Student Registration - Quinte Adult Education
Email address *
Legal Last Name (Surname) *
Your answer
Legal First Name (Given Name) *
Your answer
Gender *
Date of Birth *
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Email Address *
Your answer
Mailing Address *
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City and Province *
Your answer
Postal Code *
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Phone Number *
Your answer
Citizenship *
Your answer
Country of Birth *
Your answer
Have you taken a course with us before? *
Are you currently enrolled as a full time student in any other adult education school? *
Name of Last Secondary School Attended *
Your answer
Declaration: I hearby certify that the information on this form is correct to the best of my knowledge as of this date. I acknowledge that it is my responsibility to inform the school of any changes to the above-noted information. *
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Disclaimer Personal information contained on this form any any other correspondence related to the involvement in school/board programs is collected under the authority of the Education Act and Regulations as amended. The information will be used for programming and reporting.I have read and completed the information contained on this page and understand the nature of the activities for which I have provided consent. Upon consent you will receive an email regarding next steps regarding the registration process and course selections. ⃰ *
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Declaration and Disclaimer Completed On *
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