New BEST / OSSD / UPGRADING APPLICATION FOR ADMISSION

Iohahi:io Akwesasne Education & Training Institute

16 Iohahi:io Road, Akwesasne Tel: (613) 575 -2754, Akwesasne, Quebec H0M 1A1

BEST / OSSD / UPGRADING APPLICATION FOR ADMISSION

Program Applied For

Program

General Information

First Name

Last Name

Cell Phone

Street

Address 2

City

State/Province

Zip/Postcode

Country

Birth Date

SIN

(9 digits)

Gender

Education

Do you have a high school diploma?

Yes No Not Selected

Name of High School

If not, what is the highest grade you have completed?

Work Experience

Employer

Job Title

Employment Start Date

Employment End Date

Duties

Accomplishments

Please describe some of the qualities that you feel make you a suitable candidate for the course of study that you are applying for.

What do you hope to achieve or gain upon completion of this program?

What steps do you plan to take next after completing your studies at Iohahi:io?

Client Release of Information

I give consent to release my name and contact information as well as any information regarding performance and/or attendance in the Iohahi:io course to potential employers who are seeking candidates for employment, as well as funding, social assistance agencies, Office of Vital Statistics (OVS) and educational institutions. In addition, I give consent to release my personal information and/or photograph to Iohahi:io Akwesasne Education & Training Institute for promotional purposes for internal and/or external publications.

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