# Course Outline Request Form Program Name & Program Code Enrolled In or Graduated From: | | | |---|---| | Type | PDF | | Size | 77 KB | [Open original PDF →](https://www.northerncollege.ca/uploads/2025/07/Course-Outline-Request-Form.pdf) Referenced from: [Course Outlines](/pages/registrar/course-outlines/) ## Document text ## Course Outline Request Form Name: Student ID #: Address: Phone: Email: Program Name & Program Code Enrolled In or Graduated From: Year Term: Cost per course outline is $12.00 + $1.56 HST = $13.56 each. Requested By: Forwarded To: Course Name(s) & Course Code(s) Being Requested: Please complete and submit this form to Student Services. Payment can be made in your Student Portal. Haileybury Campus - hlstudentservices@northern.on.ca Kirkland Lake Campus - klstudentservices@northern.on.ca Timmins & Moosonee Campuses - tcstudentservices@northern.on.ca ## Office Use Only Date Requested: Date Forwarded: Date Completed and Returned: Name Student # Full mailing address on file with us Home and/or Cell Phone Number Email Example: Practical Nursing H118 Course names and codes can be found on our website --- Source: [https://www.northerncollege.ca/uploads/2025/07/Course-Outline-Request-Form.pdf](https://www.northerncollege.ca/uploads/2025/07/Course-Outline-Request-Form.pdf)