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Canadian Certified Inclusion Professional™
Registration Form
Personal Information
Proof of Eligibility
Payment
Confirmation
Personal Information
First Name*
Last Name*
Email*
Phone*
Preferred Language*
English
Français
Job Title*
Organization*
Province*
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
City*
Street Address*
Postal Code*
Year of Birth*
2006
2005
2004
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1920
How did you learn about the CCIP™ certification?*
CCDI website
CCDI newsletter
CCDI events (Webinar, COPE, UnConference)
CCDI Staff
Referral from a friend or a colleague
Other
Accommodation Required*
Yes
No
Please specify which accommodation you might need through the CCIP™ Certification Process.
I accept CCIP™
Terms of Use
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Privacy policy
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Proof of Eligibility