PAYMENT INFORMATION
Please provide your payment information below or contact the Registrar’s Office to make your (credit card) payment
by phone at 416-596-3101 x 3000. The $75 or $15 course transfer fee is non-refundable.
(Check One)
VISA MasterCard AMEX
Credit Card #: Expiration Date:
Student Signature:
We also accept certified cheques or money orders (payable to The Michener Institute). Cash or debit payments can
be made in person at The Michener Institute.
You will be contacted via email within 1-2 weeks on the status of your request.
Transfer Request Form for Continuing Education Courses
Please ensure that you have read and understood the Transfer Policy on our website prior to submitting
this form. The course transfer fee is $75 OR $15 for BLS courses. This form requires your signature. You may email
with a digital signature, or scan and email to ce@michener.ca
.
STUDENT INFORMATION
First Name:
Last Name:
Phone #:
Student #
or DOB:
E-mail Address:
Course Code:
Start Date:
Course Title:
Registration Date:
Tuition Fee:
Course Code:
Start Date:
Course Title:
Today’s Date:
Tuition Fee:
OFFICE USE ONLY
STEP 1:
Power Campus investigation completed & attached
Registrar Notes:
STEP 2 (if required):
Transfer Approved OR
Tuition Credit Not Applicable
CE Approval/date:
Transfer fee received: □ $75 OR □ $15
Transaction completed in Power Campus & noted
Student & CE notified
Completed by/date:
Calculation:
Credit amount
222 ST. PATRICK STREET, TORONTO, ONTARIO, CANADA REVISED NOVEMBER 2020
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