APPLICATION FOR REGISTRATION TO OPERATE A PRIVATE CAREER COLLEGE

Ministry of Training, Colleges and Universities Private Institutions Branch APPLICATION FOR REGISTRATION TO OPERATE A PRIVATE CAREER COLLEGE To be completed by the APPLICANT (sole proprietor in a sole proprietorship, each PARTNER in the case of a partnership and each OFFICER and DIRECTOR in the case of a corporation) when applying for registration. Submit this Application for Registration to Operate a Private Career College along with the Applicant Profi le Form(s) and the Application for Program Approval. Please note that information from this application will be recorded into a ministry database for statistical purposes and future reference, including registration decisions. Information from this application (e.g., location, program names, Campus Administrator) will be provided to the general public upon request. Some information will also be placed on the ministry s public website along with information provided by all registered private career colleges. It is an offence to knowingly provide false information on this Application for Registration to Operate a Private Career College and any material related to the registration of your private career college. The penalties are outlined in Section 48(2) of the Private Career Colleges Act, 2005. NOTE TO APPLICANTS: 1. If a registered private career college intends to open a new campus, please complete an Application for the Registration of a New Campus of a Private Career College. 2. Use additional sheets if space is insuffi cient. Private Career College (PCC) ID number The Private Career College (PCC) ID number can be found in the response letter to your Private Career College Pre-Screening Form. SECTION I: BUSINESS INFORMATION Ministry of Government Services (MGS) Registration All applicants are required to register their business with MGS prior to seeking registration as a private career college with the Superintendent of Private Career Colleges. More information can be found at: http://www.gov.on.ca/mgs/en/home/stel01_039054.html As proof of registration with MGS, please provide a copy of your Master Business License or Business Names Report or in the case of a corporation, a Corporate Profi le Report. Business Identifi cation Number OR Ontario Corporation Number (if corporation) Federal Corporation Number (if corporation) Provide your Federal Corporation Number (if applicable) N/A Business Classification Based on your registration with MGS, is your business a: Sole Proprietorship Are you a Registered Charity? Are you a Franchise? Partnership (provide copy of Partnership agreement) No Business Corporation No If, provide copy of Franchise agreement. Not for Profi t Organization Is the corporation entitled to offer its shares to the public? Are any shares held for a benefi cial shareholder? No No State the legal name of your proposed college (e.g., 1345678 Ontario Ltd. ) State the proposed operating/business name of your proposed college, if different from the legal name (e.g., ABC College of Business) Note: The name on the fi nancial security must correspond exactly with the legal and operating names shown here. 58-1681E (2010/05) Queen s Printer for Ontario, 2010 Page 1 of 7

College Information Full Address of College Address (Number, Street name) Suite/Unit City Province Postal code Fax number Email Website Interim Address - Provide the address of where you would like ministry correspondence sent if to a different address than your registered location Address (Number, Street name) Suite/Unit City Province Postal code Fax number Name of contact person Email SECTION II: INFORMATION ON APPLICANTS Please list the name(s) of applicant(s) (i.e., sole proprietor in a sole proprietorship, all partners in a partnership and each offi cer and director in a corporation). Applicant names must be consistent with information provided to the Ministry of Government Services when you registered your business. All applicants must complete an Applicant Profi le and submit it with this application. Name of Applicant Check ( ) to confirm that Application Profile has been completed and forwarded with this application. SECTION III: PROGRAM INFORMATION Names of Vocational Programs that the college intends to offer: Please complete an Application for Program Approval for each vocational program you are currently seeking approval for. Note: Your application may be approved more quickly if you submit only one vocational program for approval with registration. You can then submit additional vocational programs for approval after your college is registered. Program Name Check ( ) if a PCC Registration Pre-Screening Form has been completed for this program 58-1681E (2010/05) Queen s Printer for Ontario, 2010 Page 2 of 7

Names of all other programs that the college intends to offer (attach a separate sheet if necessary): Program Name Rational for why program does not require approval under the Act SECTION IV: INFORMATION ON PRIVATE CAREER COLLEGE LOCATION 1. Premises are: owned by: contact number: leased from: contact number: 2. Description of available space: (e.g., number of classrooms, number of students that can be accommodated in classroom) Please attach a fl oor plan of the facility. 3. 4. 5. A fi re inspection report has been obtained and is attached for each building used by the private career college for the purposes of instruction. Inspection of premises by local Public Health is required if there will be a cafeteria on the premises. Attach inspection report to this application. Evidence of adequate liability insurance for the college as prescribed in Section 5 of Reg. 415/06 in the form of an attestation from the insurance provider. 58-1681E (2010/05) Queen s Printer for Ontario, 2010 Page 3 of 7

SECTION V: CAMPUS ADMINISTRATOR INFORMATION All private career colleges are required to identify a Campus Administrator for each registered location. The Campus Administrator is responsible for the general management and day-to-day operations of the PCC, and ensuring all aspects of the Private Career Colleges Act, 2005 are observed. The Campus Administrator is to be regularly available during business hours to students, the general public and ministry staff. The Campus Administrator is also responsible for all student contracts that the PCC will enter into with students, including the authority to accept or cancel contracts for the PCC. It is a mandatory requirement to ensure that Campus Administrator and head office contact information is current with the Superintendent of Private Career Colleges at all times. Name of Campus Administrator Last Name First Name Middle name/initial Extension Cell phone number E-mail address Name of Head Office Contact Last Name First Name Middle name/initial Extension Cell phone number E-mail address SECTION VI: STUDENT CONTRACTS Each student enrolled in a vocational program is required to enter into a contract with the PCC which has all the terms prescribed in Section 20 of Regulation 415/06. Private career colleges are required to submit a sample student contract that will be used when enrolling students into a vocational program (see Sample Student Contract available on the ministry website at http://www.edu.gov.on.ca/eng/welcome.html). If you plan to also offer non-vocational programs that do not require the approval of the Superintendent of Private Career Colleges, you must provide a sample of the contract that will be used to enrol students in these types of programs. Section 21 of Regulation 415/06 sets out the terms that cannot be included in a non-vocational contract. SECTION VII: STUDENT COMPLAINT PROCEDURE/EXPULSION POLICY As prescribed in Section 3(1)10 and 3(1) 15 of Regulation 415/06, every applicant must submit a copy of the college s expulsion policy and a copy of the college s student complaint procedure. Section 36 of Regulation 415/06 sets out the elements that are required to be included in each student complaint procedure. Please attach a copy of your institution s proposed expulsion policy and student complaint procedure to this application. SECTION VIII: THIRD-PARTY AGREEMENT WITH RESPECT TO TRANSCRIPT INFORMATION Section 34 and Section 35 of Regulation 415/06 sets out the rules for maintaining transcripts and what information is required to be in the transcripts. Private career colleges are required to enter into an agreement with a third-party that is responsible for maintaining transcript information off-campus and for issuing transcripts in the event the private career college closes. A copy of any agreement with a third-party or parties who will maintain or issue transcripts must be attached. Third-party transcript arrangements must be in place by September 18, 2007. SECTION IX: ADVERTISING Private career colleges are required to submit a written copy of all advertising you intend to use in the promotion of the PCC or its programs as part of registration. This includes written or oral advertising distributed by any means including newspaper, radio, TV or the Internet. This also includes advertising to be used in foreign markets. All advertising by a PCC must be done in compliance of Part V of Regulation 415/06. If the advertisement is in a language other than English or French, your application must be accompanied by an offi cial translation of the advertisement into English. Does the proposed advertisement(s) include testimonials or endorsements? No If, please include signed copies of the testimonials or endorsements with this application. 58-1681E (2010/05) Queen s Printer for Ontario, 2010 Page 4 of 7

SECTION X: FEES Application Fee (non-refundable) 480.00 A. Registration of PCC plus one program 800.00 B. Number of additional new programs x 480.00 per C. Facility inspection fee + HST (320.00 + 41.60) 361.60 Registration Fees (Total of A, B, C) TOTAL registration fees accompanying this form PLEASE ATTACH A CERTIFIED CHEQUE OR MONEY ORDER PAYABLE TO THE MINISTER OF FINANCE. NOTICE OF USE The information collected by the Ministry on or arising out of this application may be subject to disclosure under the provisions of the Freedom of Information and Protection of Privacy Act (FIPPA). If you feel that such information is confi dential and proprietary in nature, please identify in writing those portions of the information that you wish to be considered exempt from disclosure. DECLARATION I hereby certify that all information contained in this application and in any attachments is correct. Name of Applicant Address (Number, Street name) Suite/Unit City Province Country Postal code To be signed by sole proprietor, all partners for partnerships, one officer for corporations OR the campus administrator in all cases. Dated at the day of 20. city X (Applicant s Signature) 58-1681E (2010/05) Queen s Printer for Ontario, 2010 Page 5 of 7

SECTION I: PRO FORMA FINANCIAL STATEMENTS Appendix A FINANCIAL INFORMATION The Private Career Colleges Act, 2005 requires applicants to submit a pro forma fi nancial statement prepared by a public accountant licensed under the Public Accounting Act, 2004 together with evidence acceptable to the Superintendent that there is suffi cient capital available for the start up and operating cost of the private sector college. When completing the Pro Forma Financial Statements, the following conditions must met: 1. An operating pro forma balance sheet noting all assets and equities (i.e., liabilities and owner s equity) that are associated with the ownership and operation of the college. 2. A statement of income and cash fl ow for the fi rst twelve months of operation of the college. The amounts presented on the statement should be plausible and reasonable, and distinguish between revenues in respect of approved vocational programs and other revenues. 3. The Public Accountant must prepare, sign and date a Notice to Reader. 4. Accompanying notes to the Pro Forma Financial Statements should be presented outlining the basis of accounting policies applied, assumptions and any other information that is deemed material in the reviewing of fi nancial statements. The Public Accountant signing the Notice to Reader must disclose his Public Accountant s license number issued by the Public Accountants Council for the Province of Ontario. Indicate the fi scal year end date associated with the operation of the PCC: SECTION II: FINANCIAL SECURITY INFORMATION Projected Gross Revenue from Vocational Programs: Based on your Pro Forma Financial Statement, for the 12-month period, state the projected gross revenue from vocational programs: Financial Security Required: Based on your projected gross revenue from vocational programs, indicate the amount of fi nancial security required to be on deposit with the Superintendent based on the attached Bond Table (Appendix B): Financial Security Type: There are primarily three types of instruments that can be used to satisfy the financial security requirements under the Act: 1) a bond secured by a surety company; 2) personal bond with collateral security in the form of a government bond; and 3) a letter of credit from a fi nancial institution Indicate which form of financial security you will be using to satisfy registration requirements: 1) Surety Bond (Note that the exact legal and operating name of your private career college must correspond exactly to the name on the bond.) Name of Surety Company Bond Number Bond Amount 2) Personal Bond (backed by a collateral security) Organizations intending to deposit collateral security with the Superintendent are to make such arrangement with an authorized issuer and submit in a form acceptable to the Superintendent. a) Personal Bond: PCCs must complete and sign the Personal Bond template b) Collateral Security: Collateral securities must come from an authorized issuer. Authorized issuers include the government of Canada and any Canadian province. Please see the Collateral Security template for more information. Amount of security: Issuer of collateral security: Maturity date (mm/dd/yy) Rate of interest Your account number with Broker/Dealer 3) Letters of Credit: Please refer to the standard form wording for irrevocable letter of credit Name of Issuer: Issuer s Reference Number Amount Date of issue (mm/dd/yy) Expiry Date (mm/dd/yy) 58-1681E (2010/05) Queen s Printer for Ontario, 2010 Page 6 of 7

Appendix B FINANCIAL SECURITY TABLE FOR NEW APPLICANTS (See Regulation 939 for complete information) Projected gross tuition revenue from registered program activity Financial security required 0 25,001 50,001 75,001 100,001 150,001 200,001 250,001 300,001 400,001 500,001 600,001 700,001 800,001 900,001 1,000,001 1,250,001 1,500,001 1,750,001 2,000,001 2,250,001 2,500,001 2,750,001 3,000,001 3,250,001 3,500,001 3,750,001 4,000,001 4,250,001 4,500,001 4,750,001 5,000,001 5,250,001 5,500,001 5,750,001 6,000,001 6,250,001 6,500,001 6,750,001 7,000,001 7,250,001 7,500,001 7,750,001 8,000,001 8,250,001 8,500,001 8,750,001 9,000,001 9,250,001 9,500,001 9,750,001 25,000 50,000 75,000 100,000 150,000 200,000 250,000 300,000 400,000 500,000 600,000 700,000 800,000 900,000 1,000,000 1,250,000 1,500,000 1,750,000 2,000,000 2,250,000 2,500,000 2,750,000 3,000,000 3,250,000 3,500,000 3,750,000 4,000,000 4,250,000 4,500,000 4,750,000 5,000,000 5,250,000 5,500,000 5,750,000 6,000,000 6,250,000 6,500,000 6,750,000 7,000,000 7,250,000 7,500,000 7,750,000 8,000,000 8,250,000 8,500,000 8,750,000 9,000,000 9,250,000 9,500,000 9,750,000 30,000 37,500 45,000 52,500 60,000 67,500 75,000 82,500 90,000 97,500 105,000 112,500 120,000 127,500 135,000 150,000 157,500 165,000 172,500 180,000 187,500 195,000 202,500 210,000 217,500 225,000 232,500 240,000 247,500 255,000 262,500 270,000 277,500 285,000 292,500 300,000 307,500 315,000 322,500 330,000 337,500 345,000 352,500 360,000 367,500 375,000 382,500 390,000 397,500 405,000 412,500 over 10,000,000 58-1681E (2010/05) Queen s Printer for Ontario, 2010 Page 7 of 7