1631X Play, Learn and Teach Outdoors in the Early Years

Admission Application

Please Note: In order to complete this certificate, applicants must have a diploma or a degree in early childhood education or a related credential.

"*" indicates required fields

Name*

First Last

Have you attended Algonquin College before?*

Yes

No

Previous Name

Have you changed your name since you studied with us? Please include the name on your student record.

First Last

Algonquin College Student Number*

Email*

Please provide a non-Algonquin College email address.

Date of Birth*

MM slash DD slash YYYY

Gender*

--FemaleMaleN/APrefer not to disclose

Phone*

Citizenship*

Canadian CitizenNative AncestryPermanent Residence CardStudy PERMITIn Canada on another VISARefugee StatusOtherWork VISADiplomatic VISAVisitor VISA

Home Address*

Street Address Address Line 2 City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code

Are you a current Algonquin College employee?*

Yes

No

Are you a full-time or part-time employee?*

Full-time

Part-time

Have you completed a diploma or a degree in early childhood education or a related credential?*

Yes

No

Previous Qualification*

To qualify for the program you must have completed a previous credential. Which one have you completed?

In order to complete this certificate, applicants must have a diploma or a degree in early childhood education or a related credential.

Name

This field is for validation purposes and should be left unchanged.

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