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 $55 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 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 Previous or maiden name Your email address Citizenship Citizenship status - Select -Canadian CitizenPermanent residentTemporary residentVisitor permitStudent permitOther If you are not a naturalized Canadian citizen you will need to provide a copy of your visa. 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 -NoYes Social Insurance Number Required to receive an Entrance Scholarship. Health Card Number Date of birth Gender Female Male Contact Information Street/Box Number City/Town Province Postal code Primary contact phone number Cell/alternate phone number Emergency Contact Information Emergency contact name Emergency contact relationship Emergency contact phone number Previous Education Reminder: Your online application is incomplete and cannot be considered until an official transcript is received. Previous Education High School Adult 12 Adult Upgrading GED Post-secondary High School Name of last high school attended City/Town Province Country Are you still attending? - None -NoYes Most recent grade completed - None -123456789101112 Year (to be) completed Year Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938 Adult 12 Name of last school attended City/Town Province Country Are you still attending? - None -NoYes Most recent grade completed - None -123456789101112 Year completed Year Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938 Adult Upgrading Location Grade - None -9101112 Year completed Year Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938 GED Location Grade - None -9101112 Year completed Year Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938 Post-secondary Post-secondary (College/University/Other) school attended Year completed Year Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938 Degrees/diploma/certificate obtained Planned Program of Study Program name - Select -Administrative Assistant Boom Truck, Crane & Hoist Operator (Pre-Employment) Business Certificate Business Diploma in AccountancyBusiness Diploma in Human ResourcesBusiness Diploma in ManagementCarpentry & Production Line WeldingCertificate in Health, Safety and Environmental ProcessesContinuing Care AssistantDiploma in Safety, Health and Environmental ManagementEarly Childhood EducationElectricianGrade 12 & UpgradingHeavy Equipment OperatorLiberal Arts CertificateMaster of Business Administration in Community Economic Development Power Engineering - Fourth ClassPower Engineering - Third ClassPractical NursingPre-12Social WorkUniversity OfferingsWeldingYouth Care Worker Location of program - Select -BiggarKindersleyMaple CreekRosetownSwift CurrentWarmanWhitecap Dakota First NationOther Please indicate the other location below. Full-time/Part-time student Full-time Part-time Year in which you will attend your program - Select -2017-182018-192019-202021-222020-212022-232023-24 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, Adult 12, GED) 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) Student Athletic Information Student Athletic Information - Select -Not applicableI AM interested in playing volleyball for the SunDogsI AM NOT interested in playing volleyball for the SunDogsI have already been in contact with the Athletics & Recreation Coordinator 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 answerAboriginalMetisNon-Status Indian - InuitVisible 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 -NoYes 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 -NoYes If yes, what year? I have received maternity benefits in the last five years - Select -NoYes If yes, what year? I will be sponsored by the following agencies (check all that apply) None Employment Insurance Social Assistance Provincial Training Allowance (PTA) 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 Innovation Credit Union Scholarship - Select -Not applicableI am a member of Innovation Credit UnionI am not a member of Innovation Credit Union 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 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 and a non-refundable $55 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. 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?