Title * - Select -Mr.MrsMissMs. First Name * Last Name * Street Address * City * Province * - Select -British ColumbiaAlbertaSaskatchewanManitobaOntarioNova ScotiaNew BrunkswickNewfoundland and LabradorPrince Edward Island Postal Code * Phone Number * Email Address * Program * - Select -BCITStenberg Hybrid ( Online Course)Stenberg ( On Campus)VIIMTMohawkSt. ClairCCNBEverestOTHER: Foreign CandidateOTHER: Reinstatement Exam * - Select -CSCT Certification FIRST attemptCSCT Certification REWRITE Graduation Date * Indicate the date of your Graduation or expected date of Graduation Do you require a special accommodation - None -yesno If you choose YES, you will have to provide supporting documentation for this request. ex. letter from your physician, letter from your program head. There maybe a FEE associated to accommodate the request and will be due prior to challenging the exam. Specify special accommodation being requested Supporting documentation will be required before request is approved Preferred Location to Write * - Select -BurnabyRichimondSurreyVictoriaVancouverKelownaPrince GeorgeNanaimoEdmontonCalgaryRed DeerLethbrigdeGrande PrairieReginaSaskatoonWinnipegBrandonSudburyHamiltonMississaugaTorontoWindsorBarrieKitchener/WaterlooMarkhamNorth BayOshawaOttawaWhitbySt. John'sCorner BrookGrand Falls-WindsorMonctonHalifaxCharlottetownMontreal Please note you may not get your choose of city, but will we do our best to accommodate your request. Name - as you want it to appear on the CSCT Certificate * Exam Fee * $ Language of Exam * English French The exam is offered in both Canadian official languages. Please select one. PayPal account username * Indicated the full name or email address on the Paypal account you are using. Application will not be processed until fees are paid.