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APPLICATION FOR ADMISSION AND RE-ADMISSION

Admission/Registration New Students and Students Changing Programs


Box 8500, 2700 College Way, Cranbrook, BC V1C 5L7 Must Attach a NON REFUNDABLE APPLICATION
Tel. (250) 489-8239 or 1-877-489-2687 local 239 Fax (250) 489-1790 PROCESSING FEE OF $30.00
PERSONAL DATA
COTR Student ID. Social Insurance Number
HAVE YOU PREVIOUSLY ATTENDED COTR ‰ YES ‰ NO
Legal Last Name Legal First Name Middle Name Former Last Name

All official COTR correspondence will be mailed to the permanent home address
Telephone Number(s)
unless specified otherwise.
Permanent Home Address
HOME ( )
City/Town Province Postal Code

WORK ( ) Local Address

OTHER ( ) City/Town Province Postal Code

GENDER E-mail Address


DATE OF BIRTH
YR MO DAY ‰M ‰F CITIZENSHIP

ABORIGINAL ‰ CANADIAN CITIZEN ‰ PERMANENT RESIDENT (LANDED IMMIGRANT)


‰ Yes ‰ No ‰ INTERNATIONAL STUDENT 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)
Admission Status: ‰ New Student ‰ Continuing Student (Same Program) ‰ Returning Student (Different Program)
CAMPUS: ‰ CRANBROOK ‰ INVERMERE ‰ GOLDEN
‰ CRESTON ‰ KIMBERLEY ‰ FERNIE
DATE YOU WISH TO START:
Intended Load: ‰ Full Time ‰ Part Time ‰ Online
Education Goal: ‰ Certificate ‰ Diploma ‰ Associate Degree ‰ Other ‰ University Transfer
Name of Institution

EDUCATIONAL BACKGROUND

LAST HIGH SCHOOL ATTENDED LOCATION: (City & Province) From: (year) To: (year)

DID YOU GRADUATE? ‰ YES ‰ NO

PROVINCIAL EDUCTION NUMBER (PEN)


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 Date

Note: You can also apply online at http://www.cotr.bc.ca/aplicat.asp


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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 Program
Code Code
Access Education (Adult Basic Education) Tourism
‰ ABE Fundamental Level Certificate ABE6 ‰ Adventure Tourism Business Operations Certificate ATBO
‰ ABE Intermediate Level Certificate ABE7 ‰ Adventure Tourism Business Operations Diploma ATBO2
‰ ABE Advanced Level Certificate ABE8 ‰ First Nations Tourism Management Certificate ATOMA
‰ BC Adult Graduation Diploma ABE9 ‰ International Expedition and Leadership Certificate IELC
‰ Bridge to Health and Technical Program BHTP ‰ Mountain Adventure Skills Training MAST
‰ English Language Training ELT ‰ Tourism Management Certificate TOMA
‰ Tourism Management Diploma TOMA2
Career/Technical ‰ Tourism Management
‰ Administrative Studies Diploma ADS2 Diploma Major: Adventure Tourism TOMAAT
‰ Applied Computer Certificate ACCP
‰ Business Administration One-year Certificate BUAD University Studies
‰ Business Administration Major: Accounting BUADA ‰ Associate of Arts Degree (AA) AARTS
‰ Business Administration Major: General Diploma BUADGM ‰ Associate of Arts (AA) - Canadian Studies AACS
‰ Business Administration Major: Marketing BUADM ‰ Associate of Arts (AA) - International Studies AAIS
‰ Business Administration Diploma Major: ‰ Associate of Science (ASc) General Degree ASC
Event Management BUADEM ‰ Associate of Science (ASc)
‰ Event Management Certificate EVMT Environmental Sciences ASCES
‰ Network Support Technician Diploma NST ‰ Associate of Science (ASc)
‰ Recreation Management Certificate RECR1 Medical and Health Sciences ASCMHS
‰ Recreation Management Diploma RECR2 ‰ Criminal Justice Diploma CRIM
‰ Recreation Management Diploma Major: ‰ Human Kinetics Diploma HKIN
Event Management RECREM ‰ Fitness and Exercise Leadership Certificate FELC
‰ Liberal Arts - Applied Psychology Certificate LACAP
Child, Youth and Family Studies ‰ Liberal Arts Certificate in Applied Fine Arts LACAFA
‰ Early Childhood Education One-year Certificate ECED1 ‰ Liberal Arts Certificate in Humanities LACH
‰ ECE Infant/Toddler Education Diploma ECIT ‰ Liberal Arts Certificate in Social Sciences LACSS
‰ ECE Special Needs Educator Diploma ECSN ‰ Liberal Arts Humanities with a
‰ Child Youth and Family Studies General Studies Concentration in English HUME
One-year Certificate CYFSGS ‰ Liberal Arts Social Sciences - Economics LASSE
‰ Child Youth and Family Studies Diploma CYFS2 ‰ Liberal Arts Social Sciences - Math & Economics LASSME
‰ Family Child Care Program FCCP ‰ Liberal Arts Environmental Studies LAES
‰ Human Service Work One-year Certificate HSWR ‰ Sciences Biochemistry and Molecular Biology SCIBMB
‰ Teacher Assistant One-year Certificate TAP ‰ Sciences Environmental Science SCIES
‰ Science Certificate Pre-Engineering SCIEPE
Health Programs ‰ Teacher Education - Elementary Professional
‰ Access to Practical Nursing ALPN Degree (Transfer to UVic Teacher Education) EDUC
‰ Certified Dental Assistant DEAS ‰ University Transfer Arts ARTS
‰ Bachelor of Science in Nursing Program NURSE ‰ University Transfer Science SCIE
‰ Practical Nursing PNUR
‰ Resident Care/Home Support RCHS Vocational
‰ Office Administration & Technology
Pre-Apprenticeship / Entry-Level Trades Training - Accounting Certificate OFADAC
‰ Automotive Service Technician AST1 ‰ Office Administration & Technology
‰ Carpentry-Joinery CARPE - General Office Certificate OFADGO
‰ Electrical Training ELECP ‰ Office Administration & Technology
‰ Heavy Duty/Commercial Transport Mechanics HDMP - Administrative Assistant Certificate OFAA
‰ Office Administration & Technology
Trades - Legal Assistant Certificate OFADLE
‰ Fire Training Certificate FTC ‰ Office Administration & Technology
‰ Timber Framing Program TIFR - Office Skills Discovery Certificate OFOS
‰ Basic Welding WEBA ‰ Culinary Arts Term 1 COOKI
‰ Welding Level C WELC ‰ Culinary Arts Term 2 COOKII
‰ Welding Level B WELB ‰ Culinary Arts Term 3 COOKIII
‰ Welding Level A WELA
‰ Welding Upgrading/Testing WEUP
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
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