2020 FEA Program Application

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Legal Information

PRIVACY NOTIFICATION

COLLECTION AND USE: The personal information you provide to us during this application process is collected and used for purposes relating to the Family Enterprise Advisor (FEA) Program under the authority of section 26(c) of the Freedom of Information and Protection of Privacy Act (FIPPA).

EXTERNAL STORAGE: This application process is managed using online service providers. By submitting your application, you are consenting to the collection and storage of your information on servers located in the United States.

Please check the box below to continue

I AGREE

Personal Details

Title

First Name (eg Robert)

Preferred First Name (name by which you are commonly known by, if different from the above eg. Rob)

Last Name

Gender

How did you hear about us?

Please list your referral

Please list the specific conference/event

More details

Please list the CAFE chapter

Did anyone refer you to the program? (If yes, please mention the person's/organization's name)

Dietary Restrictions

Professional Contact Details

Alternate Email

Address Line 1

Address Line 2

Address Line 3

City

Province/State

Postal Code/Zip Code

Country

Telephone (Please include extension if applicable)

Mobile Phone

Billing Information
Please specify how you would like invoices to be made out if different from above.

Billing Organization

Applicant Name

Billing Address Line 1

Billing Address Line 2

Billing City

Billing Province/State

Billing Postal Code/Zip Code

Billing Country

Email Address of Billing Contact

Phone Number of Billing Contact
(Please include extension if applicable)

Payment Options for FEA Program Toronto - 2020
One-Time Payment Option	$15,965*
Payment Plan Option	1^st Installment	2^nd Installment	3^rd Installment	Grand Total


Payment Due Date	60 Days Prior to Start of Program (November 29, 2019)	April 17, 2020	August 28, 2020

Installment Amount	$5,390*	$5,390*	$5,390*	$16,170*
All fees are subject to applicable taxes Program fee includes tuition, all reading materials, FEA examination fee, one-year complimentary membership in Family Enterprise Xchange and meals during sessions

Please select your preferred payment option

One-time paymentPayment-Plan Option

Academic Details

Degrees that you have completed starting with the most recent.

Please select the number of degrees that you have.

Degree 1

Institute/University

Full name of degree

Country

Completion Year

Area of Study

OTHER: Please provide more details.

Degree 2

Institute/University

Full name of degree

Country

Completion Year

Area of Study

OTHER: Please provide more details.

Degree 3

Institute/University

Full name of degree

Country

Completion Year

Area of Study

OTHER: Please provide more details.

Degree 4

Institute/University

Full name of degree

Country

Completion Year

Area of Study

OTHER: Please provide more details.

Degree 5

Institute/University

Full name of degree

Country

Completion Year

Area of Study

OTHER: Please provide more details.

Disclosure of Information for Marketing Purposes (Optional)

The Family Enterprise Xchange (FEX) may wish to include your name and profession for marketing purposes for the benefit of our students, designates and members. Examples include: posting your profile and/or testimony on the FEX website; advertisement in publications; email promotions to families in business, and to other family enterprise advisors.

By clicking “I AGREE” below, you are consenting to the use and disclosure of your information for marketing purposes as outlined above.

I AGREEI DO NOT AGREE

Applicant Declaration

By clicking “I AGREE” below, you declare that:

The information provided in this application is accurate and complete.
You understand how your personal information will be used and disclosed by FEX.
You understand that FEX has the sole discretion to admit candidates into the Family Enterprise Advisor (FEA) Program.

I AGREE

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