Canadian Academy of Private Investigation

Due to the confidential nature of the information revealed and discussed in this course, we require you to provide the following information. The need for this information is obviously to help screen out people who would use the information for illegal or unethical purposes. Your enrollment application will be held in the strictest of confidence.

List Past Criminal Convictions (describe conviction, date and location and if pardoned )

_________________________________________________________
_________________________________________________________
_________________________________________________________

Names, Addresses and Phone #'s of two (2) Character References:

1.________________________________________________________
2.________________________________________________________

I would like the course sent ( check one) :  

______ by mail       _______ by email ( .PDF format)

Form of Payment:

MAKE CHEQUES / MONEY ORDERS PAYABLE TO : A.B. DERRINGER & ASSOC.

I have read and understand the information contained in Additional Information Page (Click to access page directly).

Amount of Payment_____________

Signature_____________________ Date _______________200__

Driver License:   Prov/State ______________ Number: ___________________

You must include the following along with your enrollment application:

1. The appropriate tuition fee.

2. Ensure you have completely filled out and signed the application form. 

3. You have signed, and had witnessed, the warrant form (below).  

ENSURE THAT YOUR MONEY ORDER / CHEQUE IS MADE OUT TO:

A.B. DERRINGER & ASSOCIATES !!!!!

Please Read Carefully

Due to the sensitive nature of the material discussed in this course and the need to keep this information from certain individuals in the community who might use this information for illegal or immoral purposes it is very important that we maintain proprietary control of all who see it. We therefore require that all students sign the following statement to ensure that students take seriously their obligation to control the sharing, selling, photocopying, or redistribution of the information provided to them by The Canadian Academy of Private Investigation.

WARRANT

I, __________________ , of the City/Town of __________, in the Province/State of _____________, dated this ______day of _______, 200_, 

MAKE OATH AND SAY:

1. That I will not share, show, sell, photocopy, redistribute or reproduce in any way either in whole or in part, any of the material given to me by The Canadian Academy of Private Investigation on penalty of litigation and/or prosecution.

2. That I will keep all materials given to me by the Canadian Academy of Private Investigation in the strictest of confidence and protect those materials from being viewed by anyone other than myself on penalty of litigation and/or prosecution.

______________________________ 
(Signature of Student)

Signature Witnessed by me___________________ in the City/Town of _____________,

in the Province/State of _____________________,

this_________day of __________________, 200_

I have witnessed the above persons signature on this document, and I have reached the age of majority.

(Witness Signature)_______________________________ 

(Witness name/address/phone number- printed)

__________________________________________________________

 Mail your Application to:

Canadian Academy of Private Investigation

#28, 7172 Coach Hill Road S.W.

Calgary, Alberta Canada

T3H 1C8

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Send mail to Director-Capi@shaw.ca with questions or comments about this web site.
Copyright © 2002-2004 Canadian Academy of Private Investigation - J, Hornsby
Last modified: November 01, 2004