APPLICATION FORM – Full-time Studies A. Personal (please print clearly) Student No.: _________________________________________________________________ ________________________________________________________________________ First Name Next of Kin Last Name Relationship ________________________________________________ Street Address (include Apt. number) _____________________________________________________ Street Address (include Apt. number) ________________________________________________ City Province _____________________________________________________ City Province _______________ Postal Code _______________ Postal Code ______________________________ Telephone (include area code) __________________________________ Telephone (include area code) _________________________________________________ E-mail Address B. Education and Experience To be considered, applicants must have a High School Graduation Diploma or General Education Diploma (GED). If you do not have either of these credentials you may be eligible to apply as a Mature Student (see section C). ____________________________________________ Name of High School ______ ______ Years attended ____________________________ General/Academic Diploma ____________________________________________ Post-Secondary Institution _____________ Years attended ____________________________ Degrees/Diploma ___________________________________________ Other Training ____________ Years attended ___________________________ Certificate/Diploma Volunteer work and organization memberships: Previous experience with children: ____________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________ Continue on new sheet if you need more space. C. Mature Student Status □ I am applying as a mature student and understand that the following criteria are required:  Three (3) reference letters from referees who have known the applicant for at least one year, outlining the skills and aptitudes they feel the applicant has which will lead to success in the program  Minimum of Grade 10  Resumé and cover letter outlining how your experience will assist you being successful at NSCECE   Must be 21 years of age or older and out of school for at least one year Must meet with Registrar CONTINUE TO BACK PAGE D. English Language Proficiency Is English Your First Language? YES □ NO □ If no, proof of English Language Proficiency will be required. ESL (English Second Language) Requirements:  CLB (Canadian Language Benchmark) minimum of 7 in all areas  IELTS (International English Language Testing System) completion of level 6 or higher  TOEFEL® (Test of English as a Foreign Language) score of 80 or higher  EAP (English for Academic Purposes) program completion. Applicants must submit an official document from a recognized provider showing proof of English language proficiency indicating you have successfully completed one of the above ESL assessments. E. References List three persons who have known you for at least one year; one in each of the capacities. ___________________________________________ Name _______________________ Telephone (include area code) ______________ Professional ___________________________________________ Name _______________________ Telephone (include area code) ______________ Academic ___________________________________________ Name _______________________ Telephone (include area code) ______________ Personal F. Admissions Process 1) Arrange to have your school(s) send transcripts of your studies directly to NSCECE. 2) Enclose your $25.00 administration fee with this application. The College will not process the application nor notify you if it is not included. 3) Sign, date and mail this application. Payment may be made by cash, cheque, debit, VISA or MasterCard. How did you find out about our program? ___________________________________________________________________________________________________________ ____________________________________________________ Signature __________________________ Date UPCOMING INFORMATION SESSIONS Monday, December 8, 2014 Monday, January 19, 2015 Monday, February 23, 2015 Tuesday, March 17, 2015 6:00-8:00 pm 6:00-8:00 pm 6:00-800 pm 1:00-3:00 pm Monday, March 30, 2015 Monday, April 20, 2015 Monday, May 11, 2015 Monday, June 29, 2015 6:00-8:00 pm 6:00-8:00 pm 6:00-8:00 pm 6:00 -8:00pm