A P P L I C AT I O N F O R A D M I S S I O N

Lethbridge College Programs• Academic Upgrading• Administrative Office Professional Certificate • Agricultural and Heavy Equipment

Technician Certificate • Agriculture Sciences:

• Agronomy Diploma• Agriculture Business Diploma• Animal Science Diploma

• Agriculture Technology - Bachelor of (Pending government approval for 2021)

• Architectural Animation Technology Diploma• Automotive Systems Certificate• Business Administration:

• General Diploma • Accounting Diploma • Management Diploma • Marketing Diploma

• Child and Youth Care Diploma• Civil Engineering Technology Diploma• Commercial Vehicle Enforcement Certificate • Computer Information Technology Diploma

• Conservation Enforcement –Bachelor of Applied Science

• Correctional Studies Diploma• Criminal Justice – Policing Diploma• Culinary Careers Diploma• Digital Communications and Media Diploma• Early Childhood Education

Certificate and Diploma• Ecosystem Management – Bachelor of

Applied Science• Educational Assistant Certificate and Diploma• Engineering Design Technology Diploma• Environmental Assessment and

Restoration Diploma• Exercise Science Diploma• General Arts and Science

• English Diploma• Indigenous Career Pathways Certificate • General Diploma• Psychology and Sociology Diploma

• Geomatics Engineering Technology Diploma

• Health Care Aide Certificate • Interior Design Technology Diploma• Justice Studies – Bachelor of Applied Arts • Massage Therapy Diploma• Medical Device Reprocessing Certificate • Multimedia Production Diploma• Natural Resource Compliance Diploma • Nursing, Bachelor of – After Degree

(Must apply directly to the U of L)• Nursing, Bachelor of

(Must apply directly to the U of L) • Pathway to English and Academic Culture• Police Cadet Training Certificate• Practical Nurse Diploma• Renewable Resource Management Diploma• Therapeutic Recreation –

Gerontology Diploma • Unit Clerk Certificate• Virtual and Augmented Reality Certificate • Wind Turbine Technician Certificate

– Refer to website for current program listing

• Correctional Studies Diploma• Criminal Justice – Policing Diploma• Early Childhood Education

Certificate and Diploma

• Educational Assistant Certificate and Diploma • Justice Studies – Bachelor of Applied Arts • Therapeutic Recreation

– Gerontology Diploma

ONLINE PROGRAMS

Other Lethbridge College programs offer a variety of online courses in addition to those listed above. Consulting with a School Chair or Academic Advisor is important to ensure the best course selection to meet your career goals. Please call 403.320.3323 for more information.

WHEN TO APPLYPlease see our Important Dates and Deadlines on our website for application opening dates. Applications and supporting documentation must be received no later than the day before the term begins. Some programs have limited enrolment so we recommend applying early.

ACADEMIC ADVISING – Phone 403.320.3200Lethbridge College offers academic advising. Services include:

• information on College programs and courses• assistance with course schedules• information on admission requirements• information on transferability of courses and programs• assistance with course selection and program planning• referrals and recommendations as needed• career planning

Appointments and drop in times vary so please call the above phone number. In some instances your questions can be answered by contacting advisor@lethbridgecollege.ca.

AWARDS AND GOVERNMENT STUDENT LOANS – Phone 403.320.3372Please refer to the Lethbridge College website for additional details on Lethbridge College awards and scholarships. The application is open from March 1 to July 1 for entrance awards and to May 1 for continuing awards annually. One electronic application is all that is required to be considered for any awards for which you are eligible.

Government student loans are available to anyone eligible. Apply to the province in which you have resided for the most recent 12 months as a non-post-secondary student. Applications are revised each year and typically open on their respective websites in June. To find the electronic loan application for your province, search the internet using the name of your province and the phrase “student loans.” If you have any trouble or questions, simply call the number above.

Upgrading students are not eligible for government student loans but may qualify for grant funding. Call 403.320.3334 for further information or email awards@lethbridgecollege.ca.

Tel. 403.320.3202 ext. 4903 Toll Free. 1.800.572.0103

Fax. 1.888.819.9803 lethbridgecollege.ca

CONTACT USAdmissions Office3000 College Drive South Lethbridge, AB • T1K 1L6

Tel. 403.320.3202 ext. 4903Toll Free. 1.800.572.0103

Fax. 1.888.819.9803lethbridgecollege.ca

Admissions Office3000 College Drive South • Lethbridge, AB • T1K 1L6 APPLICATION

FOR ADMISSION

LEGAL LAST NAME (SURNAME)

LEGAL FIRST NAME

LEGAL MIDDLE NAME(S) (IF APPLICABLE)

LIST ALL FORMER NAMES (IF APPLICABLE, I.E. MAIDEN NAME)

If you have previously applied under a former name, please attach a photocopy of supporting documentation such as a driver’s licence, birth or marriage certificate.

PERSONAL INFORMATION

STREET, AVENUE, P.O. BOX NUMBER

CITY OR TOWN

PROVINCE / STATE

POSTAL CODE / ZIP COUNTRY

EMAIL ADDRESS

HOME PHONE CELL PHONE

MAILING ADDRESS

NAME

RELATIONSHIP

PHONE NUMBER

EMERGENCY CONTACT

You are required to list at least one emergency contact who we may call if a situation occurs where your safety is at risk. In the event of concerning or worrisome behaviour, unresponsiveness or incoherence, potential harm to one’s self or another, or a life-threatening medical need, Lethbridge College will contact the person listed. We encourage you to provide information for a person whom you have a close relationship with, who could make themselves available to offer support and assistance to you during any time of need. More than one contact can be listed. If you have a parent/guardian/spouse who would be unable to respond quickly due to physical distance, you are encouraged to also include contact information for someone closer in distance.

LC STUDENT ID (leave blank if ID is not known)

S

HOME COMMUNITY (I.E. BAND OR SETTLEMENT)

Métis Inuit

INDIGENOUS SELF-DECLARATIONIf you wish to declare that you are an Indigenous person, please specify:

Alberta Advanced Education is collecting this personal information pursuant to section 33(C) of the FOIP Act as the information relates directly to and is necessary to meet its mandate and responsibilities to measure system effectiveness over time and develop policies, programs and services to improve Indigenous Learner success. For further information or if you have questions regarding the collection activity, please contact the Office of the Director, Business Operations and Reporting, Post-secondary Excellence Division, Alberta Advanced Education and Technology, 10155-102 Street, Edmonton AB, T5J 4L5, (780) 427-7145 or the Lethbridge College Registrar’s Office at (403) 394-7371.

Status Indian/ First Nations

Non-Status Indian / First Nations

Refugee

CITIZENSHIP STATUS

IF NOT CANADIAN,DATE OF ENTRYINTO CANADA

COUNTRY OFCITIZENSHIP

FIRST LANGUAGE SPOKEN

CITIZENSHIP

Student Visa

Canadian Citizen

Permanent Resident/ Landed Immigrant

Other Visa(e.g. work visa)

ADDITIONAL INFORMATION

BIRTHDATE

GENDER

Male Other (x)Female

ACCESSIBILITYOur Accessibility Services office supports individuals with learning or physical disabilities, sensory impairments, ADD or ADHD, and chronic or mental health conditions. Do you believe you may require consultation, accommodations, and/or support in classroom, exam or practicum settings?

NoYes

PARENTAL EDUCATIONHave either of your parents/guardians attended a university or college?

You may choose to indicate whether one or more of your parents/guardians have attended a post-secondary institution. You are not required to provide this information, and your choice will not affect your admission decision. This information will be used to inform the possible development of services and supports for first-generation students.

NoYes

APPLICATION INFORMATION

PROGRAM CHOICE

SESSIONAPPLIEDFOR

YEAR OFENTRY

CAMPUS APPLYING FOR

WHAT INFLUENCED YOU TO APPLY?

Winter

Fall

Spring 0 Y Y2

Year 1 Year 2 Year 3 Year 4

Other, please specify ____________________________________

Lethbridge College main campus Online Delivery

/ /Y Y Y M M D DY

/ /Y Y Y M M D DY

ALBERTA STUDENT NUMBER (ASN)

OBTAINING YOUR TRANSCRIPTSTranscripts from schools you have previously attended form part of your application to Lethbridge College. Lethbridge College is able to obtain transcripts electronically from Alberta Education and other institutions who participate in the Alberta Post-Secondary Application System (ApplyAlberta). Please arrange for all other transcripts to be mailed to Lethbridge College Admissions Office. If you decide you do not want Lethbridge College to use the ApplyAlberta electronic process, you will need to make arrangements to have your transcripts forwarded by contacting the institutions you have attended.By signing below, I acknowledge that I:

• Consent to have Alberta Education and other Alberta Post-Secondary institutions, which I have indicated I have attended and who participate in ApplyAlberta,to send Lethbridge College electronic copies of my transcripts.

• Authorize Lethbridge College to collect electronic copies of my transcripts from Alberta Education and the other ApplyAlberta institutions that I indicated I have attended.• Authorize Lethbridge College to send a copy or record of this consent to any of the ApplyAlberta participating institutions from whom Lethbridge College will

be collecting my transcripts.

I certify that I have read and understood all the instructions and information accompanying this application form. I declare that the information given in this application and that all statements made in connection with this application are true and complete. I understand that falsifying documents or information on this application may result in my not being admitted into the program or the College, or permanent dismissal from the College. If admitted, I agree to comply with the rules and regulations in existence or as amended from time to time by the Board of Governors of Lethbridge College.

SIGNATURE ________________________________________________ DATE _____________________________________________________

DISCLAIMERThe personal information requested on this form is collected under the authority of the Freedom of Information and Protection of Privacy Act (Alberta), section 33(c) and is protected by Part 2 of that Act. Your information will be used for administrative purposes associated with processing and managing your application for admission and uses consistent with this purpose. Information provided may be disclosed within Lethbridge College or to external agencies as necessary to fulfill the purpose of collection, facilitate the delivery of college programs/services and to meet legislative requirements. Please direct questions about the collection, use, disclosure or protection of the personal information being collected on this form to the college’s Manager of Institutional Compliance by phoning (403) 320-3202 ext. 5703, emailing privacy@lethbridgecollege.ca, or writing to 3000 College Dr S, Lethbridge, Alberta T1K 1L6 c/o Manager of Institutional Compliance.

Rev. 2021/02

HIGH SCHOOL EDUCATION

HIGH SCHOOL LAST ATTENDED

LOCATION

YEARS ATTENDED

HIGHEST GRADECOMPLETED

DIPLOMA RECEIVED / EXPECTED

TRANSCRIPTS

Yes No

Enclosed Forthcoming

PAYMENT INFORMATIONPlease enclose a $100 non-refundable processing fee.If you wish to pay the processing fee by credit card, please complete the following:

CARD TYPE

CARD NUMBER

EXPIRY DATE SECURITY CODE (ON BACK OF CARD)

PRINT NAME OF CARDHOLDER CARDHOLDER SIGNATURE

Visa Mastercard

POST-SECONDARY EDUCATIONIf you have attended more than one post-secondary institution, please attach a listing with the same information as below.

COLLEGE, TECHNICAL INSTITUTEOR UNIVERSITY ATTENDED

LOCATION

YEARSATTENDED

PROGRAM

CREDENTIAL RECEIVED / EXPECTED

IF YES, PLEASESPECIFY CREDENTIAL

DATEAWARDED

TRANSCRIPTS

Yes No

Enclosed Forthcoming

M M Y Y MFrom: To:/ M Y Y/

M M Y Y MFrom: To:/ M Y Y/

/ /Y Y Y M M D DY

M M Y Y/