Waitlist / Registration Form | Maple Leaf Academy

First name *

Last name *

Email Address *

Confirm Email Address *

Home Address *

Postal code

Telephone *

Immigration Number (UCI ID#) *

Your Immigration Category located on the back of your PR Card or on your landing papers (please select one)

Other

Home Country

First Language

Highest Grade Completed

Please select the program you are interested in:

Full-time (9:00am–3:00pm)

Part-time (5:30pm-8:00pm)

Saturday (9:00am-1:00pm)

Have you attended another LINC program and received a PBLA binder?

Yes

No