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| Where did you hear about HIT? |
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| Which program length? |
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| Preferred Start Date? |
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| Last Educational Experience: |
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| Salutation: |
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| First Name: |
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| Last Name: |
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| Address 1: |
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| Address 2: |
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| City: |
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| Province / State: |
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| Country: |
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| Postal / Zip Code: |
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| E-mail: |
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| Day Time Phone Number: |
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| Evening Phone Number: |
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| Mobile Phone: |
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| Alternate Phone: |
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| Fax Number: |
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| Date of Birth: |
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| Place of Birth: |
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| Citizenship: |
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Please provide two references with their contact information, their relation to you (instructor, employer, friend . . .) and any additional details you feel appropriate. Please advise your references that a Harbourside IT advisor may contact them. Note: Harbourside IT is looking for two character references, and these people do not need to be in a position that relates to the Audio Engineering Program.
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| Reference #1 |
| First Name: |
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| Last Name: |
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| Day Time Phone Number: |
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| Evening Phone Number: |
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| E-mail: |
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| Relationship: |
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| Relevant Details: |
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| Reference #2 |
| First Name: |
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| Last Name: |
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| Day Time Phone Number: |
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| Evening Phone Number: |
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| E-mail: |
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| Relationship: |
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| Relevant Details: |
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