Blended Standard First Aid & CPR/AED Level C course
August 29, 2026
Name
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First Name
Last Name
Date of Birth
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Month
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Day
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Date
Marital Status
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Date of your original entry to Canada
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If you are a permanent resident, please provide the date you became a permanent resident.
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Client ID number or UCI number, please refer to your Work Permit or PR Card
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Address
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Email
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example@example.com
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Format: (000) 000-0000.
Are you a Home Care Worker?
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Employment:
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Native Language
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Please upload either your Work Permit or the front of your PR card.
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Confidentiality
All client information collected is confidential and securely stored, except when related to the harm of a minor. If your personal information needs to be shared for assistance purposes, your written approval will be requested beforehand. As a client, you have the right to refuse to answer any questions you find inappropriate. Statistical information is collected anonymously, except for the following required by Immigration, Refugees, and Citizenship Canada (IRCC) for newcomers with permanent resident status:Your name, Contact information, Immigration client number and proof of your immigration status (original immigration papers must be presented for copying). Our services are completely free, and we cannot accept any form of payment or gifts. ACKNOWLEDGEMENT! have read and accept the terms under which services will be provided.
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