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帳號

密碼

電子郵件信箱

電子郵件(再次確認)

姓氏

名字

縣/市

國家

Gender

Country of Birth

Which of the following best describes your ethnic identity?

Date of birth (month/date/year) Please provide your valid date of birth

Telephone Number

Your first language (if other than English)

Required: Complete Mailing Address (Street name, number and Postal Code)

Consent For Disclosure Of Personal Information: COSTI recognizes that information provided in the Client Registration Form is confidential and will not be released without my prior consent. I hereby give consent to COSTI to share the information I have provided herein to staff within COSTI for the sole purpose of providing services to me. I understand that COSTI will use aggregate statistical data from the Client Registration System for planning and presentation purposes. By checking this box you agree to this statement.

Employment Status

What is your highest level of education?

Occupation / Professional background

Current Education Status

Country of highest education

Level of English

What is your immigration/citizenship status?

Date of Arrival (mm/dd/yyyy)

Choose COSTI Online Course (s) (Optional)

Learn on your Own - Job Search Self Directed Workshops

Trades and Apprenticeships Information workshop

Please select if you are registered with COSTI Workplace Language Training

If you are a registered COSTI client, please indicate the name of the program

How did you hear about COSTI Online Services?

Would you like information about COSTI Employment Services?

Would you like information on TRIEC Mentoring for Internationally Trained professionals?

I am interested in receiving e-mails from COSTI regarding Services and Upcoming Events

Personal Information

Employment

Education

Immigration/Citizenship Status

Select COSTI Employment Services Online Course(S)/& Job Search Workshop(S):

COSTI Language and Skills Training Services

Other COSTI Services