First Name *

Last Name *

Email *

Phone (Enter number without dashes or spaces) *

Date of Birth (YYYY-MM-DD) *

Address Line 1 *

Unit/Apt. Number and/or PO Box

City *

Province *

Postal Code *

Are you a permanent Resident of Ontario, Canadian Citizen, or Refugee? * YesNo

Did you graduate high school? * YesNo

If so, when?

What is your source of income: *

Program of Interest *

Second Program of Interest *

Did you complete Academic Upgrading or your high school diploma as a mature student? * YesNo

If so, when?

Have you worked in the sector that you want to upskill in? * YesNo

If so, what sector

Did you graduate from a college or university program? * YesNo

If so, when?

Please indicate if you consent to receiving electronic communications from Northern College regarding news, events, training, and workshop opportunities. * Yes, I would like to receive email communications from Northern College. I understand I can unsubscribe at any time. I do not want to receive email communications from Northern College.

Comments

Disclaimer:

The information on this form is collected under the legal authority of the Colleges and Universities Act, R.S.O 1980, Reg. 640. Northern College is required to report student-level enrolment-related data to the Ministry of Labour, Training, and Skills Development under the authority of the Ontario Colleges of Applied Arts and Technology Act, 2002, Chapter 8, Schedule F, Section 6.

Space restrictions may apply. Insufficient course enrolment may result in course postponement or cancellation.

By submitting the application form, you agree that attendance, academic, and placement records will be shared with the sponsor, if applicable, and the funder based on the funding contract.

By submitting this form, you are agreeing to these terms.