SC CCC-F191 (Registration Form EN)October 26, 2016

SECURITY GUARD COURSE AT THE COMMISSIONNAIRES TRAINING CENTRE / /

DAY

EVENING

/
Montréal / Québec City
Tel.: 514-273-8578, extension 255
Fax: 514-277-1922
Email: / Tel.: 418-681-0609 extension 323
Toll free: 1-877-322-6777 extension 323 Email:
YYYY / MM / DD
COURSE DATE PREFERENCE:
PERSONAL INFORMATION
Last name / First name
Address / Apt. / Postal code
City / Telephone
Cell phone / Email
Have you ever served in the Canadian Armed Forces? or the RCMP? No
TRAINING ADMISSION CRITERIA
Over the last 5 years, have you had a security guard permit refused or revoked? / Yes No
Do you have a criminal record? / Yes No / Do you have a valid driver’s licence? / Yes No
Are you 18 years or older? / Yes No / Do you have a car? / Yes No
Do you have a completed grade 9 report card OR the equivalent recognized by the government of Québec? Yes No / Yes No
Have you lived in Canada during the last 5 years? / Yes No
My level of spoken French: / Very good / Good / Poor / CNESST first-aid certified? / Yes No
My level of written French: / Very good / Good / Poor / If yes, expiry: / YYYY / MM / DD
Fire prevention certified? / Yes No
SIGNATURE
This online registration does not automatically confirm your place in the course. All applicants will be required to attend a meeting with one of our trainers in order to finalize the registration process. The final registration process is based on availability of the courses offered. If your application is selected, we will contact you to finalize your registration.
Following the listing:

I must attend all of the training courses, pass the exams and successfully complete the practical assignments of the security guard course to obtain the certificate of successful completion.

No job is guaranteed with Commissionnaires once the training is completed. Candidates must contact Human Resources to find out about the hiring criteria. Initials: ______

I must also make sure to:1) Confirm my attendance during the confirmation telephone call, which will take place during the week before with aTraining Centre manager, or 2) Follow up on the voice mail or email sent by this person. In the case where no action is taken to confirm attendance to the training, I understand that my reserved spot will automatically be given to another candidate. I can alwaysreview the calendar with a manager and attend another training course. Initials: ______

I agree to pay the fee of $460,00 (tax included), payable in one or two installments.

Date: / YYYY / MM / DD
Signature (at the interview)

SC CCC-F191 (Registration form – EN)October 26, 2016