1 Application Form 2 Supporting Documents 3 Confirmation Application Process 1 Online Application Only after you submit your application will it be available for review by our admission staff. It will not be processed until we receive the supporting documents and application fee. 2 Supporting Documents In order for your application to be assessed for admission, we require: High school and/or post-secondary transcripts A copy of your passport IELTS resultsYou may upload these documents during the application process. IF your IELTS results are not currently available, please be prepared to provide your scheduled IELTS test date. 3 Fee Payment & Acceptance In order for your application to be assessed for admission we require a $140 non-refundable application fee payable to Great Plains College. In order to complete this online application, you must pay online via Flywire at the end of this application. If you wish to pay over the phone, please call +1-306-773-1531 or if you wish you pay in person, please stop by the campus to which you are applying. After we receive your online application, supporting documents and application fee, you will receive a confirmation email and will be contacted within two business days of your application being successfully processed. If you have applied to a program and have NOT been contacted, please call 1 (866) 296-2472 or email us at international@greatplainscollege.ca. Personal Information First name Middle Name Last name Your email address Country of Citizenship - Select -AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua & BarbudaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia & HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCanary IslandsCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicCeuta & MelillaChadChileChinaChristmas IslandClipperton IslandCocos (Keeling) IslandsColombiaComorosCongo - BrazzavilleCongo - KinshasaCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d’IvoireDenmarkDiego GarciaDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard & McDonald IslandsHondurasHong Kong SAR ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SAR ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmar (Burma)NamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorth MacedoniaNorwayOmanOutlying OceaniaPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia & South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSt. BarthélemySt. HelenaSt. Kitts & NevisSt. LuciaSt. MartinSt. Pierre & MiquelonSt. Vincent & GrenadinesSudanSurinameSvalbard & Jan MayenSwedenSwitzerlandSyriaSão Tomé & PríncipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad & TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks & Caicos IslandsTuvaluU.S. Outlying IslandsU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis & FutunaWestern SaharaYemenZambiaZimbabweÅland Islands If you have taken language training, do you have your assessment results stating your current language level? Yes No *Please note that all international programs at Great Plains College require an overall minimum IELTS score band 6.5. You will be required to provide language proficiency testing results in order to be admitted. If no, when is your language assessment scheduled? What is your first language? Date of birth Gender Female Male Other Prefer not to disclose Contact Information Permanent address City/Town Province/State Country Postal code Primary phone number Cell/alternate phone number Emergency Contact Information Emergency contact name Emergency contact relationship Emergency contact phone number Emergency contact email Previous Education Previous Education High School Adult 12 GED Post-secondary High School Name of last high school attended City/Town Province/State Country Are you still attending? - None -YesNo Most recent grade completed - None -123456789101112 Year (to be) completed Year (to be) completed: Year Year20252024202320222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943 Adult 12 Location Grade - None -9101112 Year completed Year completed: Year Year20252024202320222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943 General Educational Development Location Grade - None -9101112 Year completed Year completed: Year Year20252024202320222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943 Post-secondary Post-secondary (College/University/Other) school attended Year completed Year completed: Year Year20252024202320222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943 Degrees/diploma/certificate obtained Planned Program of Study Program name - Select -Administrative Assistant Adult 10 & GEDAgricultural Science CertificateBusiness Certificate Business Diploma in ManagementCertificate in Occupational Health, Safety and Environmental SystemsContinuing Care Assistant (CCA)Diploma in Safety, Health and Environmental ManagementEarly Childhood EducationElectricianEssential Skills - Early Childhood EducationEssential Skills for EmploymentEssential Skills for NewcomersEssential Skills for Newcomers - Early Childhood EducationEssential Skills for Newcomers - Introduction to Continuing Care AssistantGrade 12 & UpgradingHeavy Equipment Operator (HEO)Hotel and Restaurant ManagementPower Engineering - Fourth ClassPower Engineering - Third ClassPractical NursingUniversity OfferingsWeldingYouth Care Worker CertificateYouth Care Worker Diploma Location of Program - Select -Beechy BiggarColevilleEatoniaFrontierGravelbourg Gull LakeKINKincaidKindersleyLeaderMacklinMaple CreekMartensvilleOn DemandOnlineOutlookPonteixPrelate/LeaderRosetownShaunavonSwift CurrentWarmanWhitecap Dakota First Nation Full-time/Part-time student Full-time Part-time Year in which you will attend your program Other Information Indicate the agency that you are working with (indicate “none” if not working with an agent): What is the email address of the agent you have been working with? Note: this agent will be cc’ed on all communications. If applicable in your country, do you plan to apply for a visa through the Study Direct Stream? - Select -NoYesNot applicable 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, proof of English language proficiency and a non-refundable $140 application fee. Please include any other relevant documents required. A Great Plains College representative will contact you within two weeks of receiving your application. If you have not been contacted in that time, or if you have any questions about your application, please contact Great Plains College. 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. Comments or Questions Do you have any questions or concerns?