Apprenticeship Request to Register Form If you require an alternate set-up of this form, please email central@durhamcollege.ca. If you are registering into CDP-Child Development Practitioner please visit this link for further information. Complete the following form and click Submit at the bottom of the page. Whitby Enrolment Services will email you once you have been registered, noting registration is first come, first served and only by this form due to our remote services at this time. If you have any questions please contact us through the LiveChat option or email central@durhamcollege.ca. Please fill out the apprenticeship registration form below and you will be placed in order of receipt. You will receive a response within 5 to 7 business days * Required Information Print this page Name* First Middle Last Student ID Address* Street Address City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Gender* F M N/A Phone Number*Email* Emergency Contact Name* Emergency Contact Relationship* Emergency Contact Phone Number*Ministry Class Number*(7-digit number found on your Offer of Classroom Training) Ministry Client ID HiddenApprenticeship Program Apprenticeship Program*Select a program310S Automotive Service Technician level 1310S Automotive Service Technician level 2310S Automotive Service Technician level 3636E Elevating Devices Mechanic Basic636E Elevating Devices Mechanic Intermediate636E Elevating Devices mechanic Advanced309A Electrician Construction & Maintenance level 1309A Electrician Construction & Maintenance level 2309A Electrician Construction & Maintenance level 3442A Industrial Electrician339A Mobile Crane Common Core339A Mobile Crane levels 2, 3 & 4433A Industrial Mechanic Millwright level 1433A Industrial Mechanic Millwright level 2433A Industrial Mechanic Millwright level 3306A Plumbing Basic306A Plumbing Intermediate306A Plumbing Advanced307A Steamfitter Level 1307A Steamfitter Level 2307A Steamfitter Level 3456A Welding level 1456A Welding level 2456A Welding level 3Start Date* MM slash DD slash YYYY Registration Registration is first come, first served and only by submitting the above registration form. Whitby Enrolment Services will send you a confirmation email once registered. This email will indicate the exact charge to your account and payment instructions. Payment Options Credit Card (Visa, MC, AMEX) on MyDC Bank Transfer (takes 3-5 business days) Personal cheques and cash payments are not accepted SIN Collection CRA (Canada Revenue Agency) requires your SIN (Social Insurance Number) for your T2202 tax form. Add your SIN on MyDC if you have not already done so, or submit it as soon as possible. Withdrawal Policy You are academically and financially responsible for your program unless you officially withdraw before the start of the first class. Failure to attend and/or non-payment of fees does not constitute a withdrawal. To withdraw, a completed Program Withdrawal Form must be emailed to central@durhamcollege.ca by the start of the first class and is subject to a $100 admin fee. After the start of the first class, no refunds will be considered. Students who stop attending and do not follow proper withdrawal procedures will be recorded as having failed the program. If a program becomes full and we have an internal list of students waiting for a seat in a program, apprentices who have not paid within five business days after receiving their registration confirmation may be deregistered from their program to make space available. * By checking this box, I confirm that I have read and understand the above withdrawal policy.HiddenOffice use onlyHiddenProcessed by HiddenDate processed HiddenAmount owing upon registration PhoneThis field is for validation purposes and should be left unchanged. Notice of Collection: In accordance with Section 39(2) of the Freedom of Information and Protection of Privacy Act, 1990, the personal information collected on this form is collected under the legal authority of the Ontario Colleges of Applied Arts and Technology Act, 2002 and may be used and/or disclosed for use with Strategic Enrolment Services. Your personal information may also be used for various administrative, statistical and/or research purposes of the College and/or ministries and agencies of the Government of Ontario and the Government of Canada. If you have any questions about the collection, use and disclosure of your personal information by the College, please contact the Freedom of Information and Protection of Privacy Coordinator, 2000 Simcoe Street North, Oshawa, ON, L1G 0C5, 905.721.2000 ext. 3292.
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