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
MaleFemale
Current Email*
example@example.com
Current Cell phone number*
Please enter a valid 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
YesNo
First language*
(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
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Pre-Registration Part 1 Distance Education 2025-2026