Jane Norman College Application Form

Program

Please select a Program*

Full Time - Early Childhood Education Diploma
Full Time - Teacher Assistant Certificate
Full Time - Youth Worker Diploma
Part Time - Early Childhood Education Diploma
Part Time -Teacher Assistant Certificate
Part Time -Inclusion & Intervention Diploma
Part Time -Professional Development

Location (Part-time programs)

Course(s)# (Part-time programs)

Personal Information

Name*

First Middle Last

Email*

Phone*

Your Address

Country*

State / Province*

State / Province / Region*

Address*

Street Address Address Line 2 City ZIP / Postal Code

Date of Birth

Country of Citizenship*

Maiden Name (if applicable)

Do you have a physical or learning condition for which you will require special services?*

Yes
No

(if YES, please specify. Please include any relevant documentation)

High School Education

Current or last high school attended: (an official transcript of grade 10, 11 and 12 must be submitted along with a photocopy of high school diploma when completed)

Name of High School*

Address of High School*

Is school sending transcript?

Yes
No

Post Secondary Study Institution

Post Secondary Study Institute

Program and Date Attended

Diploma/ Degree

Please indicate where you obtained our program information

Career Day
Guidance Counsellor
Website
Other

Application Information

Documentation: Current High School Students: Conditional acceptance can be made with a transcript identifying mid-term marks but the final high school transcript and a copy of the completion certificate/high school diploma must be received prior to official acceptance. High School Graduates/GED Holders: If you have your high school diploma or have passed the grade 12 equivalency GED test your high school transcript or other academic upgrading. Alternate Admission: Students under an alternate admission policy, and without a high school diploma or GED, are considered Mature Students. Contact Jane Norman College Student Services for more information.

Application Fee: All applications must be accompanied by a non-refundable $20.00 processing fee. Payment may be made by cash, money order, Interac Debit, VISA or MasterCard at the College. E-transfer payments are also accepted, please contact College for further details. Please make money orders payable to the 'Jane Norman College'. (Please note that professional development students do not submit a $20.00 processing fee).

Disclaimer: It is the responsibility of each applicant to ensure that all supporting documents are submitted with their application. Documents submitted become the property of the College and will not be returned. Only those applications that are received with all required information will be reviewed. Notification of acceptance is normally issued within several weeks.

Privacy Statement: Jane Norman College is committed to collecting, using, and disclosing personal information responsibly and only to the extent necessary for the services we provide. Jane Norman College is open and transparent in its handling of personal information. The Privacy Statement of Jane Norman College in its entirety is available upon request or refer to the Policy Section or in the Jane Norman College Student Manual at www.janenorman.ca.

Declaration: Please read the following before submitting the application. By submitting this application form, I certify that the application information is complete and that I have been informed that should my application be accepted, I will be required to submit final transcripts and confirmation of high school completion along with copies of current Child Abuse Registry, Criminal Record and Vulnerable Sector checks. These are all mandatory documents that will be required and reviewed in order to receive an official acceptance. The submission of any false statements or documents will result in immediate and permanent cancellation of admission or registration to the Jane Norman College.

Provincial Registration:
Jane Norman College is a registered private career College with the Nova Scotia Department of Labour and Advanced Education.

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