New Kenjgewin Teg Application

Kenjgewin Teg Application

Personal Information

Tell us about you and how we can contact you

First Name

Preferred Name

Middle Name

Last Name

Gender

Birth Date

SIN Number

Primary Phone number

Address 1

Address 2

City/town

State/Province

Postal Code

Cultural Association

Kenjgewin Teg accepts students from all cultural backgrounds; indigenous and non-indigenous alike. We do track details of students' indigenous background for internal planning purposes.

Cultural Affiliation

First Nation Affiliation

Program Specifics

Select the program you are applying for and when you would like to start.

Program

Enroll In

Tuition Plan

Our post-secondary education programs have tuition fees that are typically determined by our partner institutions. These fees represent a significant investment in your future. Many students can apply for sponsorship, OSAP or other funding opportunities.

Payment Plan

Default Payment Plan for Invoice

Academic or Physical Accommodations

Please let us know if you have any disability/exceptionality or academic accommodation requirements. Further details can be provided once enrolled.

Disability

Yes No

Learning Difficulties

Yes No

Accommodations Required:

Academic and Employment HIstory

Secondary School Graduate

Yes No Not Selected

1. Secondary School(s) Attended

College / University Graduate

Yes No Not Selected

1. College or University Attended

Are you employed?

Yes No Not Selected

Status

F/T

P/T

Certification & Consent to Disclose Information

I Accept Declaration

Yes No Not Selected

Payment Information

Items	Amount
Tuition	$0.00
Total	$0.00

Payment Method

Required

Phone Number

Required

Card Holder Name

Required

Card Holder ID / RIF

Required

Credit Card Number

Required

Expiration Date

Required

Security Code

Required

Currency

Account Number

Required

Routing Number

Required

I hereby certify that all statements on this applications are correct and complete to the best of my knowledge. I understand that any false or incomplete information may invalidate my application. I have read the Freedom of Information and Privacy Protections statement below. I authorize the release of this information to the Ministry of Training, Colleges and Universities. I authorize Kenjgewin Teg and/or their partners to disclose academic information as required to sponsoring agencies or other adult education providers.

Freedom of Information and Protection of Individual Privacy 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 Kenjgewin Teg, our partner institutions 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.