Private college and private school sponsorship terms

indicates required field

Select institution type:

Private career college

Private school

Both

Legal name of institution:

Operating name of institution:

Please select which ministry the institution is registered with:

Ministry of Colleges and Universities

Ministry of Education

Both

Ministry of Colleges and Universities registration number:

Ministry of Education registration number:

Address where education/training services delivered

Street address

City/Town

Province

Postal code

Website

WSIB provider billing ID number (if known)

Is the mailing address different than the address where education/training services are delivered?

Yes

Mailing address

Street address

City/Town

Province

Postal code

Main contact (for the WSIB to share student referral information with)

First name:

Last name:

Job title:

Phone number:

Email address:

Alternate contact

First name:

Last name:

Job title:

Phone number:

Email address:

Statement and declaration:

The training location/campus outlined on this form is registered with the Ontario Ministry of Colleges and Universities and/or the Ontario Ministry of Education
The training location/campus has a ministry registration number
I have read, understand and agree to ensure we comply with the 2024 WSIB Sponsorship Terms for Private Career Colleges and Private Schools
- If you do not already have a copy of our 2024 terms, please email us at sponsorshipterms@wsib.on.ca and we will email you a copy to review before registering with us.
I will use the WSIB online services via TELUS Health to electronically bill for services provided
I agree to contact the WSIB if any of my registration information or qualifications change
I have the authority to complete, submit and electronically sign this registration form on behalf of the institution

Signature (person submitting this form)

First name:

Last name:

Job title:

Phone number:

Email address:

By checking this box, I am confirming and agreeing to the above statements and to the 2024 WSIB Sponsorship Terms for Private Career Colleges and Private Schools. I understand that if I do not adhere to these terms, it may result in my removal from the WSIB-approved provider listing. This represents your signature. You must fill out your contact information in the fields above.

If you have any questions about registering your institution with us or need a copy of our 2024 sponsorship terms, send us an email at sponsorshipterms@wsib.on.ca. To register for online billing, visit the TELUS Health registration portal.