Anishinabek Educational Institute

Fort William/ Munsee-Delaware/ Nipissing

2019 - 2020 Application

PERSONAL INFORMATION


Residential Address:


Mailing Address:
(If different from residential address)



(10 digits)

(9 digits)


Emergency Contact:


Health and Learning Concerns:

EDUCATION INFORMATION

EMPLOYMENT INFORMATION

(if applicable)

TUITION PAYMENT INFORMATION


ALTERNATE PROGRAM OF CHOICE

Are you interested in any other program(s)?


Students are responsible for a full-time workload during the entire length of the program.
AEI would like you to explore and identify your support network while enrolled in the program:

Please type your name as your electronic signature.

FOR MORE INFORMATION CONTACT:

Nipissing Campus NORTH BAY – jan.mcleod@anishinabek.ca TOLL FREE 1-800-334-3330
Munsee-Delaware Campus LONDON – sue.ireland@anishinabek.ca TOLL FREE 1-800-441-5904


Required