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Page 1: Hospitality Leadership Certificate Application Form · Hospitality Leadership Certificate Application Form ... (dd/mm/yyyy): Gender: Address (PO ... $5299 + 13% HST = $5987.87 (CAD)

Hospitality Leadership Certificate Application Form

This information will remain confidential.

Last name: First name:

Middle name:

Your name as it will appear on your certification (if successful):

Date of Birth (dd/mm/yyyy):

Gender:

Address (PO Box numbers not accepted):

City: Province/State: Postal/Zip code:

Telephone: Email address:

Position title:

HAFA/HFTM alumni:

How did you hear about the Hospitality Leadership Certificate?

If you chose other, please specify:

Program Fee and Application Information

$5299 + 13% HST = $5987.87 (CAD)

HST Reg. #: R108161829. A 5% discount will apply for two or more registrations from the same organization. Please send a separate form for each applicant in a single email.

Payment is due with application submission. All fees include tuition, educational material, as well as food and books during the three-day workshop.

Please make cheques payable to “University of Guelph”. Contact Lisa Fodor at (519) 824-4120, ext. 56116 with VISA or MC information.

Withdrawal Policy: A refund less a 10% administration fee will be charged for withdrawals received 7 days or more in advance of the first course start date. No refund is available for withdrawals received less than 7 days before the first course start date.

Email or mail your application form to: Lisa Fodor, Logistics Coordinator School of Hospitality, Food and Tourism Management, University of Guelph 50 Stone Road E., Guelph ON N1G 2W1 Email: [email protected] www.uoguelph.ca/business/hospitality-leadership-certificate