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New Learner Registration
Please complete this form to register for the e-Channel program.
You will receive an email once your registration has been received.

Attention Practitioners! In order to keep our stats accurate, we encourage you to visit The Learning Hub for more information about our online program. Please do not register as a learner on this page. We look forward to hearing from you!

About You ( all fields are required)
* Have you registered with the LearningHub before? YesNo
* First Name:
* Surname:
* Address:
Address(2):
* City/town:
Province:
* Postal Code:
* Home Phone:
Work/School Phone:
* E-mail Address:
If you use a hotmail account, be sure to check your junk mail folder for a message from the LearningHub.

* Referral by: Internet
Adult Learning Centre
Social Services Agency
Other
If you are registered in an Adult Learning class, please type your teacher's name, phone number and email address here:

* Age: 16-18
19-26
27-39
40-59
60+

* Gender: Male
Female

* Language: English
French
Other

* Employment Status: Part-time
Full-time
Unemployed
Have you been recently laid off from your job: Yes
No
Name of employer:

* Highest level of education completed: Grade 1-3
Grade 4-6
Grade 7-9
Grade 10-12
High School diploma
Skill trade/specialized training
College
Other

Do you have access to the following technology (select all that apply): PC Computer
MAC Computer
Internet
Telephone

What is your long term goal for upgrading your skills? (select all that apply): Employment
Further Training/Education
Personal Independence

* Please indicate what you would like to learn?: Reading
Writing
Math
GED prep
Essential Skills

* Would you like to upgrade by: Attending scheduled online classes (CENTRA)
Click here to view current CENTRA schedule
Working online at your own pace (Independent Study, Plato, LearnScape or Moodle)
Click here to view current Moodle schedule
Both (CENTRA classes and Independent Study courses)

If you are signing up for a CENTRA class, or Moodle course, please list the class title in the comments section here. If you are signing up for a class that is offered more than once, please indicate your preferred date as well. Classes fill up quickly. To be sure your class is still available, check our course schedules listed above.

Other comments:

DISCLAIMER - Personal information collected on The Learning Hub is intended for e-Channel Literacy programming and reporting purposes only.

 

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