Joy of Lifelong Learning Application Revised: July 25, 2019
Joy of Lifelong Learning Application
To register as a student for Joy of Lifelong Learning, submit this form in person to the Registration Office in Student
Services. Please see reverse for details on eligibility to register as a student for Joy of Lifelong Learning.
Student’s FULL name and address (print clearly)
FORMER NAME (If Applicable)
BIRTH DATE (MMM-DD-YYYY)
Course Inf
ormation:
By signing below, you are acknowledging the following:
1) You will be required to pay a Non-Refundable Application Fee of $25.00.
2) You will be required to pay $105 tution/course plus fees (student society, learner fee, materials, etc.)
3) You are registering as an audit student.
4) You understand that a Joy of Lifelong Learning Student can not displace a full fee-paying credit student. Therefore the Registrar’s
Office reserves the right to cancel your registration should a waitlist develop.
Signature of Applicant: Date:
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 Office Use Only/ Determination of Eligibility:
Does not displace fee paying student
Student has not previously completed the course at NIC
RA Signature: __________________________________________ Date: ______________________________
Office of the Registrar
2300 Ryan Road
Courtenay, BC V9N 8N6
T: 1-800-715-0914 E: forms@nic.bc.ca
