JIBC AST Student Attendance Form PLEASE ANSWER THE FOLLOWING QUESTIONS BEFORE COMPLETING THE JIBC INFORMATION BELOWWhich course are you taking?(Required) 24-Hour AST Course 8-Hour AST Recertification Course Course Date Requested — YYYY/MM/DD(Required) YYYY slash MM slash DD Enter the course date shown on the DWK Consulting website. Example: 2026/08/07.What is your present occupation?(Required)If not currently employed, enter N/A, Unemployed, Student, or Retired.What is the reason for taking the course?(Required)Examples: Required for work, career advancement, hospital security, loss prevention, licence requirement, or personal professional development.JIBC Student NumberEnter your JIBC Student Number. It starts with “JO” followed by six numbers. Do not enter your Security Worker Licence number. If you do not know your JIBC Student Number, type: “I will obtain my JIBC Student Number and provide it to DWK Consulting as soon as possible.” You may also contact the JIBC Registration Office at 604-528-5590 or email register@jibc.ca to obtain it. “Please note: JIBC requires this completed form, including the student number, at least one week before the course starts.”Have you taken the BST course before?(Required) YES NO If Yes, when and where (name of school) did you complete the BST course?If you answered No above, type “Not applicable.”Do you have a valid BC Security Worker Licence?(Required) YES NO How are you going to pay the course fee?(Required) PayPal — Credit or Debit Card Interac e-Transfer Please select your intended payment method. 24-Hour AST students must submit payment with the completed form. 8-Hour Recertification students must wait for DWK Consulting’s payment request. 24-Hour AST Course The completed form and full course payment must be submitted at the same time. Your registration is not confirmed until both the completed form and payment have been received. 8-Hour AST Recertification Course Complete and submit the form first. Do not pay the course fee until DWK Consulting emails you and asks you to make the payment. RECERT?(Required) YES NO Select YES only if you are taking the 8-Hour AST Recertification Course. Otherwise select NOREWRITE?(Required) YES NO Select YES only if this registration is for an AST exam rewrite. Otherwise select NOLast Name(Required)Make sure this is your legal last name (family name) as shown on your birth certificate.First Name(Required)Middle NameAddress(Required)City(Required)Province(Required)Postal(Required)Country(Required)Phone Number(Required)Gender(Required) Male Female Other / Prefer not to answer Gender Identity Cisgender Transgende No answer Birth Date(Required) YYYY dash MM dash DD Enter your date of birth in this order: Year – Month – Day (YYYY-MM-DD)E-mail(Required)Citizenship Country(Required)Select Citizenship CountryCanadian CitizenIndiaPhilippinesChinaPakistanUnited KingdomUnited StatesOtherRequired for JIBC student registration records.Immigration Status(Required)Select Immigration StatusLive In CaregiverBorn in CanadaNon-Canadian, Status UnknownNon-Canadian, No Visa RequiredOther VisaDiplomatMinister’s PermitVisitorPermanent ResidentRefugee (Status Granted)Student VisaRequired for JIBC student registration records. Please select the option that applies to you.Optional JIBC demographic information. You may leave these questions unanswered if they do not apply or if you prefer not to answer.Identify as an Aboriginal Yes No Metis Yes No First Nations Yes No Inuit Yes No