Online Registration

PERSONAL INFORMATION

Name
Select title*—Please choose an option—MsMissMrsMr First*
Middle Last*

Address
Street Address, Housenumber etc* Landmark, Floor, c/o
City* Country*
State/Province* Zip Postal Code*
Phone* Email Address*

PROGRAM INFORMATION

Please choose a program*—Please choose an option—Health Care Assistant - Geriatric Care with co-opHealth Care AssistantHealth Care Assistant - AcceleratedHealth Care Assistant & Communication YR1Health Care Assistant & Communication YR2Integrated Skills English LanguageBusiness ManagementBusiness Management with Co-op

Program Intake*—Please choose an option—Fall 2024Winter 2024Spring 2025Summer 2025

I hereby declare that I have read, understood and will abide by the terms of Service. The information I have submitted on this application is true and correct. I also understand that providing false information will lead to a cancellation of my student privileges and may result in further prosecution.

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