EMCC EQUIP Courses

Evangelical Missionary Church Canada EQUIP

Please allow 5-7 business days to process.
CONFIDENTIAL STUDENT INFORMATION

Please complete this form in full. This information is confidential and will only be used as appropriate for college purposes. It will not be divulged to outside sources without express permission. Furthermore, you are responsible for updating any contact information with the college.
First and Last Name (Legal Name)*

First NameLast Name
E-mail*
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birthdate*

MonthDayYear
Date
Gender*

MaleFemale
Marital Status*

SingleMarried
Is this Course for EMCC Credential*

YESNO
If you are taking this course for the purpose of pursuing EMCC Credentialling, then pursuant to Section 2.7 a) ii of the Income Tax Folio S1-F2-C2, Tuition Tax Credit and the further definition of "obtaining skills for an occuption" found in Section 2.9, you may qualify for a T2202 Tuition Education Credit.

As such, we are requesting the additional information that follows: SIN and Identficiation

NOTE: It is ultimately up to the individual student to determine any and all tax eligibility requirements are met.
Social Insurance Number*
Government Issued ID (Driver's Licence or Passport)

As part of the application process we need to verify the official spelling of your name. Please submit a copy of a government issued picture id. The formats we accept are JPEG, PNG or PDF and no larger than 10mb in size. The image must be high quality, unobstructed and uncropped. The image must show a full document page or ID photocards with:
• First and last name of applicant
• Date of Birth
• Date of issue and expiry date
• The document or ID must not be expired
Below you will see an upload button to upload our document image.
Upload your Government issued ID here*
Course Selection

Please note that the course will be open for 8 weeks.
Please select the course you would like to take.*

EM THO1 Wesleyan- Armenian PerspectivesEM DIS1 Leading Like JesusEM ETH2 Sexual Abuse Prevention
Date selection

Please allow 5-7 business days from filling out this form to your preferred start date. Courses will be open for 8 weeks from the start date.
Please select a preferred course start date:*

MonthDayYear
Date
In addition, I understand that in handling my personal information Rocky Mountain College complies with all pertinent privacy legislation and only collects the information that they need to provide service to me and to comply with their legal obligations. My personal information will be stored electronically, accessed only by authorized individuals on a need to know basis and may be stored on servers outside of Canada.

As a student signing up for EMCC Equip courseware, I hereby grant permission for Rocky Mountain College to share with academic information with the Evangelical Missionary Church of Canada- unless specifically indicated otherwise.

I affirm that the information provided on this form is accurate to the best of my knowledge and agree to inform/update college personnel should any of the above information change during my duration as a student, including but not limited to: my primary address, and designated permissions as the information provided on this form will remain in effect until the termination of my student status unless I notify the college of the desired change in writing (via email my confirmed email address).
I Accept
By checking the "I Accept" box, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement. By selecting "I Accept" you consent to be legally bound by this Agreement's terms and conditions.*

MonthDayYear
Date
Signature*

Clear
Course fee - Each course is $100 each

Payment
Payment Options

Payment can be made via credit card through PayPal or via E-Transfer.
Payment must be received before registration is processed
SELECT A PAYMENT OPTION FOR PAYMENT DIRECTIONS:*

E-TransferCredit Card/PayPal
E-Transfers can be sent through your bank to: finance@rockymountaincollege.ca ,

Please write "EQUIP Course" in the memo

** Note: Automatic Deposit is enabled. **
PayPal
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Evangelical Missionary Church Canada EQUIP

Course Selection

Date selection

Payment Options