Office of the Registrar
Regional Office
11401 - 8th Street
Dawson Creek, BC
V1G 4G2
Ph: 250-782-5251
Fax: 250-782-5233
Toll Free: 1-866-463-6652
Student Information
Name Student ID Number
City Province Postal Code
Phone Business Phone
Program of Interest
Name of Proctor Occupation
(Must not be a relative or current student of Northern Lights College)
Place of Employment Title
City Province Postal Code
Phone Business Phone
Fax Email
Signature Date
(Please print form and sign by hand)
Applicant must submit this form along with $25 Northern Lights College Application fee (if not already remitted to NLC)
and $15 Assessment Fee to Student Services at the appropriate NLC campus:
Chetwynd Campus
Box 1180 5132 - 50th St.
Chetwynd, B.C. V0J 1J0
ph 250-788-22489
fax 250-788-9706
Fort St. John Campus
Box 1000 9820 - 120th Ave.
Fort St. John, B.C. V1J 6K1
ph 250-785-6981
fax 250-787-6255
Dawson Creek Campus
11401 - 8th St.
Dawson Creek, B.C. V1G 4G2
ph 250-782-5251
fax 250-784-7563
Tumbler Ridge Campus
Box 180 - 180 Southgate
Tumbler Ridge, B.C. V0C 2W0
ph 250-242-5591
fax 250-242-3109
Fort Nelson Campus
Box 860 5201 Simpson Trail
Fort Nelson, B.C. V0C 1R0
ph 250-744-2741
fax 250-774-2750
Application to Write
Writing Assessment