| CSE INFORMATION TECHNOLOGY SECURITY (ITS) LEARNING CENTRE COURSE APPLICATION FORM | |||||
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Last Name: __________________________________________ First Name: __________________________________________ Initial: ________ Position Title: __________________________________________ |
Military Rank: ________________________ |
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Department: _______________________________________________________________________________________________
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Make Your Course Selection
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Select Date(s) | Fees | |||
| Federal | Non-Federal | ||||
| $375 | $475 | ||||
| None | N/A | ||||
| None | N/A | ||||
| None | N/A | ||||
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$475 for 3 days or
$375 for 2 days |
$575 for 3 days or
$475 for 2 days |
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| $250 | $325 | ||||
| $250 | $325 | ||||
| $250 | $325 | ||||
| $250 | $325 | ||||
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$250 |
$325 |
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| Once the registration has been confirmed, no cancellation will be accepted but substitutions are possible. | Sub Total: | ||||
| 7% GST will be charged if applicable: | |||||
| GRAND TOTAL: | |||||
| Employee Signature: ___________________________________________ Date: __________________________________ | |||||
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Supervisor's Signature: __________________________________________ Telephone: ______________________________ Name and Title: __________________________________________ Facsimile: ______________________________ Date: __________________________________________ |
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PLEASE RETURN TO:
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