Federal Registration Form

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Federal Registration Form

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

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

Your main occupation with EA:

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

I would like to attend the following course:

	Orientation to the Canadian Environmental Assessment Act				$199
	City:	_________________	Date:	______________

	Screenings under the Canadian Environmental Assessment Act				$675
	City:	_________________	Date:	______________

	Interest-based Negotiation in Environmental Assessment				$650
	City:	_________________	Date:	______________

	James Bay and Northern Quebec Agreement: Environmental Regimes Applied to the Territory				Free
	City:	_________________	Date:	______________

	Overview of the Canadian Environmental Assessment Registry				Free
	City:	_________________	Date:	______________

Introduction to Strategic Environmental Assessment				Free
City:	_________________	Date:	______________
			Total:	$___________

Interdepartmental Settlement Codes

Interdepartmental settlement codes are required for registration. Please consult your Finance Officer for your departmental codes.

Department Number:	_____________________________
Organization Code:	_____________________________
Reference Code:	_____________________________

Cancellation policy:

Cancellation of prior registration in an Agency course or requests to reschedule a registration for another offering, will be accommodated at no charge if written notice is received by the Agency more than 10 working days prior to the course start date.
Registrants who fail to appear for the course (no shows), or who attempt to cancel or reschedule 10 working days or less in advance of the start date of the course, will be invoiced for the full registration fee unless a valid medical certificate is provided.
Substitution of a participant is permissible with written, fax, or e-mail notice of change.

The Agency reserves the right to cancel or reschedule classes with full refund of any registration fee.

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)

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

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

Yes No

If yes, please check all that apply:

	Orientation to the Canadian Environmental Assessment Act
	Screenings under the Canadian Environmental Assessment Act
	Interest-based Negotiation in Environmental Assessment
	James Bay and Northern Quebec Agreement
	Other: ____________________________________________

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

	Promotional material (brochure, pens, bookmark)
	Agency's website
	Colleague
	Supervisor
	Other Agency training session or learning event
	Other: ____________________________________________

7. Do you have any allergies, dietary needs or physical challenges that we should be aware of? If yes, please specify.

Please mail or fax this form to the appropriate regional office.
Atlantic Office 1801 Hollis St., Suite 200 Halifax, NS B3J 3N4 Tel.: (902) 426-0564 Fax: (902) 426-6550 E-mail: ceaa.atlantic@ceaa-acee.gc.ca	Alberta and Northwest Territories Office 10237-104 Street, NW, Suite 100 Edmonton, AB T5J 1B1 Tel.: (780) 422-1410 Fax: (780) 422-6202 E-mail: ceaa.alberta@ceaa-acee.gc.ca
Quebec Office 1141 route de l'Église, 2nd Floor Sainte-Foy, QC G1V 4B8 Tel.: (418) 649-6444 Fax: (418) 649-6443 E-mail: ceaa.quebec@ceaa-acee.gc.ca	Pacific and Yukon Office 757 West Hastings Street, Suite 320 Vancouver, BC V6C 1A1 Tel.: (604) 666-2431 Fax: (604) 666-6990 E-mail: ceaa.pacific@ceaa-acee.gc.ca
Ontario Office 55 St. Clair Avenue East, Room 907 Toronto, ON M4T 1M2 Tel.: (416) 952-1576 Fax: (416) 952-1573 E-mail: ceaa.ontario@ceaa-acee.gc.ca	National Capital Region and Nunavut 160 Elgin St., 22nd Floor Ottawa, Ont. K1A 0H3 Tel (613) 957-0057 Fax (613) 957-0935 E-mail: training.formation@ceaa-acee.gc.ca
Prairie Office 123 Main Steet, Suite 445 Winnipeg, MB R3C 4W2 Tel.: (204) 983-5127 Fax: (204) 983-7174 E-mail: ceaa.prairies@ceaa-acee.gc.ca

Last Updated: 2006-05-05

Important Notices