Clone of Older Adult 2

Course Name

Course Dates

Course Code

Course Duration

Refund Deadline

{courseName}

{courseDates}

Course code: {courseCode}

This course is accredited through CPD’s designation as an ANCC‑certified Nursing Continuing Professional Development Provider.

Status

IO Number

Date

Registrant Information

First Name*

Last Name*

Email Address*

Have you previously taken any courses at the University of Toronto?*

Yes, I have taken courses with the University of TorontoNo, I am a new student with the University of Toronto

Note: New Students

As a new student to UofT you will be provided a user login called a UTORid.
The UTORid will provide you access to the online course materials and library access.

It is important to remember the spelling of your first and last name, gender and DOB you are registering with as our system
will use this to identify your UTORid for future courses.

Note: Current/Former Students

Current or former students of UofT will have an existing user login called a UTORid.

In order for our system to accurately identify your existing UTORid, you will need to provide the same spelling of your first and last name that you used when you previously enrolled into your courses with the University.

Optional: If you remember your exisiting UTORid, you can provide it below.

If you know your Existing UTORID, please enter it here:

Former Name(s)

First NameLast Name

Date of Birth*

MonthDayYear

Gender*

Address*

Street Address

Street Address Line 2

CityProvince

Postal CodeCountry

Phone Number*

Format: (000) 000-0000.

Employment Information

Organization name:*

Title/position:*

What is your professional registration category?*

What is your practice setting?*

What is the main focus of your practice?*

How did you hear about this course?*

EmployerFriend or colleagueHealth Organization or Professional Association (CNA, NPAO, PPNO, etc)Internet SearchSocial Media (LinkedIn, X, Facebook, Instagram etc.)University of Toronto Email/Newsletter/WebsiteConference or Event

Please specify which organization or association:*

Please specify which social media platform:*

Which conference or event did you attend?*

Is this the first time you are taking a course with the Centre for Professional Development, Lawrence Bloomberg Faculty of Nursing at the University of Toronto?*

Yes, this is my first course with the Centre for Professional DevelopmentNo, I have taken a course(s) before

Payment Information

Select Payment Type*

Please enter your Invoice / Registration Code here:

For a limited time, save with the Early Bird discount!

Enter our coupon code in the box below to apply the discount.

Early Bird Rate: $1,035 + HST

Use Code: EarlyBird

In effect until August 14, 2026

Course Fee*

Regular Fee

For the Early Bird Discount use code EarlyBird

NPAO Members Apply Discount Code. Visit NP Central Education Page to get your Coupon Code

$1,150.00CAD

U of T Nursing Alumni

SAVE 15% U of T Nursing Alumni rate is available to BScN, MN, PMNP Diploma, MScN or PhD graduates of the Lawrence Bloomberg Faculty of Nursing, University of Toronto.

$975.00CAD

U of T Nursing Faculty

SAVE 15% U of T Nursing Faculty rate is available to individuals who hold a faculty position, adjunct or status appointment at the Lawrence Bloomberg Faculty of Nursing, University of Toronto.

$975.00CAD

Simulation Lab In-Person Session

Optional Add On

$350.00CAD

Group Fee - For Site Groups of 3 or more only

Groups of 3+ people from the same site. Enter your coupon code below to have your group discount applied.

$1,150.00CAD

Enter coupon

Subtotal

$0.00CAD

Tax

$0.00CAD

Total

$0.00CAD

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Alumni Discount
To receive the special alumni price please provide your degree and graduation year.

Which degree did you receive from the Faculty of Nursing, University of Toronto?

Graduation year

Total Amount Paid

Applicable taxes (13% HST) will be added to the registration fees.
Discounts cannot be combined.
This information is collected in accordance with the Privacy Policy.

TERMS AND CONDITIONS

REVIEW BEFORE YOU SUBMIT

{courseName}

{courseDates}

{courseDuration}

Total course fee including HST

$ {courseFee:total}

Refund Deadline: {refundDeadline}

You will receive login access to the course approximately 5 business days before the course start date.

Click the link to review: UTORid Conditions of Use

We will use the email address {emailAddress} for the following:

To send your confirmation and receipt. Within 15 minutes you will receive a message from Centre for Professional Development, Lawrence Bloomberg Faculty of Nursing (noreply@formresponse.com). You may need to check your Junk folder.
To send your course access instructions.
To add to our mailing list for upcoming courses. You may unsubscribe at any time.