Dual University & Secondary School Credits
Tuition Award Application
Phone: 1-877-489-2687 (250) 489-2751 www.cotr.bc.ca/DualCredit
College of the Rockies is offering regional secondary students 35 tuition awards for the Fall and Winter dual
credit University Studies courses (online and face-to-face) to the first qualified applicants. There are 15 awards
for School District #5 and 10 awards each for School District #6 and students from Prince Charles Secondary in
School District #8 each academic year.
Instructions
Submit College of the Rockies Application for Admission and Re-Admission or Apply Online. $30 application fee will be
waived.
Submit Dual University & Secondary School Credits application form to Admissions and Registration.
Register for approved post-secondary dual credit course.
Personal Information
Applicant Signature
I wish to receive Dual Credit for my course. _______________________ has permission to access my student records,
(Secondary School)
attendance, achievement and any information for, or pertaining to, my dual credit enrolment at College of the Rockies.
I certify that the information contained in this application is complete and correct. I authorize the use of my name in various public relations
publications, presentations, and announcements to promote the College of the Rockies and its awards programs.
X
Signature
Date
Secondary School Permission
has permission to register in the following post-secondary course.
Student Name
_________________________ to earn post-secondary dual credits
X
X
Secondary School Principal / Counsellor Date College of the Rockies Advisor
Awards are granted on a first to apply basis. Successful applicants will be granted a tuition award for one approved
post-secondary dual credit course at time of registration. Students are responsible for all other course fees and textbooks.
First Name
Student Number
(if known)
Secondary School and SD#
Date of Birth (mm/dd/yyyy)
P.E.N. Number
Mailing Address
City, Province
Postal Code
Telephone
E-mail
S.I.N.
Current Grade