Dental Administrative Assistant Application

Please complete the below form to apply for the Dental Administrative Assistant with CanScribe.

Student Information

First Name(Required)

Last Name(Required)

Personal Education Number

Address Line 1(Required)

Address Line 2

City(Required)

State / Province(Required)

ZIP / Postal Code(Required)

Country(Required)

Phone Number(Required)

Alternate Phone Number

Email(Required)

International Student(Required)

Citizenship(Required)

Gender(Required)

Date of Birth(Required)

Program Information | Información del Programa

Program Name: Dental Administrative Assistant

744	38	Certificate	Online	English
Program Length (Hours)	Program Length (Weeks)	Credential Issued Upon Graduation	Program Delivery Method	Language of Instruction

Requested Start Date(Required)

Start Date

For administrative purposes only.

End Date

For administrative purposes only.

Program Package(Required)

The All-in-One package includes the eBook upgrade ($250.00 value) with a $100.00 discount.

Program Costs

Administrative Fee: $250.00

Tuition Fee: $1993.00

Program Materials: $752.00

Registration Fee: $250.00

Assessment Fee: $250.00

Program Total: $3495.00

Program Costs

Administrative Fee: $250.00

Tuition Fee: $1993.00

Program Materials: $752.00

Registration Fee: $250.00

Assessment Fee: $250.00

eBook Upgrade: $250.00

Tuition Discount: -$100.00

Program Total: $3645.00

Privacy

Under the Personal Information Protection Act students are entitled to access their student file. The personal information collected will only be used for the purpose for which it was originally collected or for a use consistent with that purpose, unless the student consents to other use.

Program Requirements

Applicants must have a grade 12 diploma or be a mature student (aged 19 at the start of the course). A copy of their high school diploma is required if they are under the age of 19. A copy of a Government issued photo identification such as a driver's license, passport, or other, which shows their date of birth, must also be supplied. Students must complete our typing test confirming that they meet our minimum typing speed of 30 net words per minute. All distance learning students are required to complete a Distance Learning Assessment and have a Windows PC with high-speed Internet access.

Tuition Refund Policy

This program does not require approval by the Private Training Institutions Branch (PTIB) of the Ministry of Advanced Education and Skills Training. As such, PTIB did not review this program. Students may not file a claim against the Student Tuition Protection Fund in relation to this program.

Private Training Institutions Branch

The program of instruction outlined in this student enrolment contract does not require approval under the Private Training Act. Students may not file a claim against the Student Tuition Protection Fund with the Trustee in respect of this program of instruction. This institution is certified by the Private Training Institution Branch (PTIB). Certified institutions must comply with regulatory requirements relating to, among other things, student enrolment contracts, tuition refunds and instructor qualifications. For more information about PTIB, go to: www.privatetraininginstitutions.gov.bc.ca

Student Declaration

I consent to the Institution sharing my personal information with the Ministry of Advanced Education, Skills and Training for research purposes and statistical analysis under the authority of sections 6(2)(a) and 10(1)(a) of the Personal Information Protection Act (PIPA).

I consent to the sharing, in accordance with Provincial privacy legislation, of my enrolment and reporting information between CanScribe Career College and Immigration, Refugees and Citizenship Canada, as necessary, for the purposes of the International Student Program.

Should you have any questions about the collection, disclosure and use of personal information you may contact: Director, Regulation, Private Training Institutions Branch, Governance, Legislation and Strategic Policy Division, Ministry of Advanced Education, Skills and Training:

203 - 1155 W. Pender St, Vancouver, BC V6E 2P4 or by telephone at (604 569-0019).


Student Signature	Date Signed


Parent Signature	Date Signed

Institution Declaration

Institution Representative Name

Position Title

Institution Representative Signature

Date Signed