Evening Gas Technician 2 Request to Register Form If you require an alternate set-up of this form, please email firstname.lastname@example.org. Registration begins July 12, 2022 at 8:30 AM. * Required Information Print this page Name* First Middle Last Student IDOptional Date of Birth (mm-dd-yyyy)* MM slash DD slash YYYY Mailing address* Street Address City State / Province / Region Postal code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Gender* F M O Phone Number*Email* Country of Citizenship* Country of Birth* Language at Birth* ProgramEvening Gas Technician 2 Registration Registration begins July 12, 2022 at 8:30 AM and is first come, first served. Registration is by this form only. Attach a documentAccepted file types: jpg, gif, png, pdf, Max. file size: 5 MB.Please check one of the following boxes:Failure to submit your TSSA GT3 license by the deadline will result in a withdrawal with no refund. I have attached a copy of my valid TSSA GT3 License I have completed my GT3 course at Durham College and I will submit my valid TSSA GT3 License no later no later than January 7th, 2023. No attachment required. I have attached proof of registration of GT3 course that ends by August 17th, 2022 and I will submit my valid TSSA GT3 License no later than January 7th, 2023 Payment Options Evening GT2 fees are assessed to your student account immediately upon registartion. Payment is required within five (5) days of registration. Please do not pay until your registration is confirmed by email and you are instructed to pay. Credit Card (Visa, MC, AMEX) on the DC website for new students and MyCampus for previously enrolled students Bank Transfers (takes 3-5 business days) – use your Durham College student number for the account number Personal cheques or cash payments are not accepted SIN Collection CRA (Canadian Revenue Agency) requires your SIN (Social Insurance Number) for your T2202 tax form. Add your SIN on MyCampus if you have not already done so, or submit it as soon as possible once back on campus, before December 31, 2022. Withdrawal You are academically and financially responsible for your course unless you withdraw officially by the start of the third class. Failure to attend does not constitute withdrawal; a PPL Course Withdrawal Form must be emailed to email@example.com by the start of the third class. Withdrawals are subject to a $30 admin fee and any refunds are by e-transfer. Course Evening Gas Tech 2 Prerequisite Campus Dates Day and Time Fee Valid Gas Tech 3 license Whitby August 16, 2022 to June 22, 2023 Tues/Thurs.6:00-9:00 PM and Sat 8:30 AM-3:00 PM $3031.80 (+ text and tools) NameThis field is for validation purposes and should be left unchanged. Notice of collection: In accordance with the Freedom of Information and Protection of Privacy Act, your personal information is collected and reported to the Ministry of Training, Colleges and Universities under the legal authority of the Ontario Colleges of Applied Arts and Technology Act, 2002. MCU collects student-level enrolment-related data, which includes limited personal information such as Ontario Education Numbers, student characteristics and educational outcomes, in order to administer government post-secondary funding, policies and programs, including planning, evaluation and monitoring activities. Your personal information may also be used or disclosed for administrative, information technology, law enforcement, statistical or research purposes of the College or ministries and agencies of the Ontario and federal governments. Further details are available at our Privacy page ( https://durhamcollege.ca/about/governance/information-access-and-privacy ) or by contacting the Freedom of Information Coordinator, President's Office, 2000 Simcoe Street North, Oshawa, Ontario, L1G 0C5, 905.721.2000 ext. 3292.