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NUEC 3 REGISTRATION (Step 2 of 7): SUBMIT PERSONAL DATA
For all
Public courses please see the PEAK calendar for course number
.
For all Client courses please refer to your registration email for the course number and choose from below:
Course Number
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Employer Funded Training Program
Employer Name
First Name
Last Name
Address
City
Province/State
Postal/Zip Code
Country
Cell
Email
Date Of Birth
SELF-DECLARATION OF MEDICAL FITNESS
DISEASE/CONDITIONS?
Describe Condition
SUBSTANCE ABUSE?
Describe Substance Abuse
PSYCHOLOGICAL and/or EMOTIONAL ILLNESS
Describe Emotional Illness
VISUAL ACUITY PROBLEMS?
Describe Visual Acuity Problems
HEARING ACUITY PROBLEMS?
Describe Hearing Acuity Problems
FINE MOTOR SKILLS PROBLEMS?
Describe Fine Motor Skills Problems
PHYSICAL FITNESS PROBLEMS?
Describe Physical Fitness Problems
LIFTING ABILITY PROBLEMS?
Describe Lifting Abilities Problems
By clicking 'Submit' below, the applicant confirms they have answered all questions truthfully, and that they will be at least 19 years of age on Day 1 of their course.
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