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Technical
Graphical Version
Software Engineering
Registration Form

Currently we do not accept Applications online until "a formal call for application" is posted on this website and/or in local newspapers.

PROGRAM APPLIED FOR (select one only*)


PERSONAL DATA
Title Other
Last Name
First Name
Middle Initial
Address
City
Province
Postal Code
E-mail
Telephone (Home) ( )
Telephone (Work) ( ) ext.

ACADEMIC HISTORY
List all post-secondary qualifications starting
with the most recent.
Name and Location of Institution
Program
Date (From __to__)
Diploma/
Degree Completed
 
Name and Location of Institution
Program
Date (From __to__)
Diploma/
Degree Completed
 
Name and Location of Institution
Program
Date (From __to__)
Diploma/
Degree Completed

WORK HISTORY (minimum 2 years required)
Name and Location/City of Company Position Held Date (From__
to__)

IMMIGRATION STATUS

Canadian Citizen

Permanent Resident

Date of entry into Canada(optional)

Declaration

Please read the following conditions carefully before submitting your application:

  • All statements in this document are correct including my declaration of citizenship and ImmigrationStatus. I undersand that misrepresentation of this data may result in termination of my involvement in the Vitesse program.
  • I will not be enrolled as a part-time or full time student in any post-secondary institution such as a college or university by the start date of the program.
  • I understand that if selected to the Vitesse program, I am obliged to complete the program; otherwise, I agree to pay any administration fees incurred in the process of my placement.
  • I understand that if selected to the Vitesse program, I agree to the release, to Vitesse(Re-Skilling) Canada Inc., of my academic grades in courses taken during my participation in the Vitesse program.
  • I understand that enrollment in the Vitesse program is subject to company sponsorship and that Vitesse (Re-Skilling) Canada Inc. will not be responsible for any changes in company needs or sponsorship.

I agree I disagree

Click here to Submit your Resumé and Cover Letter