Indigenous Education Program Application Form

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Please indicate your intended program of study
Personal Information
Marital Status
If documents are in a different name please provide proof of name change.
Are you an Indigenous person?
Please specify
Status in Canada
First Language
Have you previously enrolled at Nipissing University?
Last Program
Have you taken any courses at a post-secondary institution since your last registration at Nipissing University?
Last Secondary School Attended
Diploma Received?
All Post-Secondary Institution(s) Attended
Employment or Activities When Not a Full-Time Student