Program Application Form

NOTE: In order to complete this online application form, a valid credit card is required. If you do not have a valid credit card, a paper version of this application form is available todownload and print, which then must be submitted directly to the Admissions Office. (Holland College employees should complete the paper version and submit to the Admissions Department.)

Before You Begin

  • Upon successful completion of this application you will be given the opportunity to submit your resume
  • Both a credit card (Visa or Mastercard) and a valid email address are required to complete this application
  • Application fee is $40 or $100 for International Applicants
  • This application excludes the Police Science (Cadet) program. There is a specific application kit for that program. Please contact Admissions to request one.
Section 1 of 6
Personal Details
Title
Last Name
Previous Name
Middle Initial(s)
First Name
Current Address
City
Country
Province
Postal Code (no spaces)
Local Address (if different from above)
Home Phone
Cell Number
Date of Birth
Email Address
Mail All Correspondence To
Immigration Status:
Alternate Contact Name
Alternate Contact Phone
Are you an Aboriginal person, that is, First Nation (North American Indian), Métis, or Inuk (Inuit)?
Note: First Nations (North American Indian) include Status and Non-Status Indians.
Section 2 of 6
Education History
Transcripts are required and must be received directly from each High School, College or University attended to be considered official. If interested in transfer credit, please fill out the Application for Transfer Credit found in the Admissions section of our site.
Are you currently enrolled in high school?
Name of High School
City and Province
Grade
Expected Graduation Date
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