School of Adult and Continuing Education - Online Learning Registration Form

Online Learning Registration Form ( * Fields are Required )

STEP 1 OF 3

Please complete the form below and click on the "Next" button. Clicking on the "Reset Form" button will clear the form.

Course	Click here for course descriptions
First Name *
Last Name *
Name Shown on Transcript	Only if different from above.
Organization if Applicable
Gender *	Male Female
Date of Birth *
Mailing Address *
City *
Postal Code *
Telephone (Home) *
Telephone (Other)
Email *
Status In Canada *	Canadian Citizen Landed Immigrant Other
Last School Attended *
City
Have you taken an on-line course before(Yes/No)
Last Year Attended
Did you Graduate	Yes No