General Programs Application Form
Please fill out this form if you are looking to enroll in a Therapeutic Arts program or Attached Informed Certification at the Canadian International Institute of Art Therapy (CiiAT).
Email address *
Once you submit this application form, please note that there is a $200 non-refundable deposit required to reserve your spot. If you are unsure about the program you want, or if you need more clarification, please contact enrollment@ciiat.org before filling out this application form. *
Applying for: *
Required
First Name *
Last Name *
Date of Birth (dd/mm/yyyy) *
Street Address *
City *
Province/State *
Country *
Postal Code/Zip Code *
Phone Number *
Gender (required for contract) *
How did you hear about us? *
If accepted, would you like us to invoice you right away? All prices are in Canadian dollars. Please note that we do not provide student loans. *
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