Accessibility Services - CollegeBound Registration Form (Timmins)
First Name:_______________________________
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Referenced from: CollegeBound: A Post-Secondary Transitional Program
Document text
Section titled “Document text”Accessibility Services - CollegeBound Registration Form (Timmins)
Section titled “Accessibility Services - CollegeBound Registration Form (Timmins)”First Name:_______________________________
Last Name:_______________________________
Preferred Name:__________________________
Cell Phone:_______________________________
Address: _________________________________
Email:____________________________________
City:_____________________
Province:__________________
Postal Code:__________________
Current School (if applicable):
______________________________________________________________
Program/Area of Study at Northern College (if applicable):_____________________________________
Please submit any accessibility support documentation (e.g PsychEd Assessment, IEP , or medical documentation) with this application, if you are submitting via email.
Documentation is attached.
Documentation to follow.
Housing Information (Please check one.)
Section titled “Housing Information (Please check one.)”I have housing procured.
I will be living in Residence.
I have not secured housing and need temporary accommodation during CollegeBound.
Personal Information Do you have allergies and/or food sensitivities?
Yes
If yes, please list: ____________________________________________
Relationship: _____________________________
Emergency Contact Information
Section titled “Emergency Contact Information”Emergency Contact:_________________________
Telephone:_________________________________
Alt. Telephone:____________________________
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I understand that there is a 100% attendance policy for CollegeBound.
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I understand that this is a substance-free environment.
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I understand that CollegeBound requires a personal laptop . Tablets and Chromebooks are insufficient as per Northern College’s BYOD policy.
-
I understand the deadline to apply for CollegeBound is Thursday, August 21st, 2025.
No
Please list any accommodations you require:
______________________________________________
______________________________________________
I have read the information on this form, and by signing, I agree to the terms outlined above.
_________________________________________________
Your confirmation can be submitted in person, or by email .
Email: TimminsAccessibility@northern.on.ca
Please contact us if you require this form in an alternative format.
Source: https://www.northerncollege.ca/uploads/2025/07/CollegeBound-Timmins.pdf