Health and Human Services Program Admission Package
Health and Human Services Program Admission Package
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Program Admission package
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English Language Declaration - HCA
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Pharmacy Technicial Questionnaire
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Declaration
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Review Your Entry
Thank you for your interest in Selkirk College!
Please complete this form in its entirety, and watch your email for additional instructions and information to complete your application package.
Note: Do NOT complete this form if you have not yet submitted an application to the program and paid your application fee. See
selkirk.ca/apply
for information.
Name
Name
*
First
Last
To help us address you correctly please share your:
- preferred name
- pronouns
Selkirk College Student Number
*
Email
*
Select your program:
*
Bachelor of Science Nursing
Early Childhood Care & Education Certificate
Education Assistant & Community Support Worker
Health Care Assistant - Certificate
Health Care Assistant - Diploma
Mental Health and Substance Use
Nursing Unit Clerk
Pharmacy Technician
Practical Nursing
Social Service Worker Certificate
Computer Skills Self-Assessment
Please answer the computer skills self-assessment questions below by choosing yes, no, or unsure from the drop down menu.
Computer Knowledge:
I can identify the basic parts of a computer system.
I can properly start and shut down a computer system.
I can start and close a computer program.
I can describe some common uses of computers in society.
I can use a mouse/pointing device.
*
Yes
No
Unsure
Word Processing:
I can create a new word processing document.
I can edit a document.
I can save a document to the storage drive.
I can print a document.
I can retrieve a document.
I can use tools such as spell check or thesaurus.
*
Yes
No
Unsure
Electronic Communication:
I can search online.
I can complete an online form.
I can add to favourite/bookmark bar.
I can send and receive email, including attachments.
*
Yes
No
Unsure