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 you application to be assessed for admission we require a $125 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 by mail, over the phone or in person, please download the paper application form. 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 firstname.lastname@example.org. Personal Information First name Middle Name Last name Your email address Country of Citizenship - Select -AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCanary IslandsCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicCeuta and MelillaChadChileChinaChristmas IslandClipperton IslandCocos [Keeling] IslandsColombiaComorosCongo - BrazzavilleCongo - KinshasaCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d’IvoireDenmarkDiego GarciaDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong Kong SAR ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacau SAR ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmar [Burma]NamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorwayOmanOutlying OceaniaPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaSão Tomé and PríncipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Outlying IslandsU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis and 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 internatonal programs at Great Plains College require an overall minimum IELTS score band 6.0 with a minimum of 6.0 in each component. You will be required to provide language proficiency testing results in order to be admitted. What is your first language? Date of birth Gender Female Male 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 - Select -High SchoolAdult UpgradingGEDPost-secondary High School Name of last high school attended City/Town Province/State Country Are you still attending? - None -NoYes Most recent grade completed - None -123456789101112 Year (to be) completed Year Year20212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939 Adult Upgrading Location Grade - None -9101112 Year completed Year Year20212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939 General Educational Development Location Grade - None -9101112 Year completed Year Year20212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939 Post-secondary Post-secondary (College/University/Other) school attended Year completed Year Year20212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939 Degrees/diploma/certificate obtained Planned Program of Study Program name and location - Select -Administrative Assistant – Swift CurrentBusiness Certificate - Swift CurrentBusiness Certificate – Warman Year in which you will attend your program - Select -2018-192019-202021-222020-212022-232023-24 Other Information What agency did you submit your application to? What is the name of the agent you have been dealing with? The Great Plains College SunDogs compete out of Swift Current Campus in men's and women's volleyball. Are you interested in joining a team? - Select -Not applicableI AM interested in playing volleyball for the SunDogsI AM NOT interested in playing volleyball for the SunDogs 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 The information on this form is collected under the legal authority of the Regional Colleges Act 1988 and the Local Authority Freedom of Information and Protection of Privacy Act. The information is used for administrative and statistical purposes by Great Plains College and-or Ministries and Agencies of the Saskatchewan Government and the Government of Canada. After completing a program, information you provide here may be shared with a third party consultant for the sole purpose of contacting you for a student follow-up survey we are required to conduct for the Ministry of Advanced Education. Great Plains College is committed to linking students to employment; therefore, we will use the information provided to forward relevant employment opportunities. In addition, if you are receiving funding for this program, information about your performance in the program may be released to the agencies responsible for providing the funding to you. Your signature on this form authorizes sharing of information for these purposes. If you have any questions about the collection or use of this information, please contact the Great Plains College Privacy Officer at (306) 778-5490 or check the "Please do not use my personal image and information for marketing and promotional purposes" box below. 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 $125 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. I hereby certify that all the information provided is true and complete. I understand that false information may result in the cancellation of my status as a registered student. I have read and understand the college’s statements on Consent to Use Personal Image and Information and Privacy. I agree to abide by the rules and regulations of the institute, including the payment of fees. Terms and Conditions Agreement I agree to all terms and conditions I do not agree to all terms and conditions Please indicate what you do not agree to. Comments or Questions Do you have any questions or concerns?