You must have JavaScript enabled to use this form. 1 Application Form 2 Transcripts 3 Payment 4 Confirmation Application Process 1 Online Application Only after you submit your application will it be available for review by our admission staff. Please note that it will not be processed until we receive transcripts. 2 Transcripts In order for your application to be assessed for admission we require your official high school and/or post-secondary transcripts. If you are presently in high school you must provide a preliminary statement of high school marks signed by a school official. You have the option of doing so by mail, or in person. 3 Fee Payment In order for your application to be assessed for admission, we require a $75.00 CAD non-refundable application fee payable to Great Plains College. This fee applies to all post-secondary programs, with the exception of University. There is no application fee required for the University program. In order to complete this online application, you must pay online with Visa or Mastercard at the end of this application. If you wish to pay by mail, over the phone, or in person, please download the paper application form. 4 Confirmation After we receive your online application, transcripts and application fees, we will be able to process your application. You will receive a confirmation email and will be contacted within three business days of your application being successfully processed. If you have applied to a program and have NOT been contacted by a student adviser, please immediately contact the location you have applied to. Personal Information First name Middle Name Last name Preferred/Chosen Name Previous or maiden name Your email address Citizenship Citizenship status - Select -Canadian CitizenPermanent residentTemporary residentStudent permitOther If you are not a naturalized Canadian citizen you will need to provide a copy of your visa. If you are on a study permit, you are required to use the international online application form. Please indicate other citizenship status. Other Citizenship Arrival date Arrival date in Saskatchewan Visa expiry date If you have taken language training, do you have your assessment card stating your current language level? - None -YesNo Social Insurance Number Great Plains College collects your Social Insurance Number for the purpose of issuing tax receipts. Health Card Number Date of birth Gender Female Male Other Prefer not to disclose Contact Information Mailing Address City/Town Province Postal code Primary contact phone number Emergency Contact Information Emergency contact name Emergency contact relationship Emergency contact phone number Planned Program of Study Please ensure the program you have chosen is being offered at your selected location. Visit https://www.greatplainscollege.ca/programs-courses to confirm. Program name - Select -Administrative Assistant Adult 10 & GEDAgricultural Science CertificateBachelor of Science in NursingBusiness Certificate Business Diploma in ManagementCertificate in Occupational Health, Safety and Environmental SystemsChild and Youth CareContinuing Care Assistant (CCA)Diploma in Safety, Health and Environmental ManagementEarly Childhood EducationElectricianEssential Skills for EmploymentEssential Skills for Newcomers - Early Childhood EducationEssential Skills for Newcomers - Introduction to Continuing Care AssistantGrade 12 & UpgradingHeavy Equipment Operator (HEO)Hotel and Restaurant ManagementMaster of Business Administration in Community Economic Development Power Engineering - Fourth ClassPower Engineering - Third ClassPractical NursingPre-NursingProduction Line WeldingUniversity OfferingsWelding Location of Program - Select -Beechy BiggarBLENDED ONLINE/LIVEColevilleEatoniaEstonFox ValleyFrontierGravelbourg Gull LakeKincaidKindersleyLeaderMacklinMaple CreekMartensvilleOn DemandOnlineOutlookPonteixPrelate/LeaderRosetownShaunavonSwift CurrentWarmanWhitecap Dakota First Nation Full-time/Part-time student Full-time Part-time Year in which you will attend your program Previous Education Reminder: Your online application is incomplete and cannot be considered until an official transcript is received. Previous Education High School Adult 12 GED Post-secondary High School Name of last high school attended City/Town Province Country Are you still attending? - None -YesNo Most recent grade completed - None -123456789101112 Year (to be) completed Year (to be) completed: Year Year20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944 Adult 12 Name of last school attended City/Town Province Country Are you still attending? - None -YesNo Most recent grade completed - None -123456789101112 Year completed Year completed: Year Year20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944 Adult Upgrading Location Grade - None -9101112 Year completed Year completed: Year Year20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944 GED Location Grade - None -9101112 Year completed Year completed: Year Year20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944 Post-secondary Post-secondary (College/University/Other) school attended Year completed Year completed: Year Year20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944 Degrees/diploma/certificate obtained Great Plains College Scholarships Students accepted into full-time post-secondary programs at Great Plains College are considered for a scholarship with this application. Your transcripts from your most recently completed education (stated above) are required. Adult Basic Education is considered a secondary program and ABE students (Adult 10/GED, Essential Skills, Grade 12/Upgrading) are not eligible for Great Plains College scholarships. You must apply by the following dates to be considered for a scholarship: October 31 - late fall and winter program start dates February 28 - spring program start dates April 30 - September program start dates June 30 - Early Entrance Award (Grade 11) Other Information Providing the following information will help determine if you are eligible for various funding options. Marital Status - Select -Prefer Not To AnswerSingleMarriedCommon-LawDivorcedWidowedSeparated Number of dependents - Select -012345+ Education equity/ancestry - Select -Not applicablePrefer not to answerMétisNon-StatusTreaty/Registered Status IndianInuitVisible Minority Visible minority may include people other than Aboriginal or Caucasian individuals who are of African, Chinese, Filipino, Japanese, Korean, Pacific Islander, East Asian, Southeast Asian, West Asian, Arab or Latin American ancestry. Are you a newcomer to Canada (within the last 10 years)? - Select -YesNo Education equity/disability - Select -Not applicableI have a disability and may need assistance to participate in my programI may benefit from additional academic support I have received Employment Insurance benefits in the last three years - Select -YesNo If yes, what year? I have received maternity benefits in the last five years - Select -YesNo If yes, what year? I will be sponsored by the following agencies (check all that apply) None Employment Insurance Social Assistance/Education and Training Incentive (ETI) Skills Training Benefits Workers' Compensation Student Loans Workforce Development for Persons with Disabilities Aboriginal Affairs and Northern Development Other (please indicate and fill in the 3 fields below) Name of agency Name of agency contact Phone number City of Swift Current Sunshine Club Scholarship - Select -Not applicableI am an employee of the City of Swift CurrentI am the spouse of an employee of the City of Swift CurrentI am a son/daughter of an employee of the City of Swift Current Terms and Conditions Privacy In accordance with applicable laws, Great Plains College collects, uses and discloses your personal information to carry out its operations and to provide services to you (for example, to provide you with academic programming and other related services) in accordance with its Privacy Policy. For more information about how we collect, use and disclose your personal information, please see our Privacy Policy or contact Great Plains College’s Privacy Officer (by mail at: 129 2nd Ave NE, Swift Current, SK, S9H 2C6, or by email). Consent to Use Personal Image and Information This form authorizes Great Plains College to use your personal image and limited personal information for marketing and promotional purposes related to the college. These may include, but are not limited to, brochures, newspaper and website advertising, television, radio and multimedia productions for Great Plains College. A personal image may include photographs and audio or video recordings. Personal information may include your testimonial, college program and location and year of graduation. This activity is conducted under the authority of the Regional Colleges Act 1988, which mandates the provision of adult education programs and services to the residents of Saskatchewan. Your personal image and information will be used in a manner consistent with the privacy provisions of the Local Authority Freedom of Information and Protection of Privacy Act. To request your image and information not be used as outlined above, please phone the Communications Unit at 1(866) 296-2472 extension 5475. Registration Your application is not considered complete until Great Plains College receives your required education transcripts and a non-refundable $75.00 CAD application fee. Please include any other relevant documents required. A Great Plains College representative will contact you within 2 business days. If you have not been contacted in that time, or if you have any questions about your application, please contact Great Plains College (information listed below). Please advise Great Plains College of any future changes of address or status, or if you wish to withdraw your application. Please do not use my personal image and information for marketing and promotional purposes. Terms and Conditions Agreement In order to submit your application to Great Plains College, you must agree with all of the following terms and conditions. If you have questions about any of these statements, please contact the college by email. I have read and understand the college’s statements on “Privacy” and “Consent to Use Personal Image and Information.” I acknowledge that I have read Great Plains College’s Privacy Policy and I consent to Great Plains College’s collection, use and disclosure of my personal information, as outlined above. I hereby certify that all the information on this form is true and complete. I understand that false information may result in cancellation of my admission or status as a registered student and/or scholarship/award recipient. I agree to abide by Great Plains College rules and regulations, including payment of fees. 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