Course Registration (Step 1 of 3)

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Fundamentals of Addiction	Cost: 175.00

Course Date:	November 6-8 2007
Course Location:	Winnipeg
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Method of Payment :	*
Note: All cash, cheques and money orders must be mailed or dropped off at the AFM office prior to the start date of the course.
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Have you completed the pre-requisites?	Yes:
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Occupation:	*
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Education:	*
If you have a degree please specify:
If you have a diploma please specify:

Do you have previous education in counselling?	Yes:
If yes please specify:	* required if you've answered yes above
Do you have previous education in addictions?	Yes:
If yes please specify:
Are you taking this course for credit or professional development hours?	Yes:
If yes please specify the course:
ACCP University of Manitoba
Professional Organization
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Reason for taking this course (check one): *
Personal Interest:
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