Step 3 - Personal Information | Parkland College

Tell Us About Yourself

First Name

Last Name

Middle Name(s) if Applicable

Former Last Name(s) (if applicable)

Nickname (if applicable)

Date of Birth

Gender

Male Female

How Can we Contact You?

Email Address

Telephone (including country code)

Mobile Phone (including country code)

Some Additional Information

Social Insurance Number

Saskatchewan Health Card Number

Is English Your First Language?

Yes No

If no, proof of English proficiency is required.

Residency in Canada

Citizen Permanent Resident Temporary Resident

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