English Language Training Application Form

Step 1 of 4

25%

Program Information

Program Name*

Code (SIS-OCSM)*

Program Location*

Dates and Times*

Coordinating Office*

Fees*

Contact Information

Name

Legal First Name*

First

Legal Middle Name

Middle

Legal Last Name*

Last

Former Name

(Maiden Name, if applicable)

Preferred First Name

First

Permanent Mailing Address

Mailing Address*

Street Address

Town/City*

Province*

Postal Code*

Contact Information

Primary Phone Number*

Alternate Phone Number

This field is hidden when viewing the form

Email Address*

This field is hidden when viewing the form

Re-enter Email Address*

Email*

Email Address * Re-enter Email Address *

Alternate Contact Information

Contact Name

Contact Relationship

Contact Primary Phone Number

Contact Alternate Phone Number

Personal Information

Gender*

Birthdate

Year*

Month*

Day*

Social Insurance Number (SIN)

Immigration Status

What is your Immigration status?*

Arrival Date in Canada

Year*

Month*

Day*

What country did you immigrate from?*

Immigration Document Expiry Date

(if applicable)

Year

Month

Day

UCI/IUC or ID Number

(as shown on your Immigration document)

Language Information

What is your first language?*

What is your main reason for seeking English Language Training?*

Have you had English classes before?*

Yes

If yes, where?*

Have you ever had an English Language Assessment?*

Yes

I don’t know

What is your preference for type of instruction?*

Education

What best describes the highest level of education you have achieved?*

Visible Minority Status

Do you consider yourself a visible minority?

Yes

Prefer not to answer

Accessibility Accomodations and Learner Supports

Do you consider yourself a person with a disability?

Yes

Prefer not to answer

Do you think you have any learning difficulties that may require you to have additional assistance to be successful with your studies?

Yes

Prefer not to answer

Employment Status

Employment Status*

If employed, Name of Employer

Program Awareness

How did you hear about this program or course?*

(Check all that apply)

College Website

Social Media

College Viewbook or Pamphlet

Radio or TV

Newspaper

Poster

Electronic Sign

Letter or Postcard

Career Fair or Tradeshow

School Presentation

Guidance Consellor or Teacher

Government or Non-Profit Agency

Employer or Co-Worker

Family or Friend

College Staff or Instructor

Other

Would you like to receive information about Carlton Trail College's programs and events via email?

Yes

Authorization and Consents

The information on this online form is collected under the legal authority of The Regional Colleges Act 1998 and the Local Authority Freedom of Information and Protection of Privacy Act (LAFOIP). The information is used for administrative and statistical purposes by Carlton Trail College and/or Ministries and agencies of the Saskatchewan Government and the Government of Canada. If you have any questions about the collection or use of this information, please contact the Carlton Trail College Privacy Officer at 1.800.667.2623.

Carlton Trail College reserves the right to revise or cancel programs, courses, policies or procedures, and alter tuition, fees or other charges as deemed necessary, at any time.

Acceptanced*

By submitting this form, I hereby acknowledge, authorize and consent to the following: *

I consent to Carlton Trail College using and releasing my personal information to any person, agency, or government agency such as Immigration, Refugees and Citizenship Canada and the Saskatchewan Ministry of Immigration and Career Training, as may be necessary, to support my English language training and the funding and delivery of English language programming.

To complete your application, you will need to provide a copy of your Immigration document. You can choose to upload your document now, which will allow for faster registration. If you choose not to upload your document, you will be contacted by a Carlton Trail College staff member and asked to provide this information.

Submit your Documents

Please submit the required documents. You can submit your documents online through this form, to your nearest Carlton Trail College Office or by mail to:
Carlton Trail College
611-17th Street, PO Box 720
Humboldt, SK S0K 2A0

Please Submit:

Please provide your Immigration Documents (optional)
Learn more about International Document Requirements

File

Drop files here or

Accepted file types: pdf, jpg, png, Max. file size: 5 MB.

Signature

Name*

First

Date

Year*

Month*

Day*

This site is protected by reCAPTCHA. Google’s Privacy Policy and Terms of Service apply.

Please review your information before proceeding

Please review your information below before proceeding to the Confirm and Submit at the bottom of the page. Your application will not be complete until you have submitted all necessary supporting documents. You may print or save a copy of this form for your records by using the following buttons. If you have any questions, please call Carlton Trail College at 1.800.667.2623 or 306.835.4000

Print a Copy Save as PDF

Please select a Payment Method

How will you be paying?*

Payment

Applicant First Name

First

Applicant Last Name

Last

Program Name

Code (SIS-OCSM)

Program Location*

Coordinating Office*

English Language Training | English as a Second Language (ESL) Classes FEES

Price:

Fee Notes

Card Owner Information

First Name*

First

Last Name*

First

Phone Number*

Email Address*

Mailing Address*

Town/City*

Province*

Country*

Postal Code*

Credit Card Information

Payment Method*

American Express

Discover

MasterCard

Visa

Supported Credit Cards: American Express, Discover, MasterCard, Visa

Credit Card Number *

Expiration Date Month Year

CVV2 * Cardholder Name

Payment by e-transfer

For e-transfers, please send payment to:

Please include the PROGRAM NAME, PROGRAM LOCATION and CODE in the notes section of your e-transfer.

Your application is not complete until payment of fees has been received. If you have any questions, please call Carlton Trail College at 1.800.667.2623 or 306.682.2623

Payment by telephone with a credit card

For telephone payments with a credit card, please call 1.800.667.2623 or 306.682.2623

Your application is not complete until payment of fees has been received. If you have any questions, please call Carlton Trail College at 1.800.667.2623 or 306.682.2623

This site is protected by reCAPTCHA. Google’s Privacy Policy and Terms of Service apply.

CAPTCHA

Program Application

English Language Training | English as a Second Language (ESL) Classes

Program Information

Contact Information

Name

Permanent Mailing Address

Contact Information

Alternate Contact Information

Personal Information

Birthdate

Immigration Status

Arrival Date in Canada

Immigration Document Expiry Date

Language Information

Education

Visible Minority Status

Accessibility Accomodations and Learner Supports

Employment Status

Program Awareness

Authorization and Consents

Submit your Documents

Please Submit:

Signature

Date

Please review your information before proceeding

Please select a Payment Method

Payment

Card Owner Information

Credit Card Information

Payment by e-transfer

Payment by telephone with a credit card

Are you sure you want to remove Applicant 2 from your application?

Are you sure you want to continue to the next step?