COURSE START DATE: AUGUST 7. 2018
COURSE END DATE: OCTOBER 27. 2018
NOTE: PLEASE PRINT IN INK
NAME: Last _______________________________First_____________________________Middle Initial ______________
EMERGENCY CONTACTS PHONE: _______________________________________________________________________
• Please note that this is an application only. It will be used for the sole purpose of holding your position in the Commercial Diving Program for 2018. Upon arrival you will be given a binding contract to review and sign.
• Photocopies of Standard First Aid/CPR, SCUBA Certification, Diving Medical (see web site for medical form and hyperbaric physicians) and proof of Grade 12 or equivalent due prior to
the start date of the program.
• Deposit - $1500.00 (Canadian Dollars)
• Category 1 Commercial Diver 12 week course - $20 500.00 (Canadian Dollars)
• Room and Board (Chapleau Lodge) - $4500.00 (Canadian Dollars)
• Books/Materials are available to be purchased through CWDI upon request – Approx. $300 – List of books required can be found on the CWDI website.
All statements are true to the best of my knowledge. Providing false information may lead to expulsion.
SIGNATURE: _______________________________________________________ DATE: _______________________________