Student Application Form

If you are unable to complete the Student Application Form below you can call our office at:

519-758-1664

You can also apply at our office at:

Brant Skills Centre
225 Fairview Drive, Unit 1
Brantford, ON
N3R 7E3

Name*
First Last
Email
Phone
Address*
Street Address Address Line 2 City Province Postal Code
Are you 18 years of age or older?
- Yes
- No
Are you currently registered in a school system?
- No
- Yes
How were you referred to Brant Skills Centre?
If you answered "other" above, please indicate
Do we have your consent to leave a message on your answering machine if you're not home when we call you?
- Yes
- No
If no, please indicate how we can contact you to discuss your application:
Any additional comments?
Name
This field is for validation purposes and should be left unchanged.