Revised: September 23, 2014
Read these terms and conditions before completing this form. Applicants will not be considered to have registered for a course until
completed application form(s) and full payment have been received.
1. Complete a separate application for EACH course you are registering for.
2. Application forms must be received by Aurora College at least 14 days (2 weeks) prior to the start of the course you are
applying for.
3. Payment via cash, cheque, Visa or MasterCard will be accepted with the application. Cheques are to be made payable to Aurora
College. Completion of "Invoice Employer" section is considered payment and conditions regarding the withdrawal policy
apply as if actual payment has been received by Aurora College.
4. Cancellation of registration must be received by Aurora College in writing no less than 15 calendar days prior to the start date
of the course. A $50.00 cancellation fee will apply to all withdrawals received 15 calendar days prior tot he start of the course. No
refunds will be issued after 15 calendar days prior to the start of the course. Those who have authorized invoicing have agreed
contractually to issue payment upon receipt of an Invoice.
** Aurora College is a SCENT FREE Facility in all locations across the NWT as per our Scent Allergy Guidelines as modified
from the Government of the Northwest Territories Scent Allergy Guidelines for HR Staff - January 2009 **
Section 1 - Course Information:
Course Title: Course Number:
Start Date: End Date: Cost:
Payment Method:
Cash Cheque Visa MasterCard
Invoice (see below for
Section 2 - Applicant Information:
Applicant's Name:
Previous Family Name (if applicable):
Mailing Address: City/Town:
Postal Code: Phone (w): Phone (h): Phone (cell):
Email Address:
Date of Birth:
Month: Year:
Female Male
Dene Inuvialuit Gwich'in Metis Other
Oil/Gas Related?Social Insurance Number:
Section 3 - Release of Information:
I allow Aurora College to:
1. Use my name/photo for promotional purposes.
2. Provide my name to potential employers at their request.
3. Provide my mailing address/phone number to potential employers at their request.
Yes No
Yes No
Yes No
Applicant Signature: Date:
Company Name/Department:
Employer Mailing Address:
Attention: Phone: Fax:
Authorized Signature: Date: