Campus EPSB Semester Application
Campus EPSB is designed to be an additional way for students to earn high school credits and industry credentials, get ahead of their studies or prepare for post-secondary. It’s a great way to explore opportunities and get hands-on experience that can help plan their next steps.

A maximum of 25 students will be accepted into each program, which will run for a full semester during the 2017-2018 school year.

Email address *
Program applying for *
Required
First Name *
Your answer
Last Name *
Your answer
Mailing address *
Your answer
City *
Your answer
Postal Code *
Your answer
Home Phone Number *
e.g. (780) 123-1234
Your answer
Cell number
e.g. (780) 123-1234
Your answer
EPSB ID number (8 digits) *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Parent /Guardian name(s) *
Your answer
Parent Contact Phone Number *
e.g. (780) 123-1234
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
e.g. (780) 123-1234
Your answer
Citizenship *
Current School *
Teacher reference 1 ( name of teacher) *
Your answer
Teacher reference 2 ( name of teacher) *
Your answer
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