Enrolment Form

Please choose a form: *

PERSONAL INFORMATION

Student ID *

Identity Verification Birthdate *

Name *

First

Middle

Last

Note: Please indicate your name (including any initials used) exactly as it appears on your government-issued photo ID.

Gender *

Female
Male
Non-Binary

Language preference for communication *

English
French

Have you been previously enrolled with CSI or ICB? *

Preferred Email Address *

Alternate Email Address

Phone number to reach you *

Personal
Business
Both

Address *

Home Address
Business Address
Both

IMPORTANT: You (or a person authorized by you) may be required to be at this address during normal business hours to receive and sign for some packages. Additional shipping and handling charges will apply if CSI has to re-ship materials because of incorrect instructions or because the courier is unable to obtain an authorized signature. CSI cannot redirect course materials after your enrolment has been processed. In some areas, packages may be redirected to a local collection depot if no one is available to sign for the delivery.

To which address would you like us to send your course material (if applicable) to *

Business Address
Home Address

CAREER INFORMATION

Our Industry *

Please indicate the type of industry that best describes your employer.

My Responsibility *

Please select only one item by putting a check mark in the box next to the function that best describes your main responsibility.

Please indicate Non-CSI Designations you have been granted:

Please specify CSI Designations / Certificates you would like to pursue:

If your employer has instructed you to provide them, please enter your Employee Number or Invoice Code:

If your employer has instructed you to provide them, please enter your Branch Transit Number or Division Code:

Note: This information is available through your training or HR department. Not all employers require this information.

I authorize CSI to release my CSI course enrolment history in response to prospective employer written requests including information about my enrolments and course completions and to notify me of career opportunities. *

ENROLMENT INFORMATION

Shipping and Handling
Shipping and Handling fees apply to courses with paper-based textbooks (no shipping and handling fees for courses with online textbook).
Canada: $32, US and Caribbean: $50, International: $100

Applicable Taxes
Please refer to: https://www.csi.ca/student/en_ca/student/policies/fees.xhtml – Tax Information

PRIVACY POLICY

I have read CSI’s Policies and Guidelines including the Refund Policy, Privacy Policy and Student Code of Conduct described on the website at www.csi.ca and agree to abide by the rules and regulations outlined in it.

CSI’s privacy policy is designed to protect your personal information. This policy describes the personal information that CSI requires, how it will be used and under what circumstances it may be distributed to third parties. Very briefly, CSI needs to obtain certain information about you to enrol you in a course and to match your results to your academic file. Without it, we cannot accept you as a student as we wouldn’t be able to create a student record for you. We will ask for information such as your name, address and credit card number. We will only ask for the information we need, we will keep it safe and we will not sell or distribute it to anyone else. We may share it with our suppliers to better serve you, to compile records or to report to the regulators. We will not give any information to your employer unless you complete the information release consent form, or breach CSI’s Student Code of Conduct.

By signing below, I confirm that I understand and consent to the collection, use and disclosure of my personal information by CSI and I agree to abide by the CSI Student Code of Conduct.

Declare *

I confirmed.

Signature *

If you choose not to allow CSI to collect, use and disclose your personal information you will not be able to enrol in a course but may still have options open to you. Please call 1 (866) 866-2601 (Canada & USA) or 416-364-9130.

INFORMATION RELEASE CONSENT (Release of your information to employers or educational institute)

In addition to CSI’s Privacy Policy above, I hereby consent to CSI disclosing to my current or future employer or educational institute my personal information as to: (i) my status with CSI and (ii) my performance in CSI courses. I acknowledge I may be eligible for preferred pricing rates negotiated between CSI and my employer and I understand that I must accept this agreement to receive such pricing. I further understand that CSI may contact my employer about my eligibility for discounted pricing rates. Further, I consent that from time to time I may be contacted by my employer or CSI for the purpose of (i) providing personal information to CSI to allow it to consolidate and calculate my compliance with regulators’ education requirements of me, and (ii) disclosing such information to my employer to facilitate management of its compliance requirements with regulators. The consent provided herein may be revoked, in whole or in part, by me by providing CSI with ten (10) business days prior written notice delivered to 625, René-Lévesque Blvd West, Suite 400, Montreal (Quebec) H3B 1R2, CANADA, attention: Customer Support. By doing so, I acknowledge that I may continue to enrol in and subscribe for CSI’s academic services but that (i) CSI’s academic services will not be made available to me at a discount, and (ii) I will be responsible for paying the incremental fees applicable to private students.

Information Release Consent Confirm

By signing below I confirm that I have read and consent to the terms and conditions of this Information Release Consent.

PERSONAL INFORMATION

CAREER INFORMATION

SPECIAL NEEDS ACCOMMODATION

ENROLMENT INFORMATION

PRIVACY POLICY

INFORMATION RELEASE CONSENT (Release of your information to employers or educational institute)

EMPLOYMENT VERIFICATION