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ELT Coop Program Registration Form
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Telephone Number
*
Your answer
Email Address
*
Your answer
Immigration status? Note: Only
Permanent Resident Card Holder or
Convention Refugee or
Ukrainian temporary residents are eligible. Please provide your PR# / UCI #
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
What is your profession?
Your answer
What is your Canadian Language Benchmark (CLBA)? Note: CLBA 6666 or above is required to join.
*
Your answer
Do you have a computer?
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No
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How did you hear about this program?
*
Your answer
Do you have MS Office installed on your computer?
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No
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