DEPARTMENT OF NATURAL RESOURCES AND ENERGY

HUNTER EDUCATION APPLICATION FORM

Part 1 - Complete to gain access to the course lessons

Surname	Given Name	Gender M / F -------- M F
Mailing Address	City or Town	Postal / Zip Code
Province / State	Country
	E-mail Address (Optional)

Part 2 - Complete only if you are registering for the Hunter Education Exam (Note: (1) You must be 18 years of age or older to register online for the Hunter Education Exam (2) Registering online for the Hunter Education Exam does not register you for the Canadian Firearms Safety Course (Part A). Contact your local Department of Natural Resources office for further information.)

Reason for taking Home Study Option
Work commitments
Travel distance
Other - Please specify below
Daytime Telephone No.  (  ) -
Date of Birth   Day --------------- 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month --------------- January February March April May June July August September October November December Year --------------- 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900	Prefered exam location (Please specify)   DNRE Office ------------------- Bathurst Blackville Bouctouche Campbellton Canterbury Chipman Coles Island Dieppe Doaktown Edmundston Fredericton Gordonsville Hampton Harcourt Kedgwick Miramichi Nackawic Perth-Andover Petitcodiac Plaster Rock Red Bank Rogersville Saint-Léonard Saint-Louis-de-Kent Sackville Saint-Quentin St. George St. Laurent Stanley Sussex Tracadie-Sheila Welsford