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Programs*

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First Name*

First Name

Middle Name - Last Name*

Middle Name (If Applicable) and Last Name

Birthdate*

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Email Address*

Email Address

Cell Phone*

1 (234) 567 8910

Home Phone

1 (234) 567 8910

Address*

Full Home/Residency Address

Address including unit#, if applicable

Country

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Postal Code / Zip Code

Emergency Contact

Full Name

Relationship to you

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How did you hear about this course?

Name

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What course date do you want to start your online education?

Please note these days and times are Pacific Standard Time

Here you can see the available dates for the program you chose

Course Dates*

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Do you require a bursary?*

Bursary amount will vary between $500 to $1500 to be used as a credit towards your tuition.

Please tell us your special circumstance that you would require a bursary?*

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Why have you chosen New Image College?*

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How long have you been interested in this field of study?*

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Have you reviewed our program outlines? If yes, what do you find the most interesting?*

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Have you reviewed the program videos? If yes, what appealed to you the most?*

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How do you learn best? Theory based studies or Project based studies?*

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What are your expectations from New Image College during your education time?*

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What personal qualities/attributes do you possess that you believe will make you succeed in this field of study?*

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Tell us after you graduate how do you manifest your future.*

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Briefly describe your family life.*

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Briefly describe your hobbies.*

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Fee Summary

Non-refundable Application Fee

Application fee for selected program

$ 0 CAD

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Emergency Contact

Additional Contact details ( Please provide in full including the Country Codes and Full names)

How did you hear about this course?

What course date do you want to start your online education?

Please note these days and times are Pacific Standard Time

Here you can see the available dates for the program you chose

About your health...

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About your education...

If under 19, your high school diploma and transcript is required. Please tick

About your finance

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Fee Summary

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