EMERGENCY CONTACT

DECLARATION

1. I understand that submission of this application does not guarantee admission to a program or course, and that admission is subject to meeting Q College admission requirements and program availability.
2. I certify that the information I have provided in this application is complete and accurate and may be verified by Q College. I understand that falsifying any documents or information submitted will result in immediate cancellation of my admission or registration at Q College.
3. I have read and understand the Q College Protection of Privacy disclaimer on the back of this form.
4. I agree to receive email communication from Q College.