Elders Language Program Enrollment

Agreement Form

CONGRATULATIONS on making the decision to participate in the Nsyilxcn Language Fluency Certificate Program!

Applicant Details

Name

First Name

Last Name

Phone

(###)

###

####

Date of Birth

YYYY

COURSE SCHEDULE 2025/2026

Semester 1: Sept 2nd-Dec 9th (No classes on Sept 30th or Nov 11th)

*Obligation: 1.5 hour in person class weekly & 1.5 hour homework to be completed on your own time

Semester 2: Jan 6th – April 14th (No classes Feb 17th)

*Obligation: 1.5 hour in person class weekly & 1.5 hour homework to be completed on your own time

Semester 3: May 5th – June 16th (Short Semester so accelerated schedule)

*Obligation: 3 hour in person class weekly & 3 hour homework to be completed on your own time

ATTENDANCE POLICY

- Students will attend all lessons, unless they are sick or a non-work related emergency comes up. If this occurs, it is the student’s responsibility to alert the Program Coordinator.

- More than 2 unexcused absences within 90 days will cause the student to be removed from the program

ACADEMIC REQUIREMENTS

The student must maintain a 2.33 GPA during the duration of the program

Digital Signature Acknowledgment

By typing my full name below, I acknowledge that I have read, understood, and agree to the terms and conditions outlined in this form. I confirm that all information provided is accurate and true to the best of my knowledge. I understand that my typed name constitutes a legal signature and has the same effect as a handwritten signature.

Name

First Name

Last Name