Courses

Name
Address
Town
Postal Code
Telephone
Email
District School Board
Do you currently work as an attendance counsellor?	Yes No
If yes, length of time
If no, please state your current job title and/or Degree
What do you hope to gain from this course?
Special Dietary Requirements

Please submit payment to : Dianne Gauthier

Catholic District School Board of Eastern Ontario, 420 Anderson Dr., Cornwall, ON K6H 5N3

Or e-transfer to: dianne.gauthier@cdsbeo.on.ca Cheques payable to: O.A.C.A.S.