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CRMC Medical Office Assistant Diploma
Application Form
Date of Birth of Applicant
Year
Month
Day
What is your status in Alberta?
Canadian citizen
Permanent resident of Canada
What program are you applying for?
Diploma of Medical Office Assistant (Family Medicine)
Diploma of Medical Office Assistant and Pharmacy Assistant
Diploma of Medical Office Assistant (Family Medicine and Radiology Clinics)
Are you a proficient computer user? (Microsoft Office or similar)
Yes
No
Are you a resident of either Calgary, Okotoks, High River, Chestermere, Diamond Valley, Priddis, Airdrie, or Bragg Creek?
YES, I reside in one of the municipalities mentioned above
Do you hold at least one of the following?
A high-school diploma or higher qualification from either English-speaking Canada or another jurisdiction where the sole language of the country is English
A General Education Development (GED) certificate
A high-school diploma from any other country AND either CELPIP with a minimum score of 7 in all components, OR Duolingo English Test with a minimum of 105 in all four components, OR IELTS with a minimum score of 6.0 in all components
Date of Application
Year
Month
Day
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You may use your mouse to sign inside the box, or you may choose to upload your signature as a file, or you may choose to type your signature. All three forms are legally accepted in Alberta.

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