New student - Do you require a placement interview?
Yes
No
Former student - Please select last level completed at CUSB
Beg. 1
Beg. 2
Beg. 3
Beg. 4
Int. 1
Int. 2
Int. 3
Int. 4
Av.
When:
Student number:
Sex: M F
Last name:
First name:
Home address:
City:
Postal code: (ie: A1A1A1)
Home phone number: (ie: XXX-XXXX)
Business phone number: (ie: XXX-XXXX)
Cell phone number: (ie: XXX-XXXX)
Home e-mail:
Work e-mail:
Only one e-mail address is required but both are useful to ensure you receive the message in the timeliest manner possible.
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Method of payment
Please note that the CUSB is not yet able to accept on-line payment. You can phone in your credit card number, mail a cheque, or pay in person using any of the methods listed.
How would you like to pay?
Cheque (payable to CUSB)
Cash
Interac
Visa
MasterCard
$265 (handbook and taxes included)
TOTAL OWED: $
Optional DVDs from Beginner 1 to Intermediate 2 and Avancé can be purchased on site.
This personnal information is being collected under the authority of The Collège universitaire de Saint-Boniface Act. It will be used for the purposes of administering the Français oral program.
It will not be used or disclosed for other purposes, unless permitted by the Freedom of Information and Protection of Privacy Act (FIPPA). For further information, contact FIPPA/PHIA Coordinator's Office at 204-233-0210 ext. 398,
or by mail at the Archive Department, Collège universitaire de Saint-Boniface, 200 avenue de la Cathédrale, Winnipeg, Manitoba R2H 0H7.
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