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First Generation Student Project

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PROGRAMS

SCHOOLS

FINANCIAL AID

ABOUT US

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Registration Form

First Name:	Last Name:
Street Address:	Apt#:

City:

Province:

Postal Code:

Personal Email:

Preferred?

Centennial Email: @my.centennialcollege.ca

Preferred?

Centennial Program:

Campus

Centennial Student #:

Did your parents complete college, university, or an apprenticeship in Canada?
Yes No

Are you:
- an Aboriginal student?	Yes No
- a student with a disability?	Yes No
- a high school graduate?	Yes No

Personal information collected will be protected and utilized by college staff for the purpose of informing registrants of college activities and resources; in addition, will be included in efforts to expand engagement opportunities for First Generation Students at Centennial College.

This Project was made possible by a grant from the Ministry of Training, Colleges and Universities.