Personal Information

Location of Interest:*

First Name:*

Last Name:*

Address:*

City:*

Province:*

Postal Code:*

Mobile Phone Number:*

Social Insurance Number*

Alberta Student Number

Date of Birth*

Age*

Email:*

Are you Right or Left Handed?*

Program of Interest:*

Employment Information

Occupation*

Place of Employment*

Phone Number*

Emergency Contact

Name of Parent, Guardian or Spouse:

Address of Parent, Guardian or Spouse

City

Province

Postal Code

Place of Employment

Work Phone

Home Phone

Emergency Contact Mobile Phone

City

Province

Emergency Contact Postal Code

Educational Background

Do you have a High School Diploma*

If no what grade have you completed?

How long have you considered professional training to advance your career?*

Why do you feel you would like to work in this profession?*

Are you willing to attend class on all the days listed for this program until the end of each day?*

Do you have any personal or health issues that may interfere with your attendance or performance at school ?*

If yes what are they?

What are your expectations of the school?*

How did you learn about our school?*

I understand that this application is made under the rules and regulations of the Alberta Private Vocational Training Act. By submitting this form, I agree that DelMar College may call, text and/or email me about their educational services