Applicant Information

Last Name *

First Name *

Middle Name

Birthday *

Street Address

City

Province

Postal Code

Telephone Number:

Email:

Status in Canada
CitizenPermanent ResidentStudy PermitVisitor VisaOther

Required DOC
Government ID (front and back)Alberta Student Enrolment Contract (signed and initialed) *Lang TestStudent PolicyAdmissionHighschool Diploma*

Gender
MaleFemale*

SIN# :

ASN# :

Program Information

Program of interest*—Please choose an option—ACCOUNTING AND PAYROLL ADMINISTRATIONHUMAN AND COMMUNITY SUPPORT SERVICESBUSINESS AND COMPUTER INFORMATION TECHNOLOGYPHARMACY ASSISTANTMEDICAL UNIT CLERKMASSAGE THERAPYFINANCIAL SERVICES (CIFP)COSMETOLOGY AND HAIR STYLING

Education History

Date Completed /last attended High School (Month/Year):

How did you hear about us?

Name/Source

Telephone *

Email

Emergency Contact

Full Name

Relationship

Telephone

Postal Code

Address

Policies

Withdrawal and Fee Refund Policy

The withdrawal notice by a student shall be in an Hamptons College Students Program Withdrawal Form which is available at the Students Services Office. The tuition fee should be assessed and refunded to the government as per policy and the signed Alberta Student Aid Enrolment Contract.

Refund Process

Refunds will be processed within 30 days of withdrawal to the funding agency. The appropriate form must be completed and submitted to the Office of the Registrar. All tuition fees, payments and refunds are assessed in accordance with the guidelines outlined by the Private Career College Branch of Alberta Ministry of Advanced Education.

Attendance policy

Students are expected to attend all classes, labs, practicums etc., in which they are registered. Daily attendance records are kept on our LMS uptil six months after the program completion. Please note that the government has the right to revoke financial assistance based on poor attendance and/or academic performance and ur unable to join the class, the student should informed in wrting to the School /
Admin / Teacher.

I hereby agreed and disclose my above information and give consent to disclose to Student Aid when required.

****For detailed policies please refer to our Website / Student Handbook / LMS or contact finance department. ****

Disclaimer and Signature

By signing this form, I agree that the institution provided me enough information about the program, policies & procedures.

I read and understand school policiies, and handbook. I got enough inromation during the meeting/orientation with School.

I declare that I am taking this program for my knowledge and not for my Job/ career change.

I do authorize the school to have the tuition fee on approval from Student Aid directly for my program of studies.

I do responsible to take my regular classes and comply with 20 a week.

All the information provided on the admission form are accurate to the best of my knowledge.

Applicant’s Signature

Date