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Prospective Students
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Mandatory Fields
* Name:
* Address 1:
Address 2:
* City:
* Postal Code:
* Phone #:
Cell #:
* E-mail Address:
Date of Birth:
(dd/mm/yyyy)
* Course of Interest:
Intra-Oral Dental Assisting Level II
Dental Chairside Assisting Level I
Level II Dental Assisting Part-time
Dental Office Administration
Personal Support Worker
Health Office Administration
Early Childcare Assistant
Physiotherapy
Pharmacy Technician
Medical Laboratory Technician
Police Foundations Training
Office Administration
Business Office Administration
Community Service Worker
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hear about us?
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* Highest grade
level attended?
Grade 9
Grade 10
Grade 11
Grade 12
Grade 13
Name of secondary school:
* Do you speak fluent english?
Yes
No
* Do you have finances set
aside for education?
Yes
No
If no, who will assist you?
* I) Have you ever applied for Govt. Asst. Funding (OSAP)?
Yes
No
* II) Do you intend on applying for Govt. Asst. Funding (OSAP)?
Yes
No
* III) EI Funding
Yes
No
* Do you have
schedule preferences?
Day School
Night School