General Registration Form

Registration forms must be submitted prior to attending a training session. Print and complete the registration, then submit it to the address or fax number at the end of this form.

Privacy

Your personal information is being collected to register you for training delivered by CEAA and is collected pursuant to section 106(1)(c) of the Canadian Environmental Assessment Act, 2012 (CEAA 2012). Your personal information will be provided to CEAA trainers for course attendance/accommodations and to CEAA-Finance in order to process payment. Your personal opinions regarding training may be used to help improve the training that we deliver. Providing this information is voluntary however, missing information may result in you not being registered for available training. You have the right to access and correct any of your personal information, held by CEAA. For more details regarding your rights contact, ATIP-AIPRP@acee-ceaa.gc.ca and cite Personal Information Bank CEAA PPU 002.

Your Contact Information

Your Name: ________________________________
Title: ________________________________
Organization: ________________________________
Address: ________________________________
City: ________________________________
Province: ________________________________
Postal Code: ________________________________
Telephone: ________________________________
Email: ________________________________

Affiliation

Checkbox Federal Checkbox Aboriginal group Checkbox NGO
Checkbox Consultant Checkbox Industry Checkbox Municipal
Checkbox Provincial/Territorial Checkbox Student* Checkbox Port Authority
Checkbox Airport Authority Checkbox Public Checkbox Other: __________

* A copy of your student card is required.


Your main occupation with EA:

Checkbox Practitioner Checkbox General Interest Checkbox Cabinet Liaison Officer
Checkbox Manager Checkbox Policy Analyst Checkbox Other: __________

I would like to register for the following course:

Course Introduction to the Canadian Environmental Assessment Act, 2012
City Vancouver
Date(s) February 21 (8:30 AM to 4:30 PM)
Cost $450.00  plus tax
Cost (Student, NGO, Aboriginal people) $225.00  plus tax


Subtotal: $450.00
Add applicable taxes:
HST ($54.00)
Taxes: $ __________
GST number R121491807
Total: $ __________


Subtotal: $225.00
Add applicable taxes:
HST ($27.00)
Taxes: $ __________
GST number R121491807
Total: $ __________
Method of payment (if applicable)
checkbox Cheque payable to "Receiver General for Canada" is enclosed
checkbox Credit Card - Please provide information below.
Type of card (Visa, Mastercard...)
____________________________
  Name of cardholder:
____________________________
  Signature of cardholder:
____________________________
  Card number:
____________________________
  Expiry Date: ____________________________

Cancellation, Rescheduling and "No Show" Policy

Cancellation of a registration, or a request to reschedule a registration for another course, will be accommodated at no charge if written notice is received by the Agency prior to the registration cancellation deadline (at least 15 working days prior to the course start date).

Registrants who fail to attend the course or who attempt to cancel or reschedule after the registration cancellation deadline will be invoiced for the full registration fee, where applicable. In exceptional circumstances, such as a serious illness (medical certificate required) or death in the family, the Agency may offer you a credit for attendance at a future course or refund. This will be determined on case-by-case basis.

Substitution of a participant is permissible with written notice of the change. The Agency cannot guarantee accommodation of special needs for changes made less than 15 business days prior to a course.

If registrants are unable to attend a course due to inclement weather, but the course has not been cancelled, they must notify the Training Coordinator on the day of the scheduled course. Registrants will be issued a credit toward another course. Cancellations due to inclement weather will not be accepted the day before or after the course.

The Agency reserves the right to cancel or reschedule courses where minimum participation is not reached or due to unforeseen circumstances. In such cases, full payment of registration fees will be returned to the registrants, where applicable.


Do you have any dietary requirements or any special needs that we could accommodate? If yes, please specify.


Please answer the following questions. Your comments are important for the continuous improvement of our training activities.

1. What are your objectives for attending this training session?

2. What particular topics do you hope will be covered in this training session?

3. Using a scale of 1 to 6, how would you rate your current level of understanding of the topic covered by this training session?
(1 = very poor, 2 = poor, 3 = adequate, 4 = good, 5 = very good and 6 = excellent)

1 2 3 4 5 6

4. How does this training session relate to your work / interests?

5. Have you previously attended any related training sessions or learning events?

Yes Checkbox           No Checkbox

If yes, please check all that apply:

Checkbox Aboriginal Groups : Environmental Assessment
Checkbox Introduction to Strategic Environmental Assessment
Checkbox Introduction to the Canadian Environmental Assessment Act, 2012
Checkbox Substance of Environmental Assessment
Checkbox Other: ____________________________________________

6. How did you hear about the Agency's training?

Checkbox Agency's website
Checkbox Colleague
Checkbox Other Agency course or event
Checkbox Promotional material (brochure, pens, bookmark)
Checkbox Supervisor
Checkbox Other: ____________________________________________

Please mail or fax this form to the attention of the Training Coordinator at:

22nd Floor, Place Bell
160 Elgin Street
Ottawa ON K1A 0H3
Tel.: 613-957-0426
Fax: 613-948-9172
E-mail: training.formation@ceaa-acee.gc.ca