Healthcare Records Clerk Program Application

Your Profile

First Name(Required)

Last Name(Required)

Email(Required)

Phone(Required)

Gender(Required)

Date of Birth(Required)

Citizenship(Required)

Are you an international student?(Required)

How will you be attending this program?(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Program Information

Proposed Start Date(Required)

End Date

Healthcare Records and Registration Clerk	Certificate
Program Name	Credential Issued	Start Date	End Date
115	12	Distance	English
Program Duration (Hours)	Program Duration (Weeks)	Program Delivery Method	Language of Instruction

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Additional Information

I agree that I am running a computer with Windows 10 or newer.(Required)

Did someone refer you to this course?(Required)

Please Provide Your Referral Name(Required)

Please Provide Your Referral Email or Phone(Required)

Typing Assessment

This program requires a minimum typing speed of 40 net-words-per-minute. Please complete a typing assessment through one of the links provided below. You are allowed unlimited attempts. Once you have passed, please take a screen capture of your results and upload them via the upload button below.

For instructions on how to capture your screen and save it, click here.

www.typing.com www.keyhero.com www.ratatype.com

Typing Assessment Results(Required)

Max. file size: 2 GB.

Please take a screenshot of your typing results above, and upload them here.

Program Package

Select a Payment Method(Required)

Program Package(Required)

Full Program

3-Month Payment Plan

Optional Upgrades(Required)

Scholarship Code

Assessment Fee

Price:

Administration Fee

Price:

Tuition Fee

Price:

Application Fee

Price:

Materials Fee

Price:

Tuition Scholarship

Price:

3-Month Processing Fee

Price:

eBook Upgrade

Price:

All-in-One Tuition Discount

Price:

Total

PAYMENT TERMS

Payment

Due Date

Down Payment

Due Date

2nd Payment

Due Date

3rd Payment

Due Date

Document Review

Student Handbook Detailed Curriculum CanScribe Policies

Government ID(Required)

Max. file size: 400 MB.

Please upload a copy of your government ID to confirm your identity.

Private Training Institutions Branch

Tel. (604) 569-0033 or 1-800-661-7441 Fax. (778) 945-0606

www.privatetraininginstitutions.gov.bc.ca

PTI@gov.bc.ca

Please be advised that under section 61 of the Private Training Act, the Registrar is authorized to collect, use and disclose personal information in accordance with the Registrar’s regulatory duties under that Act. Accordingly, this institution is authorized to disclose your personal information to the Registrar for regulatory purposes.

Refund Policy

Refund Policy for Non-Approved Programs and Third-Party Funded Students

Refunds are based on the required student progress according to the course/program timeline or the student's content progress if they are ahead of the timeline. Refunds apply to tuition costs only. All other fees are non-refundable.

If a student withdraws before the completion of 10% of their content or timeline they will receive a refund of 75% of tuition. If a student has received funding from third party, the funder will receive the refund.

Any withdrawal or dismissal after 10% completion of the timeline or content will result in no refund.

Student Information


Name	Signature	Date

CanScribe Representative Information


Name	Signature	Date

Healthcare Records and Registration Clerk Application

Your Profile

Program Information

Additional Information

Typing Assessment

Program Package

PAYMENT TERMS

Document Review

Private Training Institutions Branch

Refund Policy

Refund Policy for Non-Approved Programs and Third-Party Funded Students

Student Information

CanScribe Representative Information