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General Programs Application Form
Please fill out this form if you are looking to enroll in a Therapeutic Arts program or Attached Informed Certification at the Canadian International Institute of Art Therapy (CiiAT).
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Email
*
Your email
Once you submit this application form, please note that there is a $200 non-refundable deposit required to reserve your spot. If you are unsure about the program you want, or if you need more clarification, please contact
enrollment@ciiat.org
before filling out this application form.
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Yes, I understand.
Applying for:
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Therapeutic Arts Practitioner Program: Modules 1-4 (TAPPs) (starts Sept. 7, 2021)
Therapeutic Arts Master Practitioner Program: Modules 5-7 (TAMPs) (starts Sept. 9, 2021)
Attachment Informed Certification (AIC) (starts April 15, 2021)
Required
First Name
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Your answer
Last Name
*
Your answer
Date of Birth (dd/mm/yyyy)
*
Your answer
Street Address
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Your answer
City
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Your answer
Province/State
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Your answer
Country
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Your answer
Postal Code/Zip Code
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Your answer
Phone Number
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Your answer
Gender (required for contract)
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Female
Male
Prefer not to say
Other:
How did you hear about us?
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Word-of-mouth (friend/family/colleague)
Social media
Organic search (Google)
Newsletter
Other:
If accepted, would you like us to invoice you right away? All prices are in Canadian dollars. Please note that we do not provide student loans.
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TAPPs: Yes, please invoice me for the full amount ($2780).
TAPPs: Yes, please invoice me in 4 installments ($695 per module).
TAMPs: Yes, please invoice me for the full amount ($2985).
TAMPs: Yes, please invoice me in 3 installments ($995 per module).
AIC: Yes, please invoice me for the full amount ($1095).
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