NEW Test Application Form

Test Application Form

Thank you for applying to the Mental Health and Addiction Worker Program, delivered by FNTI in partnership with Canadore College.

Should you require assistance at any time, please contact our recruitment office by email, recruitment@fnti.net or by phone, 1.800.267.0637 ext. 156.

Program

APPLICANT INFORMATION

Email Address

First name

Preferred Name

Last Name

Previous Last Name

Birth Date (dd/mm/yyyy)

Gender

ADDRESS

Address

City

Province

Postal Code

CONTACT INFORMATION

Primary Phone

Secondary phone

INDIGENOUS INFORMATION

Do you self-identify as Indigenous?

If yes, which of the following best describes your Indigenous identity?

If alternative please explain:

Band Number

FNMI Community

What is the highest level of education you have received?

TRANSCRIPT

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An official high school transcript is a required part of the application process and FNTI can retrieve one for you at no cost.

Please click "Yes" below to grant FNTI permission to retrieve your transcript.

Selecting "No" means that you will retrieve your own official high school transcript. Please note that retrieving your own transcript may have an associated cost.

Request Transcript

Yes No Not Selected

Name of High School

Please enter the last High School that you attended

City/Town of High School

If you do not know the exact start/end year, please enter your best estimation.

High School Start Year

High School End Year

If you have a copy of your high-school transcript you can attach that here:

Unofficial Transcript

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If "Other", please specify:

Learning Accommodations

If you have an Identified Education Plan (IEP), or special learning accommodations, our Student Success Team may be able to help prepare you for your studies. This step is entirely voluntary -- would you like to connect with Student Success Services?

Interested in Learning Accommodations

Yes No Not Selected

Transfer Credits

Do you have previous post-secondary education that you would like to have considered for transfer credit?

Interested in Transfer Credits

Yes No Not Selected

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Status/Citizenship

Yes

I am a First Nation, Métis, Inuit person living in Canada, and/or a Canadian citizen.

I hereby declare that the above statement is true to the best of my knowledge