I hereby certify that all the information I submit to Northlands College is true and complete. I understand that false information may result in the cancellation of my status as a registered student. Further, I understand that this information is collected under the legal authority of the Regional College Act (1988) and the Local Authority Freedom of Information and Protection of Privacy Act. The information is used for administrative and statistical purposes by Northlands College and/or Ministries and Agencies of the Saskatchewan Government and the Government of Canada, including the issuance of the Saskatchewan Graduate Tax Credit. I understand that Northlands College may share my personal information as well as performance and attendance related information with partnering institutions for the purpose of admissions and funding. *Enter 999999999 to indicate refusal to provide SIN for this application.

I give permission to any affiliated institution to release a copy of my transcript to Northlands College. I hereby give the college permission to release information about my performance in this program to potential employers and agencies that are funding me or the program.

I agree to abide by the rules and regulations of the institute, including the payment of fees.