Registration

Date*
Date Format: MM slash DD slash YYYY
Name*
First Last
Phone*
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Date of Birth*
Indigenous Ancestry or Affiliation*
Education Background (last grade completed)*
Please provide the name of the school, its location, how many years you attended, and list any credentials received.*
Are you currently working?*
- Yes
- No
If yes, full-time or part-time?*
- Full-time
- Part-time
On a scale of 1-10, 1 being non-technical and 10 being technical expert, how would you rate your technical abilities. See the example below.*
Example: "I would rate myself as an eight because I am technically capable, but just like most people, I have things to learn. My strongest technical skills are in the Microsoft Office suite including Word, Excel, and PowerPoint."
List your top 3 administrative or technical skills related to this program.
1.
2.
3.
Please explain why you would like to take this course.*

Please give a few examples of why you are interested in this course.
Please submit a current resume in pdf format.*

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