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Native Education
and Training College Application Form 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 [ ]
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 ____________________________________________________________
Applicant’s Signature:
________________________________________ Date: ___________________ Accepted By:
________________________________________________ Date: ___________________ |