Full Name
Birth Date (mm/dd/yyyy)
Student Number
Phone
Email
Full Address
Medix Program Choose A ProgramEarly Childcare AssistantDental AdministratorDental AssistingMassage TherapyMedical Lab Tech/AssistantMedical Office AdministratorPersonal Support WorkerPharmacy AssistantFitness and Health
Start Date
: Please list activities/organizations you have been involved in. Include information about your roles in the activity and what you gained through your participation.
Goals: Describe your short- and long-term goals, professionally and personally. Why did you choose your career goal?
Hobbies: What are your hobbies/leisure activities? Why are they important to you?
Applicant Qualities 1: Why are you interested in becoming a Student Ambassador?
Applicant Qualities 2: What qualities do you have that will help in recruiting new students?
Applicant Qualities 3: Campus culture is very important to our staff and students. How can you contribute to making Medix College/North American Trade Schools a more enjoyable and engaging place?
Employer
Address
Position
Type of Business
Employed Start Date (month/year)
Employed End Date (month/year)
Do you plan on being employed while attending Medix College/North American Trade Schools? YesNo
If yes, what is your employer/company name?
How many hours per week will you work?
Do you know your work schedule? If yes, please list it here?
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