Application Form First Name *Last Name *Preferred Name Address *Address 2 City/Town *Province/State: *AlbertaBritish ColumbiaManitobaNew BruunswickNewfoundland and LarbradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonPostal Code *Email *Phone Number Date of Birth *Gender FemaleMaleUndeclaredHighest Level of Education *No High SchoolSome High SchoolHigh School CompletedSome CollegeCollege CompletedSome UniversityUniversity CompletedOtherHow did you hear about City School by Mohawk *Staff in the CommunityNewspaperRadioMailerFlyerBus shelterBus signageFacebookTwitterGoogleWord of MouthOthers(please specify) Have you taken a City School by Mohawk College course before? *YESNOif yes, which course did you take and when? What was your Student ID? Which pre-bootcamp workshop did/will you attend? If you haven't yet, please register here. Tuesday, July 9, 2019 1:30pm-4:30pmWednesday, July 17, 2019 5:30pm-8:30pmThursday, July 25, 2019 9:30am-12:30pmI am unable to attend these options, please contact me directly.NameSubmit