Spring Summer 2022 Durham College Mind Program Registration

If you would like more information and/or would like support completing this form, please contact harrish@ontarioshores.ca

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* 1. First Name

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* 2. Last Name

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* 3. Student number

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* 4. Preferred email

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* 5. Phone number

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* 6. I consent to receiving reminders for the sessions by the following (in addition to email):

Phone (no voice mail)

Phone (with voicemail)

Text

Other (please specify)

None of the above

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* 7. Address

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

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* 8. Please select which course(s) you would like to register for:

Remember, even if you cant make any or all of the sessions, you can still register to be on the mailing list to receive the materials. You are welcome to engage on your terms.

Be Your Best You Date: Mondays 5:30-6:30PM from July 11-August 8

College Life 101 Date: Tuesdays 5:00-6:00PM from June 28-August 2

It’s Okay Not to be Okay Date: Mondays 5-6PM May 30-July 4

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* 9. Do you have any accessibility requirements?

We currently offer closed captioning through Microsoft Teams, slides in plain text formats and pdfs with alt text, and accessible hyperlinks. The Mind Program is completely free to engage in.

Thank you so much and we look forward to connecting!

Spring Summer 2022 Durham College Mind Program Registration

Question Title

* 1. First Name

Question Title

* 2. Last Name

Question Title

* 3. Student number

Question Title

* 4. Preferred email

Question Title

* 5. Phone number

Question Title

* 6. I consent to receiving reminders for the sessions by the following (in addition to email):

Question Title

* 7. Address

Question Title

* 8. Please select which course(s) you would like to register for:Remember, even if you cant make any or all of the sessions, you can still register to be on the mailing list to receive the materials. You are welcome to engage on your terms.

Question Title

* 9. Do you have any accessibility requirements? We currently offer closed captioning through Microsoft Teams, slides in plain text formats and pdfs with alt text, and accessible hyperlinks. The Mind Program is completely free to engage in.

* 8. Please select which course(s) you would like to register for:

Remember, even if you cant make any or all of the sessions, you can still register to be on the mailing list to receive the materials. You are welcome to engage on your terms.

* 9. Do you have any accessibility requirements?

We currently offer closed captioning through Microsoft Teams, slides in plain text formats and pdfs with alt text, and accessible hyperlinks. The Mind Program is completely free to engage in.