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Registration Information

E-Mail Address:
New Password:
Confirm New Password:

Personal Information

Title:
First Name:
Last Name:
Previous Last Name:
Gender:
Birth Date:
Citizenship Status:
Country of Birth:
Social Insurance Number:Format: XXX-XXX-XXX University of Windsor Student Number: (if you have/had one) Religion (optional):

Address

Street Address:
City:
Province:
Postal Code:Ex: N9B 3Y1 Country:
Home Phone:
Cell Phone:()
Work Phone:() Ext.

Summer Address (if different from above)

Street Address:
City:
Province:
Postal Code:Ex: N9B 3Y1

Add Vehicle Information

If you plan on registering for Parking with Canterbury College, we require some basic information about your vehicle.3

Vehicle Year:
Vehicle Colour:
Vehicle Make:
Vehicle Model:
License Plate:

Residence Information

If you are planning on applying for Residence at Canterbury, please complete the form below.

Contact Information

Contact #1 First Name:
Contact #1 Last Name:
Contact #1 Occupation:
Contact #2 First Name:
Contact #2 Last Name:
Contact #2 Occupation:

Contact Address

Street Address:
City:
Province:
Postal Code:Ex: N9B 3Y1
Country:
Home Phone:() Format: (XXX)XXX-XXXX

Academic Information

Entering Academic Year:
Faculty:
Degree:Which degree are you obtaining (ex: BA, BSc, BEng)
Academic Average:
University Degrees Obtained:Which degree(s) do you already possess. (ex: BA, BSc, BEng)
Do you qualify for OSAP? Yes Some of our scholarships have the criteria of "financial need" included in the description. For this reason, we ask everyone, do you qualify for OSAP? (If this information changes, please advise the office. (CANADIAN RESIDENTS ONLY)

Other Information

Do you know someone that has lived at Canterbury?

Yes No

If so, who?

First Name:
Last Name:
Years at Canterbury:(ex: 2004, 2005, 2006)

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