Registration request
Welcome to Distance Education! This form will help us prepare your personalized registration package.
If you don't know an answer, just pass it.

At any moment, if you have questions, you can reach us at our toll free number 1-877-463-3775.
What is your last Name *
Your answer
What is your first Name *
Your answer
Select your birth date *
MM
/
DD
/
YYYY
Admissibility - Please check the boxes according to your actual situation *
Required
What is your goal? *
What is your actual occupation?
What is the last level you completed in high school? *
Where did you do your previous studies? *
What is your permanent code? (it should be 4 letters with a serie of numbers)
Your answer
Would you like to do your studies in French or in English? *
Please check the level you would like to do at Distance Education with us?
Next
Never submit passwords through Google Forms.
This form was created inside of Eastern Townships School Board. Report Abuse