Voluntary Disclosure

*You may voluntarily provide the personal information listed below:

Do you identify yourself as an Aboriginal person, that is, First Nations, Métis, or Inuit?

Yes

If you answered “Yes”, please indicate:

Aboriginal Group

First Nations

Metis

Inuit

Not Applicable

Do you have a long-term physical or mental health condition that limits the kind of activity that you can perform on a dailybasis?

Yes

Describe your special condition / disability here, if applicable. (Optional)

PROGRAM & INTAKE PREFERENCE

Select Program

Select Intake

Select Cohort

PLEASE SUBMIT THE FOLLOWING DOCUMENTS

Photo ID - Drivers License, PR Card, Canadian Passport

Secondary/Post-Secondary Education Transcripts

English Language Proficiency Document

Additional Documents (if any)

Input the Agent Code only if you are an agent or if an agent asked you to submit using their Agent Code.

Select Agents

By submitting this form, you are giving your express written consent for Keystone College to contact you regarding our programs and services using email, telephone or text - including our use of automated technology for calls and periodic texts to any wireless number you provide. You also declare that all the information provided in the application form is true and any falsified documents submitted may result in rejection of the application or dismissal from the program.