CVRP New Applicant Form

I understand that the information provided on this application will be used for purposes of admission, registration, research, development, and other purposes consistent with the mandate of the College of Vocational Rehabilitation Professionals. I hereby verify that the information submitted for this application is accurate. I understand that providing false or incomplete information could result in action being taken by the College, including immediate suspension of my certification of registration. I confirm that it is my obligation to notify the College within 30 days in the event that any of my information changes. I understand that submission of this application in no way guarantees my membership in the College, and that misrepresentation of this information in any way may result in cancellation of my admission or registration status. I confirm that I have never been convicted of a criminal offence, for which I have not received a pardon.

I confirm that I have not been dismissed from employment, or refused membership in a professional associaiton or registration in a related field, on the grounds of professional misconduct in Canada or elsewhere.

I agree to annually review the College's Standards of Practice and By-Laws. I undertake to abide by all of the rules, regulations, standards and policies of the College. I understand that my registration in the College is voluntary and that by becoming a registrant, I consent to the College acting as my professional self-regulating body. I acknowledge that my registered status with the College is based on the College's Governing Rules and Regulations. I agree to abide by the provisions of the Governing Rules and Regulations and I recognize that the College has the right to limit or terminate my registered status under the College’s Bylaws, Policies or Code of Professional Conduct. As a voluntary registrant, I hereby release the College of Vocational Rehabilitation Professionals from all liability for any act of negligence or want of ordinary care on the part of the College and or any of its agents. In consideration of my registration in the College, I waive, release, and discharge the College of Vocational Rehabilitation Professionals and their directors, officers, agents and members, their representatives, heirs, executors and assigns from any and all claims of liability. This agreement is binding upon my executors, heirs, and assigns. I hereby discharge and release from any liability, the College of Vocational Rehabilitation Professionals and its authorized representatives, for any acts, communications, or decisions regarding the processing, consideration, and maintenance of my registration application and file. I hereby declare that I have current E&O insurance coverage for practicing as a Vocational Rehabilitation Professional. I understand that I must submit proof of approved Continuing Education Units (CEU’s) every 2 years and must accumulate the total number of CEU’s required to maintain my level of certification, as per the College`s current Certification Maintenance Policy. I hereby declare that the information given in this application and any attached/forwarded document(s) is, to the best of my knowledge, true, correct, and complete in every respect and that I am the College Registrant applying for renewal.