canadian citizen?* YesNo If yes, please provide the following with Photo ID (please submit a photocopy of both): SIN # Driver's Licence # If no, please fill out the International Student Section. Have you previously attended Valemount College?* YesNo If yes, please list your student number Gender* MaleFemaleOtherRather not say 2. Educational History Name of up to two (2) High schools you have attended - most recent first. School #1: Name of School Province, Country Start Date Date Completed Credential Awarded Date Credential Awarded School #2: Name of School Province, Country Start Date Date Completed Credential Awarded Date Credential Awarded Name of up to two (2) post-secondary institutions you have attended - most recent first. Institution #1: Name of Institution Province, Country Start Date Date Completed Credential Awarded Date Credential Awarded Institution #2: Name of School Province, Country Start Date Date Completed Credential Awarded Date Credential Awarded For International Students Only: (overseas students may only take full-time courses and must have authorization from Immigration and Citizenship Canada) Visa Status (Non-Canadian) Student Visa No. Country of Origin English Language Proficiency (for International Students) Is English your first language? YesNo Our programs are conducted in English. Have you attended any courses in English language? YesNo If yes, provide the following details: 1. Name of the course 2. Duration of the course 3. Institute Name, Address, Telephone No. and Email Address 4. Course Date of Completion Have you taken an English Language Proficiency test? YesNo If yes, please indicate which of the below listed qualification requirements you meet, send us a copy of certificate and provide the following details: Qualification Completed and Score Certificate Issuing Authorities Accepted by Valemount College Certificate Type Your Score Valemount College Prerequisite Requirements International English Language Testing System Academic IELTS 6.0 overall with no individual band less than 5.5 Test of English as a Foreign Language/Educational Testing Service TOEFL 550 (Code 8538) Test of English as a Foreign Language/Educational Testing Service (internet based test) TOEFL iBT 80 overall with no section less than 19 Canadian Academic English Language Test CAEL CAEL 60 and Writing 60 I meet college requirements and have submitted the requisite documents as part of my application. 3. How did you hear about Valemount College? Newspaper/MagazineRelative/FriendWebsiteSocial MediaBrochure/BillboardOther Digital MediaWorkshop/open dayAgent/consultantEmailOther sources (please state below) Other sources 4. Medical Information and Support for Students with Disabilities Do you require additional support services due to a disability?* YesNo If yes, to support you during your studies, please contact us by email at: email@example.com with details. To help us provide assistance wherever possible state briefly if you have any special needs that the College should be aware of? (Medical, physical, personal, religious, etc.) If you need regular medication (e.g. for epilepsy, diabetes), please write below the type and quantity of medication you take. 5. Program Intentions (Purpose of application to Valemount College) Program Prerequisite Documentation Submitted: (please check the boxes) Tourism Administration Certificate Program High School Transcript showing graduation from Grade 12 and including English 12 or equivalent. I am able to use standard office software and computers. First Nations Cultural Tourism Certificate Program High School Transcript showing successful completion of English 12 or equivalent with a letter grade of C or above. Rural Entrepreneurship and Small Business Management Certificate Program High School Transcript showing successful completion of English 12 or equivalent I am able to use standard office software and computers, including Microsoft Word and Excel. I have basic or a higher level administrative skills as demonstrated on my resume Mountain Adventure Tourism Certificate Program High School Transcript showing graduation from Grade 12. College Health Form Signed by a physician (please download from our website and have a physician sign it). Liability Release (please download from our website). Proof of Medical Coverage (Provincial Medical Card Photocopy). I am able to use standard office software and computers. 6. Application and Registration Fee Payment Application Fee (Domestic) $50.00 Registration Fee (Domestic) $15.00 Total Domestic Application and Registration Fee $65.00 Application Fee (International) $100.00 RegistrationFee (International) $15.00 Total International Application and Registration Fee $115.00 Who will be paying your fees?* MyselfOther If Other, please specify name, contact details and relationship to you below: Name Address Telephone Email Relationship to you Method of Payment* ChequeCredit Card (VISA, MC, AMEX)PayPalSquare Application and Registration Fees are non-refundable (unless the program is cancelled by Valemount College. In this instance, all fees will be fully refunded) and are due upon submission of this application form. Incomplete applications or applications received without payment of fees will not be processed. What Happens Next? Once your application has been assessed and if it is determined that you have met Valemount College requirements, a Letter of Acceptance (Conditional Offer) will be sent to you with your Registration Date and an Enrolment Form. To indicate acceptance of your seat within the program, please fill out the Enrolment Form and submit it to Valemount College on or before your Registration Date by: Mail: PO Box 464, Valemount College, 99 Gorse Street, Valemount, BC, V0E 2Z0 Email: firstname.lastname@example.org Tuition Fee Payment Information: For programs that are 6 months/24 weeks or less, all tuition fees are due upon registration. For programs that are longer than 6 months, a Registration Deposit of 50% of the total tuition amount is due on your Registration Date and is required in order to confirm and hold your space in the program as well as to make the first tuition payment. The remainder of the tuition is required to be paid at the halfway point of your program. Please refer to our refund policy on the Enrolment Form. Document Submission Checklist: Upon completion and submission of this application form please ensure that: you have sent us your Prerequisite Documentation (transcripts must be sent directly to us from your previous educational institution); and you have paid your Admission and Registration Fees. Payment can be completed online here. * Declaration: I confirm by submitting this application form that submission of this application does not guarantee admission to a program or course and that admission to Valemount College is subject to entrance requirements and space availability. If confirm that, to the best of my knowledge, the information in this form is correct and that submission of falsified documentation or incorrect information will result in the immediate cancellation of my application. I have read the College prospectus/course brochure/calendar. I understand and agree to abide by the conditions and regulations of the College, which I accept as a condition of this application. Applicant's Name* Protection of Privacy Valemount College employees will manage the creation, storage and disposition of records, as well as managing requests for access to records, as required under the Freedom of Information and Protection of Privacy Act (FOIPPA). Valemount College collects and retains student personal information under the authority of the College and Institute Act. The information will be used to admit, register and graduate students, record academic achievement, issue student cards, administer and operate academic, alumni and other College programs and other purposes consistent with the mandate of the College. Information on admission, registration and academic achievement may also be disclosed and used for statistical and research purposes by the College and other post-secondary institutions, the Industry Training Authority and the provincial government. Personal information provided for admission and registration and any other information place into the student record will be collected, protected, used, disclosed and retained in compliance with British Columbia’s Freedom of Information and Protection of Privacy Act (R.S.B.C. 1996, c.165). In addition to collecting personal information for its own purposes, the College collects specific and limited personal information on behalf of the Students’ Union of Valemount College who use the information for student elections. Valemount College reserves the right to charge fees for requests for records in compliance with the provisions of the FOIPPA. After submitting this form, please continue the steps on the Admissions and Registration page.