MCC Online Academic Application Fields marked with an * are required Please select your MOST preferred option * UPGRADING Adult Education Program (AEP) UPGRADING Adult Literacy Program (ALP) UPGRADING GED Program/Testing (GED) CERTIFICATE Cree Language Teacher Development Program (1/2/3) CERTIFICATE Early Childhood Development Program (ECD) Level 1 CERTIFICATE Early Childhood Development Program (ECD) Level 2 CERTIFICATE Early Childhood Development Program (ECD) Level 3 CERTIFICATE Leadership & Administration (L&A) CERTIFICATE Teacher's Assistant (TA) CERTIFICATE University/College Entrance Program (UCEP) CERTIFICATE Open Studies CERTIFICATE Information Technology Certificate Program CERTIFICATE General Arts Diploma CERTIFICATE Indigenous Crisis Intervention Worker Program UNIVERSITY Education Diploma TRANSFER UNIVERSITY Education Diploma ATEP UNIVERSITY Education Diploma ECD UNIVERSITY Indigenous Education Degree UNIVERSITY Indigenous Arts Degree - Cree Language UNIVERSITY Indigenous Business Diploma UNIVERSITY Indigenous Bachelor of Business UNIVERSITY Indigenous Social Work Diploma UNIVERSITY Indigenous Bachelors Social Work UNIVERSITY Indigenous Masters of Social Work UNIVERSITY Community Healing Facilitator Training Continuing Education Please select your SECOND MOST preferred option * UPGRADING Adult Education Program (AEP) UPGRADING Adult Literacy Program (ALP) UPGRADING GED Program/Testing (GED) CERTIFICATE Cree Language Teacher Development Program CERTIFICATE Early Childhood Development Program (ECD) Level 1 CERTIFICATE Early Childhood Development Program (ECD) Level 2 CERTIFICATE Early Childhood Development Program (ECD) Level 3 CERTIFICATE Leadership & Administration (L&A) CERTIFICATE Teacher Assistant (TA) CERTIFICATE University/College Entrance Program (UCEP) CERTIFICATE Open Studies CERTIFICATE Information Technology Certificate Program CERTIFICATE General Arts Diploma CERTIFICATE Indigenous Crisis Intervention Worker Program UNIVERSITY Education Diploma TRANSFER UNIVERSITY Education Diploma ATEP UNIVERSITY Education Diploma ECD UNIVERSITY Indigenous Education Degree UNIVERSITY Indigenous Arts Degree - Cree Language UNIVERSITY Indigenous Business Diploma UNIVERSITY Indigenous Bachelors of Business UNIVERSITY Indigenous Social Work Diploma UNIVERSITY Indigenous Bachelors Social Work UNIVERSITY Indigenous Masters of Social Work UNIVERSITY Community Healing Facilitator Training Continuing Education Full or Part Time * Choose one Full Time Part Time Name * First Name Last Name Middle Name Previous Last Name (If Applicable) Date of Birth * MM DD YYYY Address * City/Town/Reservation * Postal Code * Mobile Phone * (###) ### #### Home Phone (###) ### #### Email * Choose one of the following * Status Indian Non-Status Indian Métis Bill C-31 Inuit Non Indigenous Band Name Band Treaty Number (10 digits) Emergency Contact Name Who can we contact in case of emergency? Emergency Contact Relation Emergency Contact Phone (###) ### #### Emergency Contact Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Have you taken courses at MCC? * Yes No If Yes, please enter the date you last attended. MM DD YYYY Have you been previously funded? * Yes No If yes, where from? High School: Start Date: MM DD YYYY End Date: MM DD YYYY College/University: Start Date: MM DD YYYY End Date: MM DD YYYY Adult Education: Start Date: MM DD YYYY End Date: MM DD YYYY Line Other: Start Date: MM DD YYYY End Date: MM DD YYYY Name of Certificate, Diploma, or Degree Start Date: MM DD YYYY End Date: MM DD YYYY Have you ever been suspended, expelled or required to withdraw from a faculty, program or post-secondary institution? * Yes No If yes, please include the approximate dates here: Line Students with Disabilities Would you like information about services for students with disabilities or serious health conditions? Yes No Freedom of Information & Protection of Privacy The personal information collected on this form, and any other information, collected and maintained as part of a student's record will be used for the purposes of admission, registration, scholarships and awards, convocation, sending educational information and for college research and planning. Certain information will also be disclosed to Statistics Canada as required by the Statistics Act (Canada) and to Alberta Learning to meet reporting requirements. This information is collected pursuant to the Colleges Act and Statistics Act (Canada). The information provided will be protected under the Freedom of Information and Protection of Privacy Act of Alberta. Click to Accept * I certify that the particulars furnished on this application are true and complete in all respects and that no relevant information has been withheld. I agree, if admitted to Maskwacis Cultural College, to comply with the regulations of the college, and if admitted to a collaborative program, I will abide by the rules and regulations of the collaborating institutions. I also authorize Maskwacis Cultural College to exchange my records with collaborating institutions. The college reserves the right to refuse admission or cancel any admission ruling. I agree I disagree Application Date * MM DD YYYY Your application has been submitted.Thank you!
