Forms

Icon	Resource Name Description	Size
	2012 - Nomination Form - Board Members.pdf	437.38 Kb
	CCC Reporting Form Continuing Competency Credit (CCC) Reporting Form	99.64 Kb
	FORM 16 Application Form for Inactive & Temporary Current registrants may use this form to apply for Inactive registration or an extension of Temporary registration.	89.25 Kb
	FORM 2 Application for Registration Use this form to apply for registration as a Speech-Language Pathologist, Audiologist, or Hearing Instrument Practitioner.	183.76 Kb
	FORM 3 Statutory Declaration This form must be completed by all applicants.	45.62 Kb
	FORM 4 Registration Renewal This form is for completion by current registrants who wish to renew their registration. Please note that registration renewal is due no later than March 31st, 2011. If you do not wish to renew your registration online, you may download this form and send it with your payment to the office by post.	492.36 Kb
	FORM 5 Criminal Record Check The information requested on this form is collected under the authority of the Criminal Records Review Act and, in the case of child care facilities, the Community Care Facility Act, and the regulations which govern both these acts. The information provided will be used to fulfill the requirements of the Criminal Records Review Act for the release of criminal records information and is in compliance with the FOIPPA.	82.95 Kb
	FORM 7 Application Form for Reinstatement Application form for college reinstatement.	89.5 Kb
	FORM 8 Student-HIP Application To be completed by applicants wishing to enter the profession as a Hearing Instrument Practitioner. This form is to be submitted when a student is ready to begin his or her supervised practicum.	184.36 Kb
	FORM 9 and 12 AC Application To be completed for certification in an Advanced Competency.	78.57 Kb

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