Manitoba Landfill Operator Application for Certification

Step 1 of 2:New Attendee Information

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Contact ID

Attendee First Name(Required)

Attendee Last Name(Required)

Attendee's Home Address

Address(Required)

City Town(Required)

Country(Required)

Province(Required)

State(Required)

Postal Code(Required)

ZIP Code(Required)

Preferred Address(Required)

All course material, including textbooks, will be sent to your preferred mailing address.

Attendee Work Email (Recommended)

Attendee Personal Email (Optional)

Admin / Employer Email(Required)

Provide a general administrative contact email address. For example: info@businessname.com

Select Primary Email(Required)

select a primary email address where notifications and updates should be sent.

Each attendee should have their own email where possible. If not, use an admin or employer email and select a primary email address where notifications and updates should be sent.

Daytime Phone(Required)

Secondary Phone

Employer / Business Phone

Primary Phone Cellular Yes/No

Primary Daytime Phone is a Celphone

Secondary Phone is a Celphone

Employer / Business Phone is a Celphone

Please ensure you have provided a number we can reliably contact in case of an emergency.

Job Title

Department

Dietary Restrictions

For in-person courses only.

Is the attendee an employee of a business or organization?

Yes

Employer / Business Info

Business Name(Required)

Business Address(Required)

Business City(Required)

Business Country(Required)

Business Province(Required)

Postal Code(Required)

State(Required)

ZIP Code(Required)

Message to SWANA NLC

Add a message

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Registration Date

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Last SUMAC Update

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Alternate Business Phone

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Assistant Name

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Assistant Phone

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Assistant Email

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Attendee Notes

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LOC Certificate Renewal Date

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LOC Certificate Number

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LOC Certificate Date Issued

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Certification Facility

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LOC Certification Program

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LOC Certification Status

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MOLO Certification Program

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MOLO Certificate Renewal Date

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MOLO Certification Status

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MOLO Certificate Number

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MOLO Certificate Date Issued

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LOC Exam Mark

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LOC Renewal Application Received

Submit profile data and proceed to billing information

For security, billing and tax purposes you may be asked to re-enter certain information on the next screen.

PDF Download Application Only

Price:

$200

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Username:* Invalid Username

Email:* Invalid Email

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Registration Details

Please read the information below before registering for this course.

Refund Policy: A full refund minus a $50 administration fee will be issued prior to 30 days before a training or conference event. No refunds will be provided within 30 days of such an event for which the participant is registered. Although refunds will not be issued, substitutions can be made within 30 days of an event. Please note that all requests must be made in writing (email format is acceptable) and to the attention of the Executive Director at info@swananorthernlights.org

Manitoba Landfill Operator Application for Certification

Manitoba Landfill Operator Application for Certification

Attendee's Home Address

Employer / Business Info

Message to SWANA NLC

Submit profile data and proceed to billing information

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