PRE REGISTRATION PART 1- DISTANCE ED

Pre-Registration Part 1 Distance Education 2025-2026
Family name/first name as it appears on birth certificate*

FAMILY NameFIRST Name
Sex as it appears on birth certificate*

MaleFemale
Current Email*
example@example.com
Current Cell phone number*
Please enter a valid phone number.
Is your home phone same as cell phone number*

YesNo
Current Home phone number *
Please enter a valid phone number.
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Have you resided at the above address for longer than 12 months?*

YesNo
First language*
Please choose ONE of the following scenarios below that most accurately reflects your current situation. If you are not sure which scenario best represents you please call the Adult Education Centre at 819-595-1226 Ext 620006 or Ext 620007*

(C11) I was born or adopted in Quebec.(C12) I was born outside Quebec but my parent/guardian/sponsor currently lives in Quebec.(C13) I live in Quebec and my parent/guardian/sponsor is deceased and lived in Quebec at time of death.(C14) I continue to live in Quebec but my parent/guardian/sponsor has left Quebec.(C15) I have lived in Quebec for 12 consecutive months while NOT pursuing full-time studies.(C16) I have a Certificat de sélection du Québec and I am a Permanent resident of Canada or Canadian citizen.(C17) I have been a permanent resident in Quebec for at least 3 months not more than 3 months in any other province in Canada and have a Permanent Resident Card(C18) I have lived in Quebec for 3 or more years and less than 5 years in Quebec.(C18-A) I have lived in Quebec for 3 of the last 5 years and my parent/guardian/sponsor is deceased and lived in Quebec at time of passing.(C18-B) I have lived in Quebec for 3 of the last 5 years and Quebec is the last place I have lived for 12 consecutive months while NOT pursuing full-time studies.(C19) My spouse is a Quebec resident.
(C11) I was born or adopted in Quebec. I acknowledge I must bring the following documents to my appointment time (next section): *
(C12) I was born outside Quebec but my parent/guardian/sponsor currently lives in Quebec. I acknowledge I must bring the following documents to my appointment time (next section): *
(C13) I live in Quebec and my parent/guardian/sponsor is deceased and lived in Quebec at time of passing. I acknowledge I must bring the following documents to my appointment time (next section): *
(C14) I continue to live in Quebec but my parent/guardian/sponsor has left Quebec. I acknowledge I must bring the following documents to my appointment time (next section): *
(C15) I have lived in Quebec for 12 consecutive months while NOT pursuing full-time studies. I acknowledge I must bring the following documents to my appointment time (next section): *
(C16) I have a Certificat de sélection du Québec and I am a Permanent resident of Canada or Canadian citizen. I acknowledge I must bring the following documents to my appointment time (next section): *
(C17) I have been a permanent resident in Quebec for at least 3 months and not more than 3 months in any other province in Canada and have a Permanent Resident Card I acknowledge I must bring the following documents to my appointment time (next section): *
(C18) I have lived in Quebec for 3 of the last 5 years I acknowledge I must bring the following documents to my appointment time (next section):*
(C18-A) I have lived in Quebec for 3 of the last 5 years and my parent/guardian/sponsor is deceased and lived in Quebec at time of passing. I acknowledge I must bring the following documents to my appointment time (next section): *
(C18-B) I have lived in Quebec for 3 of the last 5 years and Quebec is the last place I have lived for 12 consecutive months while NOT pursuing full-time studies. I acknowledge I must bring the following documents to my appointment time (next section): *
(C19) My spouse is a Quebec resident. I acknowledge I must bring the following documents to my appointment time (next section): *
What school will you be visiting to drop off these documents?
HAEC Appointment*
Hull Adult Education Centre

185, rue Archambault, Gatineau, Québec, J8Y 5E3

819-595-1226

aehull@wqsb.qc.ca

www.hulladulteducationcentre.com
Maniwaki Continuing Education Centre

265 rue Hill, Maniwaki, QC J9E 2G8

819-449-1731

aemaniwaki@wqsb.qc.ca

www.maniwakiadulteducationcentre.com
Val-d'Or Continuing Education Centre

980 7th Street Val-d’Or, Quebec, J9P 3P8

819-825-4135

aevaldor@wqsb.qc.ca

www.valdoradulteducationcentre.com
Pontiac Continuing Education Centre

89 rue Centre, Shawville (QC) J0X 2Y0

Tel. 819-647-5605

Fax 819-684-9061

aepontiac@wqsb.qc.ca

www.pontiac.westernquebec.ca
Noranda School

10 avenue Québec, Rouyn-Noranda (QC) J9X 1G2

Tel. 819-762-2706

noranda@wqsb.qc.ca

www.noranda.westernquebec.ca
Upon clicking SUBMIT you will be redirected to the full registration form in 5 seconds. Do not close browser or page
Should be Empty:

Pre-Registration Part 1 Distance Education 2025-2026