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Get Selkirk College Application Form

E/ COUNTRY E-MAIL POSTAL CODE FAX Current Mailing Address (if different from permanent) NUMBER STREET TELEPHONE CITY PROVINCE/COUNTRY FAX POSTAL CODE Next of Kin Emergency Contact NAME HOME PHONE BUSINESS PHONE / DAY-TIME ENROLLMENT CHOICES FIRST YEAR NAME OF PROGRAM: SECOND YEAR THIRD YEAR (SEE PAGE 2) ARTS FOR AN ASSOCIATE DEGREE CHOOSE: OR SCIENCE FOR COURSES BY DISTANCE EDUCATION CHECK: IF YOU ARE APPLYING FOR ADULT BASIC EDUCATION, SPECIFY WHICH CAMPUS OR CENTRE:.

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