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Native Education
and Training College Private Career College Enrollment Application Name:
_________________________________________
Gender: M_____F______ Email: _________________________________________________________________________ Telephone:
(____)______________________ Date of
Birth_______________________________ Program Name: ___________________________________________________________________ Program Type: Certificate ______Diploma_______ Tuition Fee: ______________ Application Fee: $ 100.00 Textbook Fee: ______________ Type of Funding:
First Nation Ed Authority [ ]
Metis [ ]
Aboriginal HRDC [ ] Program Duration:
______________ Start Date: ________________End Date: __________________ ACADEMIC BACKGROUND: High School:
_______________________________________________________________ Location: __________________________________________________________________ Last Grade
Completed: ______ OSSD [ ] GED
[ ] Ontario Basic Skills [ ]
GAS [ ] POST-SECONDARY
EDUCATION: College
or University ____________________________________________________________ College
or University ____________________________________________________________ The Native Education & Training College is prohibited by law from guaranteeing a position to any student or prospective student. This contract is subject to the Private Career College Act, and the regulations made thereunder. For information regarding cancellation of this contract, and refunds of monies paid, see sections 20, 21, 22, 23, 24, and 25 of the regulation made under the PCC Act on the last page of the Course Calendar. Applicant’s Signature:
________________________________________ Date: ___________________ Accepted By:
________________________________________________ Date: ___________________ |