First Name *

Last Name *

I am a * High School Student Mature Prospective transfer student Parent Guidance counsellor Other

High School Name *

Anticipated start date May 2025 September 2025 Future intakes Still exploring my options

How far are you on your Northern journey? I am exploring my options I have applied for a program/program I have accepted an offer into a program

Email *

Cell Phone number *

Campus of Interest * Haileybury Timmins

Choose Your Primary Program of Interest * Business and Office Administration Health Sciences Community Services Technology and Trades Veterinary Sciences Emergency Service Other Program - Mineral Exploration Techniques & Mining Engineering Technician Instrumentation

Choose your secondary program of Interest Business and Office Administration Health Sciences Community Services Technology and Trades Veterinary Sciences Emergency Services Other Program - Mineral Exploration Techniques & Mining Engineering Technician Instrumentation

How many people are you bringing with you? * 1 2 3 4

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