Apprenticeship Request to Register Form If you require an alternate set-up of this form, please email firstname.lastname@example.org. 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 email@example.com. Registrations for the spring semester apprenticeship programs will begin the first week of March. * Required Information Print this page Name* First Middle Last Student IDAddress* 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 FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Date of Birth (mm-dd-yyyy)* Date Format: MM slash DD slash YYYY Gender*FMN/APhone Number*Email* Emergency Contact Name*Emergency Contact Relationship*Emergency Contact Phone Number*Ministry Class Number*Ministry Client IDApprenticeship ProgramApprenticeship Program*Select310S 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 3339A 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 Advanced456A Welding level 1456A Welding level 2456A Welding level 3Start Date* Date Format: MM slash DD slash YYYY Registration Registration is first come, first served and only by email at this time WES will send you a confirmation email once registered This email will indicate the exact charge to your account and may include tuition as noted in your Ministry Offer email, HST and a $14 transcript fee and grad fee for Advanced or Level 3 . Apprenticeship fees are assessed to your student account immediately upon registration Payment is required within five (5) days of the date of our email to you, or you may be deregistered Payment Options Credit Card (Visa, MC, AMEX) on MyCampus. Bank Transfer (takes 3-5 business days) - use your Durham College student number for the account number Personal cheques or 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 MyCampus if you have not already done so, or submit it as soon as possible Withdrawal You are academically and financially responsible for your program unless you officially withdraw before the start of the first class. Failure to attend does not constitute withdrawal. To withdraw, a complete Program Withdrawal Form must be emailed to firstname.lastname@example.org 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. Office use onlyProcessed byDate processedAmount owing upon registrationPhoneThis field is for validation purposes and should be left unchanged. Notice of collection: In accordance with the Freedom of Information and Protection of Privacy Act, your personal information is collected and reported to the Ministry of Training, Colleges and Universities under the legal authority of the Ontario Colleges of Applied Arts and Technology Act, 2002. MCU collects student-level enrolment-related data, which includes limited personal information such as Ontario Education Numbers, student characteristics and educational outcomes, in order to administer government post-secondary funding, policies and programs, including planning, evaluation and monitoring activities. Your personal information may also be used or disclosed for administrative, information technology, law enforcement, statistical or research purposes of the College or ministries and agencies of the Ontario and federal governments. Further details are available at our Privacy page ( https://durhamcollege.ca/about/governance/information-access-and-privacy ) or by contacting the Freedom of Information Coordinator, President's Office, 2000 Simcoe Street North, Oshawa, Ontario, L1G 0C5, 905.721.2000 ext. 3292.