Rural Ontario Institute | Class Application

* First Name: * Last Name: * Middle Name(s):

* Name used most often: * Age Range:

Under 25

25-30

30-40

40-50

50-60

60+

* Home Address: * Town: * Postal Code: * Phone Number:

* Province: * County/Region/District:
* Personal Email:

Business Name (If applicable): Business Address (If different than above):

Business Phone: Business Email:

4. How did you hear about AALP?

Media (newspaper, tv, radio)
AALP Recruitment Information Event
Rural Ontario Website
AALP Alumni
Social Media
Farm Show
Farm/Rural Organization or Commodity Meeting
Other (Please Identify)

5. Access to high speed internet access is essential for distance education, downloading sometimes large files, networking and email communication. Please confirm that you will have access to email and high speed internet for the duration of the program.