Continuing Education
& Training
SPONSORSHIP PACKAGE
Sponsoring a Student in Continuing Education Courses
at North Island College
North Island College Continuing Education offers a wide variety of programs and courses across
three campuses. Whether you are a business or organization seeking to enhance your employees’
skills, or a prospective student seeking relevant upgrading to boost your career, we are here to
help.
Please review these step-by-step instructions in order to complete a sponsorship package
successfully.
Continuing Education
Registration Form
STEP-BY-STEP
Personal Information
Section
1. Input the prospective student’s “Personal
Information” as fully as possible, including home
address and other details, so we can create a
file for them. If the prospective student has
attended previous classes at NIC, but doesn’t
know student number, please leave that
particular field blank.
Course Selection Section
2. Under “Course Selection” please input the actual
course number of the class the student wishes
to take: IE: BKK-010 for Basic Bookkeeping,
then list the campus location, start date, and
course fee.
Sponsoring
Organization/Company
3. Input the Sponsoring Organization/Company
and a Purchase Order number (if known). (This
is the name of the company or organization that
will pay for the course.)
Signatures
4. Make sure to sign and date BOTH the “Student
Signature” field AND the “Declaration”
Signature fields.
Voluntary Disclosure Section
5. Complete the “Voluntary Disclosure”
questionnaire, if desired.
Continuing Education
Funding Agency
Sponsorship Agreement
STEP-BY-STEP
Student Information Section
1. Prospective students should complete the
Student Information” section as fully as
possible. If student has attended previous
classes at NIC, but doesn’t know student
number, please leave that field blank. Please
provide all current contact information.
Release of Information
Section
2. The Release of Information effective dates will
be the “start” and “end” dates of sponsored
courses.
Student Signature Field
3. Here, the student should sign and date the
“Student Signature” field.
Intended
Program/Course(s)
4. Input the actual course code number of the
course the employee or sponsored student
wishes to take.
EMPLOYER INPUT STARTS HERE
Agency Information Section
5. Input the Sponsoring Organization/Company
name. (This is the name of the company or
organization that will pay (or sponsor) the
student.
Fee Section
6. Most stand-alone CE courses include the book
fee within the course amount. Tick the “Fees as
estimated…” box and list the total amount of the
course listed on the website. Disregard the
application and assessment fee unless otherwise
advised by Continuing Education.
Name & Title Section;
Signature & Date.
7. Here, the employer or sponsoring party should
list the name of the individual at the business or
organization that will be sponsoring the course,
including contact phone number, if available.
Ensure the authorized employer or organization
representative signs and dates the sponsorship
form.
SUBMISSION/CONTACT DETAILS:
Please submit the completed Registration and Sponsorship forms in one email to
Continuing Education department that will be hosting the course (or the campus) at
your earliest convenience. Once processed, the student or sponsored party will receive
an acknowledgement receipt electronically. The employer/sponsoring party will receive
a request for payment by mail at the address provided.
CONTACT INFORMATION FOR SPONSORSHIP INQURIES
Campbell River
CETinfo-CR@nic.bc.ca
Tel: 250-923-9750
Comox Valley
CETinfo-CV@nic.bc.ca
Tel: 250-334-5005
Port Alberni
CETinfo-PA@nic.bc.ca
Tel: 250-724-8742
CONTINUING
EDU
CATION
:
REGISTRATION
FORM
Personal
Information
Have
you
ever attended
North
Island College?
Yes No If
yes,
NIC
Student
No.:
Legal Last
Name:
First
Name: Middle Name:
Former Last Name: (If
applicable)
Preferred First
Name:
Mailing
Address: City:
Province: Country:
P
C:
Home Phone: Other Phone:
Email
Address:
Birthdate:
yy
/
mm
/
dd
Gender: M F
Emergency
Contact Name: Home Phone: Other Phone:
Canadian
Citizen
Permanent
Resident If
Permanent Resident, Country
of Origin:
International Student If International
Student, Country
of Origin: CDN
COURSE SELECTION
Course
Code
Course
Location
Course
Date(s) Tuition
1.
2.
3
.
For Sponsored Students O
nly
Sponsoring
Organization/Company: PO No.:
I
hereby authorize
the
release
of all
academic records
relating to my
admission
or
education
to the
sponsoring
agency.
Student
Signature: Date:
Voluntary Disclosure
Do you identify yourself as an Aboriginal Person?
Yes No
If so are you:
First Nations Metis Inuit
Voluntary Disclosure
Disability/medical condition? Yes No
NIC will provide you with information about receiving support
services.
DECLARATION: PLEASE READ THE FOLLOWING BEFORE SIGNING
I declare that the information I have submitted on the application is true and correct. Falsifying any document or information submitted will result in the
immediate cancellation of admission or registration at the College. I understand that this information along with subsequent information is collected under
the authority of the College and Institute Act. This information will be protected and used in compliance with the BC Freedom of Information and Protection
of Privacy Act for the purpose of admission, registration, research, graduation, alumni development and other purposes consistent with the mandate of the
institution. For individuals admitted to a co-admission program with partner institutions, I understand that all the details of my application, studies, and
student conduct record will be shared openly between NIC and the partner institution.
Student Signature: Date:
Payment options
In
person: Bring this completed
form with
payment (cash, cheque, debit,
or credit card) to one of our
campuses
during Student
Services
office hours.
Online:
Visit www.nic.bc.ca/continuingeducation
and
click Registration
Available
Mail: Mail
completed registration
form to
Student Services
with
payment
by
cheque
with full
fees.
No
post-dated cheques
are accepted.
To help prevent credit card fraud DO NOT write your credit card information anywhere on this form.
Rev.
Apr 25
, 2018
Funding Agency Sponsorship Agreement
STUDENT INFORMATION Student Number _______________________
Last Name _______________________________ First Name ____________________________ Middle Name or Initial _____________
Mailing Address _________________________________________________________________________________________________________
City _________________________________________________ Province ______________________ Postal Code ____________________
Telephone Home __________________________ Work _____________________________ Cell _______________________________
Release of Information
The funding agency named below has my permission to access my student records, registration and any personal information necessary for,
or pertaining to, my application and enrolment at North Island College.
Permission is in effect from __________________________________________ to _________________________________________________
MONTH DAY YEAR MONTH DAY YEAR
Student Signature ______________________________________________________________ Date (mmm-dd-yyyy)
__________________________________
COLLEGE INFORMATION (may be accessed on the website www.nic.bc.ca or contact an NIC advisor)
Intended Program and/or Courses
Term
and/or
Start/End Date
Estimated Fees
(includes tuition, lab, and
student union fees)
Estimated Books
AGENCY INFORMATION
Agency Name __________________________________________________________________________________________________________
Mailing Address ________________________________________________________________________________________________________
City _________________________________________________________ Prov. ________________ Postal Code ____________________
Contact Name __________________________________________________ Title __________________________________________________
Telephone ___________________________ Fax __________________________ Email ____________________________________
We hereby undertake to sponsor the above named student in the above described program/course(s) for:
Fees as estimated above or other amount $ __________________
Books as estimated above or other amount $ __________________
Learner Resource Fee ($5 per credit or equivalent for post-sec level courses only)
Application Fee $ 25.00
Assessment Fee $ 15.00
* Health & Dental Insurance Fee $275.00
*See http://nisu.ca/ for more information about mandatory Health & Dental fees and students can opt out if eligible.
Additional instructions _______________________________________________________________________________________________
Name & Title (print) _____________________________________________________________________________________________________
Signature _____________________________________________________________________ Date __________________________________
FREEDOM OF INFORMATION/ PROTECTION OF PRIVACY
I understand that this information, along with subsequent information, is collected under the authority of the College and Institute Act. This information will be protected and used in
compliance with the BC Freedom of Information and Protection of Privacy Act.
CAMPBELL RIVER CAMPUS
1685 South Dogwood Street
Campbell River, BC V9W 8C1
T (250) 923-9700/1-800-715-0914
E: forms@nic.bc.ca
COMOX VALLEY CAMPUS
2300 Ryan Road
Courtenay, BC V9N 8N6
T (250) 334-5000/1-800-715-0914
E: forms@nic.bc.ca
PORT ALBERNI CAMPUS
3699 Roger Street
Port Alberni, BC V9Y 8E3
T (250) 724-8711 /1-800-715-0914
E: forms@nic.bc.ca
MT. WADDINGTON CAMPUS
140 - 8950 Granville Street, Box 901
Port Hardy, BC V0N 2P0
T (250) 949-7912/1-800-715-0914
E: forms@nic.bc.ca