Education, Culture and Employment

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New Join Personal Info

Teacher ID

Personal Information

Title

Last Name / Single Name *

Single Name

Yes

Former Last Name(s) (if applicable)

Additional Former Names (s) (if applicable)

First Name

Middle Name

Date of Birth *

Ethnicity *

Citizenship *

Only use this field if you select "Visa or Work" permit above

Visa or permit end date

Contact Information

Primary Address

Address Line 1 *

Address Line 2

City *

Country *

Province/State *

Province/State

Postal/Zip *

Primary Phone *

Primary Email *

Confirm Email

Name of NWT Employer (if applicable) *

Name of NWT School (if applicable) *

I understand that the Minister, or their designate, may make a full enquiry with regard to any criminal conviction and hereby authorize the obtainment of any information from institutions or organizations as may be relevant to full consideration of this application.

I also understand that a false declaration or willful omission may result in the non‐issuance, suspension or cancellation of my teaching certificate under the Education Staff Regulations and/or prosecution under the Criminal Code of Canada.

I hereby certify that the particulars that have been furnished on this form are true and complete in all respects and that no relevant information has been withheld. To the best of my knowledge and understanding, the information given is true and correct.

I confirm that:
All provided information is true and accurate, provided in the online form and annexed to this application

I understand that:
It is an offence to provide falsified or untrue information which can lead to immediate termination.

Applicant Name *

I approve *

Yes

Username *

Password *

Password Confirmation *