New Application Form

Application Form

Please answer all questions. (If you are uncomfortable with any question, feel free to leave it blank.)

Campus

Contact Information

First Name

Last Name

Birth Date

Program

Program Start Date

Cell Phone

Permanent Address

Street

City

State/Province

Zip/Postcode

Country

Mailing Address

Street

City

State/Province

Zip/Postcode

Country

Emergency Contact Information

Contact Name

Cell Phone

City

Educational Background

Highest Level of Education

Institute

Major/Field of Study

HS Graduation Date

Funding Options

Other

Other Funding Options

Academic Motivation Evaluation

1. What motivates you to pursue higher education?

A) Career advancement and job security

B) Personal growth and knowledge

C) Encouragement from family and friends

2. How do you manage your time when balancing academics & personal activities?

A) I create detailed schedules and stick to them.

B) I handle tasks as they come up, without much planning

C) I struggle with time management but try to prioritize important tasks.

3. How do you handle stress during exams or deadlines?

A) I remain calm and focus on the task in hand

B) I feel anxious and struggle to concentrate.

C) I procrastinate but manage to get things done at the last minute.

4. When working in a group, how do you contribute to the team?

A) I take charge of tasks and ensure deadlines are met.

B) I prefer to contribute ideas and let others handle the execution.

C) I stay quiet and support my teammates when needed.

5. What is your preferred way of learning?

A) Hands-on, practical experiences

B) Listening to lectures and discussions

C) Reading and independent study

6. How do you approach challenging academic tasks?

A) I break them down into manageable steps and seek help if needed.

B) I avoid them until the last possible moment.

C) I get frustrated and give up easily

7. What is the most important aspect of a college community to you?

A) Academic rigor and resources

B) Social life and student organizations

C) Supportive faculty and staff

8. How do you deal with failure or setbacks?

A) I reflect on what went wrong and make improvements

B) I feel discouraged but try to move on quickly.

C) I give up and avoid trying again.

9. What kind of goals do you set for yourself?

A) I set both short-term and long-term goals to track my progress

B) I focus mainly on short-term goals and adjust as needed.

C) I don't often set goals and take things as they come.

10. Why did you choose CLI College as a place to continue your education?

A) It offers programs aligned with my career goals.

B) It has a reputation for being academically rigorous.

C) It has a strong campus culture and extracurricular opportunities.

11. Describe a time when you overcome a personal or academic challenge. What did you learn from the experience?

12. What do you believe is your greatest strength, and how do you plan to apply it in your college experience?

13. What extracurricular activities or hobbies are you passionate about, and how do you plan to engage in them during your time at CLI college?

14. What is one specific skill you hope to develop or improve during your college education?

15. How do you plan to contribute to the CLI College community?

How Did You Hear About Us?

Other

Other source(s)

Referral Name

Phone No

Photo ID Verification

In accordance with PIPEDA we disclose that we require this information for the following reasons : Photo ID for the purpose of age verification.

Passport Size Photo

Drivers License/Passport/Health Card

Privacy Statement

At CLI College, we are committed to protecting your privacy and ensuring that your personal information is handled responsibly. We collect and use your data solely for purposes related to your educational experience, including registration, course management, communications, and institutional updates.
We do not share your personal information with third parties without your consent, except as required by law or to support college operations.
By providing your personal information, you consent to its use in accordance with this policy. You have the right to access, update, or request the removal of your personal data at any time by contacting info@clicollege.ca

For more details on how we protect and use your personal information, please refer to our full privacy policy available at
www.clicollege.ca

Consent to Use of Image

By attending events or being present at any of the campuses of CLI College, you consent to the recording and use of your image, voice, and likeness in photographs, video, or other media taken during these activities. These images may be used for promotional, marketing, or educational purposes, including but not limited to social media, websites, print materials, and advertisements. If you do not wish to be photographed or recorded, please inform CLI College staff. Your consent is understood as voluntary upon signing of this form, and you may withdraw it at any time by contacting info@clicollege.ca

Student Signature

Date

Signature Date