Esquimalt CMTFE registration form

Rank

Last Name

*required

First Name

*required

Phone number

*required

Service number last three digits

*required

Supervisor's name

*required

Supervisor's email

*required

Supervisor's phone number

Current Base / Wing

*required

Reservist?

Reason for CMTFE

I am requesting a CMTFE based on a Medical Employment Limitation (MEL) FORCE Evaluation failure

*required

Date of last FORCE Evaluation

Number of weeks of SPTP completed

*required

PSP Staff assisting you with Supplementary Physical Training Program (SPTP)

Dates requesting CMTFE

*required

Privacy Notice

I confirm that I have read the PRIVACY NOTICE.

Consent agreement

By registering to this program or activity, I consent to the collection and use of my personal information as described in the privacy notice above.