FULL TIME - DIPLOMA PROGRAMS
Accounting Management
Policing & Security
Paralegal/Legal Assistant
Administrative Assistant
Network Systems Administrator
Business Management
Medical Administrative Assistant
Dental Administrative Assistant
Medical/Dental Administrative Assistant
Early Childhood Education
Educational Assistant
Early Childhood Education/Educational Assistant
Personal Support Worker
Computerized Office Administration
PART 1 - PERSONAL INFORMATION
Last Name:
*
First Name:
Mr
Ms
Mrs
*
Middle Name(s):
*
Phone Number:
(include area code) *
Cell Number:
(include area code)
Email Address:
*
Gender:
Male Female *
Birth Date:
(DD/MM/YYYY) *
MAILING ADDRESS
No. and Street:
*
City:
*
Province/State:
Alberta (AB)
British Columbia (BC)
Manitoba (MB)
New Brunswick (NB)
Newfoundland and Labrador (NL)
Northwest Territories (NT)
Nova Scotia (NS)
Nunavut (NU)
Prince Edward Island (PE)
Saskatchewan (SK)
Ontario (ON)
Quebec (QC)
Yukon (YT)
Alabama (AL)
Alaska (AK)
Arizona (AZ)
Arkansas (AR)
California (CA)
Colorado (CO)
Connecticut (CT)
Delaware (DE)
District of Columbia (DC)
Florida (FL)
Georgia (GA)
Guam (GU)
Hawaii (HI)
Idaho (ID)
Illinois (IL)
Indiana (IN)
Iowa (IA)
Kansas (KS)
Kentucky (KY)
Louisiana (LA)
Maine (ME)
Maryland (MD)
Massachusetts (MA)
Michigan (MI)
Minnesota (MN)
Mississippi (MS)
Missouri (MO)
Montana (MT)
Nebraska (NE)
Nevada (NV)
New Hampshire (NH)
New Jersey (NJ)
New Mexico (NM)
New York (NY)
North Carolina (NC)
North Dakota (ND)
Ohio (OH)
Oklahoma (OK)
Oregon (OR)
Pennsylvania (PA)
Puerto Rico (PR)
Rhode Island (RI)
South Carolina (SC)
South Dakota (SD)
Tennessee (TN)
Texas (TX)
Utah (UT)
Vermont (VT)
Virginia (VA)
Virgin Islands (VI)
Washington (WA)
West Virginia (WV)
Wisconsin (WI)
Wyoming (WY)
Other
*
If Other:
Postal Code:
*
Country:
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Barbuda
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire
Botswana
Brazil
British Virgin isl.
Brunei
Bulgaria
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Rep.
Chad
Channel Islands
Chile
China
Colombia
Congo
Cook Islands
Costa Rica
Croatia
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faeroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Great Britain
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Irak
Iran
Ireland
Ireland, Northern
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kuwait
Kyrgyzstan
Latvia
Lebanon
Liberia
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar/Burma
Namibia
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Reunion
Rwanda
Saba
Saipan
Saudi Arabia
Scotland
Senegal
Seychelles
Sierra Leone
Singapore
Slovak Republic
Slovenia
South Africa
South Korea
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tanzania
Thailand
Togo
Trinidad-Tobago
Tunisia
Turkey
Turkmenistan
United Arab Emirates
U.S. Virgin Islands
U.S.A.
Uganda
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wales
Yemen
Zaire
Zambia
Zimbabwe
*
PART 2 - HIGH SCHOOL ATTENDANCE
High School Attended for Grade 12/Senior Year:
Province and/or Country:
Graduation Date or Last Date Attended:
(DD/MM/YYYY)
PART 3 - COLLEGE/UNIVERSITY ATTENDANCE INFORMATION
Have you attended college/university before:
Yes No
ALL APPLICANTS
Confirmation of Acceptance
Upon receipt of this application and a current transcript of your marks, Atlantic Business College may contact you for an interview.
The steps to complete your acceptance into a program are as follow:
1. Receipt of an acceptance letter and a confirmation of acceptance form provided by the College.
2. The signed Confirmation of Acceptance form must be returned to the college with a non-refundable registration fee of $100.00. Payment should be made in cash, cheque, or money-order.
Refund Policy
In accordance with the Private Occupational Training Act, if students receive instruction in any quarter they are responsible for all tuition up to the end of that quarter.
Notice of Withdrawal
Notice of withdrawal must be submitted, IN WRITING, to Atlantic Business College.
ABOUT ATLANTIC BUSINESS COLLEGE
Where did you hear about Atlantic Business College?
family
friends
billboard
radio
newspaper
promotional
material
teachers/guidance
counselor
university
rep/college fair
alumni
internet/website
TV
CONFIRMATION
*
I hereby certify that all of the above information provided in this application
is complete and correct and I authorize the College to verify any information provided
as part of this application. I understand that withholding relevant information
or falsification of information in this application or submitted with it may be
considered grounds for non-admission, or after admission, grounds for dismissal.
I agree that details concerning any falsification of information may be provided
to other institutions including the Association of Universities and Colleges of
Canada in accordance with the Freedom of Information and Protection of Privacy Act.
I agree to follow and be bound by the provisions of the Calendar, and the regulations
of the College, including any revisions, deletions, or additions made to them in
the future.
Name:
*
(I have read the information and instructions for this application)
Date:
(DD/MM/YYYY) *
Comments:
Please indicate preferred method of contact:
Email
Phone
Cell
Text Msg.
Service Provider:
Verification:
*
* denotes a required field