New STUDENT REGISTRATION FORM

P.O. Box 1250, Siksika, AB T0J 3W0 | Phone: (403) 734-3862 | Toll Free: 1-888-734-3862 Website: www.oldsuncommunitycollege.ca

Program

Copy of government ID/Status Card

Registration Date

Alberta Education Student Identification No

New or Continuing Student

Band: (if not a Band member, NA)

Band No.: (or NA)

First Name

Middle Name

Last Name

Student also known as (if applicable)

Birth Date

Gender

Marital Status

If Married or Common Law, is the Spouse Employed or Unemployed

Number of Dependents

Street

City

State/Province

Zip/Postcode

Home Phone

Cell Phone

Work Phone

Personal Email Address

Contact Name

Relationship

Home Phone

Cell Phone

Work Phone

Last Education Institute Attended

NOTE: A copy of the latest transcripts is required before your application will be processed.

Highest Level of Education

High School Diploma:

Yes No Not Selected

If "yes", year of graduation:

Credits Received to Date