Registration | Native Education & Training College of Business, Healthcare, Human Service & Technology

Fill out the application below to apply or download the student application here.
Please Download and Save the DE Enrollment and Procedure Guide and Contract .PDF to your desktop.

Mail or fax your completed form to:
Native Education & Training College
90 Division Street
North Bay, ON P1B 8Z4
Fax: (705) 497-7839

Personal Information
First Name (required)*
Last Name (required)*
Preferred First Name
Date of Birth (required)*
Date Format: MM slash DD slash YYYY
Gender
Social Insurance Number (or Individual Taxation Number)
Do you identify yourself as an Indigenous person?
- Yes
- No
If you identify yourself as an Indigenous person, are you (please check all that apply)
- First Nation
- Metis
- Inuit
Program Information
Select a Program
Preferred Starte Date
I am applying as:
- Full-time Student
- Part-time Student
Contact Information
Mailing Address (required)*
Street Address Address Line 2 City Province / State Postal Code / Zip Code
Primary Phone Number (required)*
Email (required)*
Enter Email Confirm Email
Education
Highest level of education completed
Location of school
Year completed or last year of studies
Emergency Contact
Emergency Contact
Emergency Phone
Relationship

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