Apply - Niagara University AQ Program

The Niagara University AQ Program is committed to the protection of the privacy of those who study with us. Personal information will be kept secure and used only for the purposes of conducting the programs and communicating with the Ontario College of Teachers.

Registration procedures and instructions

Upon submission of the AQ registration form, candidates will receive notification that the application has been processed. The course number, title, and dates will be confirmed along with the instructor’s name and contact information. Candidates will be provided with a Niagara University student number along with instructions on how to set up the PurplePass in order to access the Blackboard system for the course. A Statement of Account will then follow - only then will the candidate be granted access to our payment system in order to process payment for the course.

Please note: The following documents must be received by the University along with payment prior to the start date of the course:

• Certificate of Qualification (required for everyone)
• Certificate of Teaching Experience Form (required for Part II and Part III Specialist)

Personal Information * required fields
First Name *		Middle Name	Last Name *
Date of Birth *			Gender *
Day12345678910111213141516171819202122232425262728293031 MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Year194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014			Female Male
Contact Phone *		Email *	OCT Registration Number *
Address		City	Province	Postal Code
Current School Information As Applicable
Current School		Current Board	School Phone	Teaching Assignment
Course Selection
View Course Descriptions
Select Semester *		Select Semester Spring 2013 - Session I (12 Weeks) Summer 2013 Fall 2013
Select the semester first, to see which courses are offered for that semester.
Select Course(s):		Select Course
		Select Course
Have you ever applied to Niagara University before? No Yes			If yes, when?	Select Month January February March April May June July August September October November December Select Year 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993
Have you ever taken an AQ course with Niagara University?			No Yes
How did you hear about AQ courses?			Advertisement Alumni Colleague Other Present School Referral Website
I declare that all of the above information is correct and complete, and that I am aware that sanctions may be applied for a false declaration. The name shown at the top of this form is the complete name by which I am legally and correctly known. I certify that upon completion of registration I will abide by the academic non-academic, administrative, library and professional obligations of Niagara University AQ Course Program and will assume the obligation to pay academic and material fees according to the policies and requirements of the Program. I accept full responsibility for all computer accounts made available to me, agree to abide by the Niagara University user policies, including any sanctions that may arise from unauthorized or inappropriate use.
Authorize *
	I, hereby authorize the Course Instructor to share the following personal information: Participant’s name and email address, to the other participants in the program, for the sole purpose of facilitating on-line discussion.