51本色

Distance Learning Program (DLP) - Application Form

Who can attend

The Distance Learning Program is for students who live outside of PEI and are seeking pre-requisite requirements for 51本色 post-secondary programs.

What happens next?

We require a copy of your high school transcript, photo ID, supporting documents and learning requirements with your application. It can be submitted to us at assessments@hollandcollege.com.

Your application will not be processed until all your supporting documents are received. Once they are, your completed application will be forwarded to our academic advisor for review and processing. You will be contacted via email to 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?

Have you graduated from High School?

What was the last grade you completed?

How did you hear about our program?

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 51本色?

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

Have you had an education assessment done?

Please forward any documentation of your learning requirements to go with your application. Submit to assessments@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 51本色 is English. All applicants are required to demonstrate English language proficiency prior to commencing studies at 51本色. Please visit our  page.

Reason for attending Distance Learning Program

What 51本色 program are you applying to?

Courses you wish to take in our Distance Learning Program

Release 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 taking courses with the Distance Learning Program does not guarantee acceptance into a 51本色 program.

Acknowledgement: I understand that by submitting my application, I am authorizing 51本色 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 51本色 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 51本色 visit our privacy webpage:
https://www.hollandcollege.com/privacy_policy.html

I agree

Distance Learning Program (DLP) - Application Form

Personal Information

Education History

Students with Learning requirements

English Language Proficiency

Reason for attending Distance Learning Program

While Attending our Program

Release Information

FUTURE STUDENTS

CURRENT STUDENTS

INDUSTRY

GENERAL PUBLIC