INTERNATIONAL STUDENT

APPLICATION GUIDE
Program Information and Send your application to:
Academic Advising Admissions & Registration
Assiniboine Community College
All prospective students are encouraged to contact the college to
1430 Victoria Avenue East
learn as much as possible about their program.
Brandon, Manitoba R7A 2A9
Student advisors are available to help you plan effectively to make the
Telephone: 204.725.8700 ext 4031
most of your college experience. They offer advice and information
Toll Free: 800.862.6307 ext 4031
in the areas of program planning, academic assessment, services
to students with disabilities, services to international students, and We do not accept faxed applications.
information on housing, childcare and other transition issues.
To contact Student Services:
When Should I Apply?
For most programs (those that do not involve special selection
Call 800.862.6307 ext 6639
procedures) individuals are admitted on a first qualified, first served
or 204.725.8723
basis. You qualify for admission to a program once you have met all
Email: [email protected].
admission requirements.
Available Programs We accept applications up to 12 months prior to the start date
of a program. We will acknowledge your application within two
For a list of programs available to international students, go to
weeks of receipt. If the program is full when you apply, your name
www.assiniboine.net/international.
will be placed on a waiting list, and you will be notified if space
becomes available.
How Do I Apply?
If there are more qualified applicants than seats in a program, those
Please submit the following for each program for which you are who are not accepted will have their names carried over to the next
applying. start date for that program.
1 Completed application form. The deadline for applications from international students
2 Non-refundable $150 application fee. We accept VISA, without a study permit is May 1. The deadline for applications
MasterCard, cheque or money order made payable to from international students with a study permit (valid
Assiniboine Community College. through September of your program start year) is August 1.
3 Academic transcripts.
You must submit an official original transcript from all educational Academic Requirements
institutions you have attended. Note: Scanned or photocopied Academic admission requirements printed in college calendars,
documents may be sent along with the application fee for an brochures and on the website present the minimum acceptable
initial assessment of your application (if your transcript has notes prerequisites for each program.
on the reverse side, remember to copy these as well).
Your transcripts must demonstrate equivalent education from your
Original transcripts then must be sent with the original home country. See www.assiniboine.net/international for more
application before we send you an acceptance letter. information.
(If you wish to have original copies returned to you, please send
a copy with your original. The original will be returned and the Special Selection Programs
copy will be retained for our files). For some programs, all applicants may be required to provide
If your transcripts are in a language other than English, the additional documentation, undergo testing, attend an orientation
transcript must be accompanied by an English translation and session, complete a home assignment and/or attend an interview.
include the credentials of the translator. Where testing is required there is an additional fee.
An application is not considered complete and will not be These special selection requirements ensure that you have the
processed until original official transcripts and application fees additional skills and abilities you need to succeed in the program.
are received. Special selection criteria are listed in the college calendar, brochures
and on our website.
4 Any other requested information (e.g. see Special Admissions
Assessment, International Students/Permanent Residents). Applications to these programs are not considered complete until
individuals have met all special selection requirements.
5 Proof of English Language Proficiency, if applicable. See next
page or www.assiniboine.net/elp for more information.
 INTERNATIONAL STUDENT
APPLICATION GUIDE
Financial Assistance Notice Regarding Collection, Use and Disclosure of Personal
At this time, Assiniboine Community College does not have any Information by the College
form of financial assistance for international students. The college collects personal information in the course of
admission, registration and related activities. This personal
English Language Proficiency information is collected under the authority of the Colleges Act.
English is the language of instruction and communication at ACC. It may be disclosed to other educational institutions, government
All applicants must demonstrate a command of English sufficient departments, co-sponsoring organizations, Assiniboine Community
to meet the demands of classroom instruction, discussions, and College Alumni Association and Assiniboine Community College
written assignments. All applicants who were educated outside of Students Association. Information regarding graduation and
Canada must include with their application one of the following as awards may be made public. Upon graduation, the students
proof of English language proficiency: name, address and credential information will be provided to and
maintained by the ACC Foundation and the Alumni Association, in
An acceptable score on a recognized test/program of English order to assist the colleges advancement and development efforts.
language proficiency, see www.assiniboine.net/elp for a list of Application data may also be used to conduct research into college
acceptable scores. OR enrolment and related statistical profiling and reporting activities.
Successful completion of two years of full-time study in an The Protection of Privacy provisions of The Freedom of Information
English language high school in Canada or a country on the and Protection of Privacy Act protect all personal information. If
test-exempt list. OR you have any questions about the collection of this information
Successful completion (minimum 2.0 GPA or C average) of contact the FIPPA/PHIA Coordinators Office, 1430 Victoria Avenue
one year of full-time study at a recognized post-secondary East, Brandon, Manitoba, Canada, R7A 2A9 204.725.8700 ext 6199.
institution in Canada or a country on the test-exempt list.
Notice of Disclosure of Personal Information to Statistics Canada
Declaration of Waiver Statistics Canada is the national statistical agency. As such, Statistics
Canada carries out hundreds of surveys each year on a wide range
The information in this application is accurate as of September 2013.
of matters, including education. It is essential to follow students
The college does its best to update program information regularly so
across time and institutions to understand, for example, the factors
applicants are not inconvenienced. However, on occasion, changes
affecting enrolment demand at post-secondary institutions. The
do occur. Therefore, the college reserves the right to modify or
increased emphasis on accountability for public investment means
cancel any program, option, course, program objective, articulation
that it is also important to understand outcomes. In order to carry
agreement, fee, timetable, or campus location without notice or
out such studies, Statistics Canada asks all colleges and universities
prejudice. Please visit our website www.assiniboine.net for complete
to provide data on students and graduates. Institutions collect and
and up-to-date program information.
provide to Statistics Canada student identification information
(students name, student ID number, Social Insurance Number),
*The Freedom of Information and Protection of Privacy Act
student contact information (address and telephone number),
and The Personal Health Information Act at Assiniboine
student demographic characteristics, enrolment information,
Community College
previous education and labour force activity. Under the Federal
The Freedom of Information and Protection of Privacy Act (FIPPA) Privacy Act, individuals can request access to their own, individual
and The Personal Health Information Act (PHIA) both apply to information held in federal information banks, including those
Assiniboine Community College. Should any of the colleges held by Statistics Canada. The Federal Statistics Act provides the
policies conflict with FIPPA or PHIA, the provisions of FIPPA or PHIA legal authority for Statistics Canada to obtain access to personal
shall prevail unless otherwise expressly provided for at law. information held by educational institutions. The information
may be used only for statistical purposes, and the confidentiality
provisions of the Statistics Act prevent the information from being
released in any way that would identify the student. Students who
do not wish to have their information used are able to ask Statistics
Canada to remove their identifying information from the national
database. Further information on the use of this information can
be obtained from Statistics Canadas web site: www.statscan.ca
or by writing to the Post-secondary Section, Centre for Education
Statistics, 17th Floor, R.H. Coats Building, Tunneys Pasture, Ottawa,
Canada, K1A 0T6.
 INTERNATIONAL STUDENT
APPLICATION GUIDE
Please enclose a $150 non-refundable application fee for each program to which you are applying.
Applications submitted without the application fee will not be processed. One program and location per application form.

Please Print Clearly

PROGRAMAPPLYINGFOR Preferred Start Date

STUDENT NUMBER
LOCATION Brandon Dauphin (If you have previously attended
Assiniboine Community College)
Year

REQUIRED INFORMATION*
Legal Name* Mr. Mrs. Miss Ms Previous Last Name (if applicable)
As it should appear on documents we send you
Last Name / Family Name* First* Second Preferred

Permanent Home Address*

P.O. Box or Number and Street City or Town

Province / State / County Postal Code Country

Mailing Address* (if different from above)

P.O. Box or Number and Street City or Town

Province / State / County Postal Code Country

Email Address* Home Telephone Number

Gender:* Female Male Date of Birth* Other Telephone Number

(YYYY / MM / DD)*

CITIZENSHIP
Country of citizenship*

Do you have a valid Study Permit? Yes No Expiry Date

(If yes, please include a photocopy of your permit)

Visible Minority Yes No

I have included a copy of my valid passport Yes No Passport Number

(Persons in a visible minority group in Canada are defined as persons other than Aboriginal Peoples who are non-caucasian.)

ENGLISH LANGUAGE PROFICIENCY*

What is your first language (language first spoken and still understood) Please see Application Guide
An English Language Assessment is required from applicants whose first language is not English. A list of acceptable tests and minimum scores as well as list of countries from
which students are required to provide proof of English Proficiency can be found on our website: www.assiniboine.net/elp.

Have you written the TOEFL or another test of English language? Yes No

If yes: Test Date written Score

You must submit your official test scores with your application.

EMERGENCYORALTERNATECONTACT

Emergency Contact
Name Address Telephone
Mail or email application to:
Admissions & Registration, Assiniboine Community College, 1430 Victoria Avenue East, Brandon MB R7A 2A9
Email: [email protected]
EDUCATIONAL BACKGROUND
Please attach your most recent high school transcript (original) AND transcripts from other post-secondary institutions.
Secondary Education
High School Attended (no abbreviations, please).
Name of Institution Province or Country Last date attended or graduation day (mo/yr) Highest grade level completed

Post-secondary Education
University or College Program Province or Country Dates Attended Highest Credential Obtained

USE OF AGENTS OR OTHER REPRESENTATIVES

Do you have a contact person who may act on your behalf? Yes No (If yes, please provide the following information:)
Representative Name Agency Company (if applicable)

Address City or Town Province Postal Code

Email Address Home phone Business phone

Do you wish us to send official correspondence related to your application

to you at your permanent mailing address? to your agent or representative?
Note: No information will be provided, either verbally or in writing, to any individual except yourself without your authorization below.
Release of Information Authorization:
I hereby authorize Assiniboine Community College to release academic and other information to the above-named contact as deemed necessary.

Signature Date

Please rank the top three sources (by number) that influenced you to apply, (1) being the most influencial.

Agent Friend/Relative ACC Website Canadian Educational CentreCanadian Embassy
Study in Canada Guidebook Education/Career Fair Teacher/Counsellor Other Website Other

DECLARATION
I declare that I have read and understood the information in this application and guide, including the Notice Regarding Collection, Use and Disclosure of Personal
Information, and that all statements made with respect to this application are true and complete.
I understand that misrepresentation, falsification of documents or the withholding of requested information with respect to this application can result in cancellation of the
acceptance and registration, or dismissal from the college.
I accept that any information on falsified documents may be shared with the Association of Registrars of the Universities and Colleges of Canada.
I authorize my high school/college/university to release my academic record(s) for admission purposes should the need arise to accelerate the processing of this application.
I agree, if admitted, to comply with the regulations of Assiniboine Community College.

Signature of Applicant Date

I have included all required official transcripts/documents and the $150 application fee in the form of:
Cheque/Money Order (Payable to Assiniboine Community College)
VISA MasterCard Credit Card # Expiry date

Cardholder Name

Cardholder Signature Cardholder Phone Number

Please send me information about how to wire a transfer to ACC.
Mail or email application to:
Admissions & Registration, Assiniboine Community College, 1430 Victoria Avenue East, Brandon MB R7A 2A9
Email: [email protected]