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

What is your highest level of education completed? * OtherGrade 12 or equivalent (I.e., GED)College diplomaBachelor’s degree or more

Did you graduate high school? * YesNo

If so, when?

Do you require childcare? * YesNo

If you felt that you could benefit from college support for assistance with any disability or special needs, would you take advantage of those free services? * YesNoPrefer not to say

What is your source of income: *

Can you reliably get to the Northern College Campus located at 4715 Highway 101 E, South Porcupine, ON, for 32 weeks after the program starts? * YesNo

The pre-apprenticeship program is a 32-week full-time program, which means you will have classes Mondays to Fridays between the hours of 8 am - 7 pm. Can you attend all your classes and complete a 32-week full-time program? * YesNo

All students will be required to complete a 280-hour work placement in order to complete the program successfully. While we assist in helping you find placement, we ask that you fully participate and be proactive in securing a placement for yourself. * YesNo

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.