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Form B – Educational Credential and Qualifications Assessment

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1243 Islington Avenue, Suite 501 Toronto, Ontario M8X 1Y9 P : 416 234 8800 | F : 416 234 8820 www.alliancept.org

181109

Form B – Educational Credential and Qualifications Assessment

Application Checklist

APPLICANT FULL LEGAL NAME:

Last Name(s)/ Surname(s):

First Name(s) / Given Name(s):

Middle Name(s):

Former Last Name (if any of your documents are in a name other than the name above):

Print your full legal name (first, middle and last names) above. Complete both sides of this checklist and make a photo- copy of it and all supporting documents for your own files. Send this checklist and all supporting documentation along with your application.

Please make sure that you have included all applicable documents with your application (see checklist below). Failure to do so will result in your application being returned to you. To avoid delays, ensure that you have read our policies regarding Notarized Copies; Translated Copies; and Incomplete Applications.

*If you graduated from a program in: Bangladesh, China, Cuba, Egypt, India, Nigeria, Pakistan, The Philippines, Ukraine - please refer to Appendix 1 – Country Specific Document Requirements for document requirements for your application.

Checklist

Please check the box to ensure that you have enclosed all necessary items.

Please X the box

1. Completed application form, signed and dated Attached

2. Money order/certified cheque, bank draft or credit card information for appropriate fee, payable to The Canadian Alliance of Physiotherapy Regulators. You must send your fee with the completed application form. We do not accept personal cheques, debit cards or debit credit cards.

Attached 3. Identity Document(s) – Form C with attached passport sized photograph, copy of

official identity document(s). Please carefully follow instructions on Form C. Attached

4. Notarized copy of proof of legal name change (if applicable) Not applicable Attached 5. Notarized copies of your diploma, degree or certificate (and certified translation if

applicable) from your entry-level physiotherapy education.

* Graduates from China, Cuba, Pakistan, Ukraine - Please refer to Appendix 1.

Note: If you are a new graduate and have not yet received your degree certificate you may have your school submit a Graduation Verification form (see application process guide) as an interim step to get your application started. We will need a notarized copy of the official certificate to release your assessment results.

Attached

University is sending Grad Verification Form (new graduates only)

6. Notarized Clinical Internship Certificate applicable only to graduates from Egypt, India, Pakistan, The Philippines - Please refer to Appendix 1.

Not applicable Attached

University is sending

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1243 Islington Avenue, Suite 501 Toronto, Ontario M8X 1Y9 P : 416 234 8800 | F : 416 234 8820 www.alliancept.org

Please also check that you have NOT:

181109

Please also check that you have not:

1. Stapled any part of your application.

2. Included any original documents.

3. Included any document or item which you need to be returned (completed application forms become the property of the Canadian Alliance of Physiotherapy Regulators.)

4. Sent us transcripts or mark sheets yourself. They must come from the issuing institution.

The issuing institutions must mail the following documents directly to our office. We cannot complete your assessment without these documents. Have you arranged for them to mail these documents to our office?

Checklist

Please check the box to indicate you have requested all necessary items from

issuing institutions/agencies.

Please X the box

1. Document Request Form (from entry-level physiotherapy education institution) Requested 2. Academic records (Transcripts/mark sheets/grade lists/records from entry-level

physiotherapy institution)

* Graduates from Bangladesh, China, Cuba, India, Pakistan, Ukraine- Please refer to Appendix 1.

Requested

3. Supporting Documentation regarding supervised clinical practice hours Requested 4. Secondary Education applies to Pakistan and Nigerian applicants

only. Please refer to Appendix 1.

Not applicable Requested 5. Clinical Internship Certificate applicable only to graduates from Egypt, India,

Pakistan, The Philippines - Please refer to Appendix 1.

Note: If you have sent us a notarized copy yourself, your institution may skip this.

Not applicable Requested

I have attached a notarized copy myself

6. Original language proficiency score sheet in English or French.

• Please indicate: Test: Test date:

Requested

Important Note:

When you ask the school to send your documents to our office using an international courier service (e.g., Federal Express, DHL, Purolator, etc.) tell the school that CAPR will verify who the sender was. If the pick-up location of the courier package does not match your school address and school location, we will not be able to verify the school is the sender of this package and we will not accept it. For example, the school cannot put the documents in an envelope and seal it and then give you the sealed envelope so that you can take it to the courier company and send it to us. The school must send the package to us not you.

If your school is sending documents by regular mail, please ask them to include a return address or school stamp on the external envelope.

Have you completed the Canadian Physiotherapy Practice – Self Assessment Readiness Tool (SART©)?

The Canadian Physiotherapy Practice Self-Assessment Readiness Tool is an optional step designed to help internationally educated physiotherapists understand the Canadian physiotherapy profession. It describes what physiotherapists who work in Canada are expected to know and do. It outlines the competencies, or knowledge and skills that Canadian physiotherapists must have. CAPR does not see any of the results of your self-assessment. It can provide you with valuable information to help you make important decisions. CAPR encourages you to use SART to help orient you to physiotherapy in Canada. The SART tool is available in French and English. You can find it on our website.

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