College/Funding Application Form

This form is used by Northbridge Pinnacle Education. to collect the information and documents required to begin your college enrollment and Student Aid funding process.

The information you provide will help us verify your eligibility, complete your application accurately, and communicate with government and college representatives on your behalf.

All personal details — including identification, SIN, and supporting documents — are kept strictly confidential and used only for official enrollment and funding purposes.

Full Name *

Phone *

Status in Canada *

Select your current legal status in Canada. This is required for Student Aid and college enrollment verification.

Are you a person with a disability receiving assistance? *

Yes or No

Do you identify as an Indigenous person; that is, First Nations, Métis or Inuit? *

Yes

Prefer not to answer

Citizenship Identification (Proof)

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Marital Status *

Select your current marital status. This information is required for Student Aid funding assessment and helps calculate eligibility accurately.

Social Insurance Number (SIN) *

We are required by the government to collect your SIN for Student Aid and college funding purposes. Your information is stored securely and never shared outside official use.

Please indicate your total income for the most recent tax year available. *

Please indicate your total income for the most recent tax year available. This information will be used to determine eligibility and the amount of funds you may receive.

Dependents *

Photo ID, Front and Back (Government Issued) *

Acceptable IDs: BC Services Card (Preferred), Driver License, Passport. Make sure your name and photo are clear — this is used only for verification purposes.

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF ( max 5 Files )

Birth Certificate

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Passport

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Selfie *

Upload a clear, recent photo of yourself. This is required for identity verification. (Must be Indoors)

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Who Referred You? *

Please tell us who referred you to Higher Results Consulting. If a friend, representative, or partner connected you with us, include their full name so we can properly thank and credit them.

Have you attended high school in British Columbia (BC)? *

BC Service Card App *

The BC Services Card app is required to verify your identity with the Government of British Columbia. We'll use it to securely sign in to Student Aid BC, submit your funding application, and sign government forms online. This replaces in-person ID checks and ensures your information is safely connected to your official BC record. Once this Form is summitted, the page will redirect you to the steps to download the Service app if not done.

Direct Deposit Information *

If you have access to your banking information, please select "Yes" and follow the prompt. If not, it will be requested at a later date for payment deposits. Provided banking information is used exclusively for authorized payment processing and for no other purpose.

Void Cheque

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF ( max 5 Files )

Referrals (Optional)

Please provide 1-3 referrals who might be interested in joining the program.

Sales Representative *

Please indicate the name of the sales representative who assisted you in completing this form. If you were referred by a friend and did not work with one of our representatives, please provide the referral’s name.

Your Signature *

Clear

Authorization & Consent By submitting this form, I authorize Northbridge Pinnacle Education to communicate with relevant third-party institutions — including Student Aid offices, colleges, and Service Canada — regarding my funding application and enrollment status. I understand this authorization allows Northbridge Pinnacle Education to exchange information and provide updates on my behalf for administrative purposes only. This does grant power of attorney or the right to sign legal or financial documents on my behalf. My personal information will remain confidential and used only to support my application process.