Registration

Date*

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
Not currently working

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.

Max. file size: 64 MB.

DEVA

Registration

List your top 3 administrative or technical skills related to this program.

DEVA