HYPE Application Form 2013

About Centennial
Established as Toronto's first public college in 1966, Centennial College offers programs in business, communications, community and health studies, science and engineering technology, general arts, hospitality and transportation.
 
Last name: First name:
Street Address: City:
Province: Postal Code:
Home Telephone: Cell:
Email:
 
Date of Birth: Gender:
 
Are you considering applying to a Centennial Program in Fall 2013?
Yes    No
 
Are you a First Generation Student?
Are you an Aboriginal?
Are you a Francophone?
Are you a current Centennial student?
Are you a Crown Ward or Former Crown Ward?
Have you attended HYPE before?
 
What is the highest level of education you have completed?
Elementary School
Some College
University Graduate 		Some High School
College Graduate 		High School Graduate
Some University
 
In which of the following areas do you reside?
 
Course Selection
Please enter your top 3 choices (# 1 being your first choice)
Choice 1
Automotive
Baking & Entrepreneurship
Business: An Introduction
Esthetics
Human Development
Digital Media
 Choice 2
Automotive
Baking & Entrepreneurship
Business: An Introduction
Esthetics
Human Development
Digital Media
 Choice 3
Automotive
Baking & Entrepreneurship
Business: An Introduction
Esthetics
Human Development
Digital Media
 
Additional Learning
Please select topics of interest to you—check all that apply:
Financial Literacy
Personal Empowerment
Goal Setting
Employment Readiness
You and the Law
Conflict Resolution
Post-Secondary Preparation
 
How did you hear about HYPE? (check all that apply)
Centennial College Website
Community Agency
Youth Worker
Presentation by HYPE Staff
Centennial College Staff
Friends and Family
HYPE Flyer
Other
Parent/Guardian consent if under 18 years of age
 I give consent for my child to participate in the 2013 HYPE program.
  Name:  
  Phone: 
  Email:  
Emergency Contact information:
Name: Relationship:
Phone #: Address:
Email:
 
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 at Centennial College.
 
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