Holland College | Application Form

Adult Education - Application Form

Who can attend

Adult Education students must be Canadian citizens or Permanent Residents and reside on PEI to attend our program.

What happens next?

We require a copy of your high school transcript, supporting documents and learning requirements with your application (unless applying for the high school equivalency certification program). It can be submitted to us at adulteducation@hollandcollege.com. If you have completed your CAEC, language proficiency tests and/or post-secondary courses, these transcripts should be forwarded to us as well.

Your application will not be processed until all of your supporting documents are received. Once they are, your application package will be forwarded to our academic advisor for review. She will contact you via email to further discuss your course schedule.

Personal Information

Last Name

First Name

Middle Initial(s)

Previous Name (If applicable)

Address

Country

City

Province

Postal

Social Insurance Number

Phone Number

Other Phone

Email Address We will be corresponding with you via email. Please ensure this address is secure and accessible.

Date of Birth

Education History

Are you 18 years of age or over?

Are you currently enrolled in the public school system?

Have you graduated from High School?

What was the last grade you completed?

If you have taken GED or CAEC, do you have your certificate?

How did you hear about our program?

Have you attended Adult Education in the past?

Students with Learning requirements

Completion of this section is mandatory and will remain confidential.

Do you have any special physical or learning requirements for your study at Holland College?

If you have selected YES, please forward any documentation of your learning or other disability to our adulteducation@hollandcollege.com.

Have you had an education assessment done?

Please forward any documentation of your learning requirements to go with your application. Submit to adulteducation@hollandcollege.com.

English Language Proficiency

Is English your first language?

Do you have a valid English proficiency test (taken in last two years?)

The language of instruction at Holland College is English. All applicants are required to demonstrate English language proficiency prior to commencing studies at Holland College. Please visit our English Language Requirements page.

Reason for attending Adult Education

Career goal or post-secondary program you want to apply to

What college or university are you applying to

Courses you wish to take in Adult Education

Citizenship Status

Are you a resident of PEI? (lived on PEI for the past 6 months)

Citizenship Status

Country of Citizenship (If not Canadian)

Which province are you a resident of?

Documents required:

High school / post-secondary transcripts
Provincial health card

Documents required:

Permanent resident card
High school / post-secondary transcripts
Provincial health card

What post-secondary institute are you currently attending?

Documents required:

Student visa
High school / post-secondary transcripts
Provincial health card

Documents required:

Work permit
High school / post-secondary transcripts
Provincial health card

Release Information

Permission is hereby granted to Holland College to exchange personal information from my file with SkillsPEI, Provincial and Federal Government Departments and Agencies, or their representatives and/or other bodies, for statistical and management purposes, related to the goals and objectives of the training/educational program. I hereby release the College and these other departments, agencies and bodies from any and all liability in connection with the release of this information.

I certify that all statements on this application are true and complete. I understand that any misrepresentation may result in the refusal, cancellation or withdrawal of funding, the refusal or cancellation of my admission, or my dismissal from the college.

I understand that my application will not be complete until I submit all my supporting documents.

I understand that my application is conditionally accepted by Adult Education pending availability of seats and/or funding approval.

I understand that taking courses with Adult Education does not guarantee acceptance into Holland College post-secondary programs.

Acknowledgement: I understand that by submitting my application, I am authorizing Holland College to collect, use and disclose my personal information, as described in the Privacy Statement for Students.

I hereby certify that all information on my application is true and complete. I understand that by continuing with my application process I am granting permission to Holland College to contact me regarding my application. I understand that false information may result in cancellation of my admission or dismissal from the college. I agree that any misrepresentation by me may be shared with other post-secondary institutions. For more information on Privacy at Holland College visit our privacy webpage:
https://www.hollandcollege.com/privacy_policy.html

I agree

Adult Education - Application Form

Who can attend

What happens next?

Personal Information

Education History

Students with Learning requirements

English Language Proficiency

Reason for attending Adult Education

Citizenship Status

While Attending our Program

Release Information

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