Use this form to enroll by Toll Free fax...
1. Fill out the form 2. Print the form 3. Fax the form Toll Free to 1 866 209-5111STEP 1 - Please enter your personal information
Your Name - EXACTLY as you want it on your certificate: |
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Your Name - As you want it on your name
badge: |
Company name: | ||
Referred by : |
Mailing address |
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Street : | |||
City: | |||
Province: | |||
Postal code: | |||
Business Phone: | Ext: | ||
Fax: | |||
Home Phone: | |||
E-mail Address: |
Degree/s Held: | ||
License/s: | ||
Designations or certifications | ||
* Have you ever been
convicted of a Criminal Offence for which you have
not been granted a pardon?
NO
YES |
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*
Have you
ever been disciplined or had any restrictions placed on any
professional license that you hold by any Regulatory Body
or Association?
NO YES |
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* A positive answer to the above does not mean that you may not apply but be prepared for a delay in your enrollment while we investigate your circumstances. |
STEP 2 - Tuition Fees
The classroom program tuition fee is currently $995.00 + Applicable tax
The distance learning program tuition fee * $1,095 + Applicable tax
All study methods include a comprehensive study guide and your first-year EPC membership is waived.
Participants must complete and pass a written examination at an authorized testing centre before being awarded the Elder Planning Counselor (EPC) designation.STEP 3 - Please select the Study Option/Location closest to you:
STEP 4 - Please select a Payment Plan for your program:
Please note
-
A $25.00
Administration Fee is added to the fee for all Students that wish to
take advantage of our Installment
Option 1 - Full Payment
Live Class: |
|
Distance Learning
Course: |
Option 2 - Installment Plan - Only available for live class
Live Class: |
STEP 5 - Please select your desired method of payment:
For Credit Card Payment/s - We accept the following cards
Card Number: --- Expiry Date
Name on card:
For Payment/s made by
Cheque
Make cheques payable to - C
I will ICS my cheque/s I will Mail my Cheque/s
Mail or ICS cheques to |
Canadian Initiative for Elder Planning Studies |
Note - Your designation will be granted when you have successfully passed the exam and your tuition is paid in full.
$100.00 Corporate tuition discount
from the current posted tuition fee is
available for groups of ten or more from the same company attending the same class.
The annual $150.00 Elder Planning Counselor membership fee
for the first year is waived upon payment of the tuition fee.
Cancellation Policy:
Amount of tuition paid, less a $50 cancellation fee, will be refunded if
the materials are returned
unused within 30 days of receiving same.
CLICK HERE TO RETURN WHEN FINISHED PRINTING
This web site Copyright CIEPS (2020) Ltd
Canadian Initiative for Elder Planning Studies Inc.