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Domestic Student Application

International Student Application

First name

Last name

Date of Birth

Phone

Street Address

City

Province

Postal Code

Emergency Contact

First name

Last name

Relationship

Street Address

City

Province, State, Region

Postal Code, ZIP

Phone

Program Information

Start Date

Preffered study time

Online (blended)

Weekend

Weekday

Evening

Required Information

Attach 2 government ID

Choose File

Attach school transcripts

Choose File

I declare that the above information is true and correct. I understand that any false information submitted in support of my application may invalidate my application and result in withdrawal of a 'Letter of Acceptance and or Registration. I am authorizing CHBC representative or designate to assist or even to apply my loan to the Alberta Student Aid on my behalf I am willing to share my information to the College or designate. (Electronic Signature Acceptable)

Your Signature

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