Individual Registration Form

Last Name*:

First Name*:
Address:
Address (cont.):
City:
State/Province:
Country:
Postal Code:
Telephone (Home)*:
Telephone (Work)*:
Fax:
E-mail*:
Current Position:
Position Responsibilities:
PROGRAM

Which workshop or package are you interested in:

Other Courses: 

(Please Specify) 

Preferred Date:

PREVIOUS EDUCATION

Name of High School:
OSSD       GED

Graduation Date:
           

POST SECONDARY EDUCATION

Name of College:
Dates attended:
Degree Earned:
Name of College:
Dates attended:

Degree Earned:

Please describe briefly your work environment and what learning objectives you expect to achieve from this workshop?
We welcome any other questions or comments.

Fields with * must be filled before submit the form

        

Refund/Cancellation Policy
    		• Cancellation more than 10 days in advance of the scheduled date - a refund or rescheduling after deducting the $100 administration fee.
    		• Cancellation between 5 to 10 days in advance of the scheduled date - a refund of only 60 % of the workshop fee.
  		• Cancellation between 1 to 5 days in advance of the scheduled date or leaving the workshop before finishing or no show - no refund at all.

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