Please note: All information in this form is collected and will be used and disclosed in accordance with applicable laws.

Step 1: Applicant Information

Demographics














Home Mailing Address

Mailing Address

Mailing Address







Criminal Record Check

Criminal Record Check with Vulnerable Sector Search

Professional Liability Insurance

Professional Liability Insurance

Language

Language


Citizenship

Citizenship


Other Registration

Other Registration


Currency of Practice

Currency of Practice

Education

Education







Additional Education





Declarations

Declarations
I understand that I may be required to submit further information to determine eligibility for membership.

I understand that the collection, use and disclosure of my personal information will be handled in accordance with applicable privacy policies and laws.

I will immediately advise the College, in writing, if there is any change to any of the information contained in this application.

I verify that all information contained in this application, including these declarations, is complete and accurate. I understand that a false or misleading statement, an omission or misrepresentation may have impact on the validity of this application.

Method of Payment

Payment Info

$400
$400
$20
$420


For online payments:
Please review your application information thoroughly before submitting. When ready, please submit by clicking on the button below. You will provide payment in the next step.

For payment by email transfer or cheque:
Please review your application information thoroughly before submitting. When ready, please submit by clicking on the button below.