Apply for Micro Credential Courses

Micro Credential Course

Micro Credential Course Choice *

Personal Information

First Name *

Last Name *

Middle Name

Other Name(s) under which you were previously registered

Student Number (if available)

Date of Birth *

Status in Canada *

Contact Information

Address *

City *

Province *

Postal Code *

Phone Number *

Confederation College Email (if applicable)

Other Email (Yahoo, Hotmail, Gmail, etc.) *

Disclaimer

I understand and agree that by submitting this form, it is the equivalent of my electronic signature and will be treated as if a signed form was submitted to Registrar's Office.

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Today's Date *