New Student Registration: Northern Lakes College

New Student Registration

New Student

Please fill out the fields below and ensure they are correct

*Mandatory Fields

Legal First Name*

Legal Last Name*

Country *

Postal Code*

Street Address or PO Box # *

City or Town*

Province*

Birthdate* Why do we need this: Your birthdate helps us to distinguish you from other students who have the same name.

Year

Month

Day

Email Address*

Main Phone* --

Cell Phone --

I agree to receive promotional emails from Northern Lakes College including any that relate to courses, programs, events and services that Northern Lakes College delivers or sponsors. You can withdraw your consent at any time. For more information Contact Us at: 1-866-652-3456 or email work@northernlakescollege.ca

I have a diagnosis and will require accessibility services and/or learning accommodations.