Kenjgewin Teg

374 Hwy 551 / M'Chigeeng, Ontario / P0P 1G0

General Application Form - 2018

Program Choice

Please indicate which program and semester you are applying for:

General Information for Student Record


(9 digits)

Cultural Affiliation


(10 digits)

Support Network/Emergency Contact

Please identify a support person or someone we could contact in the event of an emergency:

Age of Consent

Will you be 18 years of age, or older, at the start of this program:

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Photo / Video Release Consent

As a participant under one of the training programs/courses offered through Kenjgewin Teg, I give Kenjgewin Teg and its employees:

1. Permission to photograph, videotape, and/or interview me;

2. The perpetual and non-exclusive right and license to use my image, my name, and/or quote from me about contingent work produced by or on behalf of Kenjgewin Teg without payment of royalties to me; and

3. Consent under the Freedom of Information and Protection of Privacy Act to use and disclose my image, my name, and/or a quote from me about contingent work produced by or on behalf of Kenjgewin Teg.

I waive any right to inspect or approve the finished edition.

I release, and agree to hold harmless, Kenjgewin Teg, its employees, and representatives from all actions, claims and demands arising from the Kenjgewin Teg’s collection, use, and disclosure of my image, my name, a quote from me, or a description of my involvement in issues regarding contingent workers.

I am 18 years of age or over, have read this Release before checking below, and accept the terms and conditions.

Freedom of Information

The personal information on this application is collected under the legal authority of the Ministry of Colleges and Universities Act, R.S.O. 1990,c.M.19,s.5 and Regulation 770, R.R.O.1990,s.8. The information is used for the administration and statistical purposes of the College and/or the Ministries and Agencies of the Government of Ontario and the Government of Canada. If you have any questions regarding the collection and use of this personal information, please contact the Registrar of the College, P.O. Box 328, 374 Highway 551, M'Chigeeng, ON P0P 1G0 705-377-4342.

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Consent to Disclosure