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Application Form - Spanish
Continuing Education
Personal Development
Spanish
Continuing Education - Spanish
1. Course information
Please Specify Your Course Selection:
*
Please choose one
SSL Conversation (Beginner I ) - Main Campus - Winter 2024
Indicate the semester for which you are applying:
*
Please choose one
Fall
Winter
Indicate the year for which you are applying:
*
Please choose one
2024
I would be interested in taking this course online, if available.
Yes
No
2. Documents required: (In order for your application to be processed, all required documents must be submitted)
Valid Government Identification (Required for non-credit courses). Can be one of:
a. Passport
b. Drivers License
c. Health Card
Please include a photo/scan of both the front and back of your proof of identification
Proof of Identification Front:
*
Proof of Identification Back:
*
3. Personal Information
Family Name:
*
First Name:
*
Date of Birth:
*
Gender:
*
Male
Female
4. Permanent Address (PLEASE NOTE: It is YOUR responsibility to notify us of any changes)
Number:
*
Street/Rural Route/P.O. Box:
*
Apartment:
City/town:
*
Province:
*
Country:
*
Postal Code (important):
*
Telephone:
*
Secondary Telephone:
Email:
*
5 How did you hear about this training activity? (maximum of 2 choices)
Please choose from below:
Newspapers
Radio
Publisac
Friends / colleague / company
Social media of the educational institution
Other social media
Educational institution website
Other websites
Email / Educational institution newsletter
Other emails / Newsletter
Organizations (CLE / schools / employability)
6. Certificate and Signature
I certify that the information provided is correct.
Signature:
Date:
Don't fill this field!
Contact Us
Continuing Education Department
B111
819-778-2270
ext.
1779
conted@cegep-heritage.qc.ca
