Physiotherapy Practice in the CND Healthcare System Application Form
***PLEASE ENSURE THE EMAIL ADDRESS YOU TYPE IS CORRECT AS IT IS THE ONLY WAY WE WILL BE ABLE TO CONFIRM AND SEND COURSE CONFIRMATION AND EMAILS FROM UOFA***

*After submitting the application you may proceed to make the $500 course fee payment
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Email *
Applicant Information
***IMPORTANT:  Please enter your full legal name exactly as it appears on the official documentation you have submitted to the Canadian Alliance of Physiotherapy Regulators (CAPR). The name you enter below is exactly what will be sent to the alliance re: your course registration and completion. 

***ENSURE YOU ENTER YOUR NAME BELOW IN THE CORRECT ORDER, LAST NAME then MIDDLE NAME then FIRST NAME.  Please DO NOT use ALL CAPITAL LETTERS when entering your name below.  
Last Name
Middle Name
First Name
CAPR Client ID

***IMPORTANT:  It is now MANDATORY that you have a CAPR CLIENT ID BEFORE applying to this course. 

TO OBTAIN YOUR CLIENT ID PLEASE VISIT https://alliancept.org/internationally-trained/applying-for-credentialing/

ALL QUESTIONS RELATED TO OBTAINING YOUR CLIENT ID MUST BE DIRECTED TO CAPR


Please provide your CAPR Client ID # *
Date of Birth
MM
/
DD
/
YYYY
Address/Location
Correspondence Addresses: Your mailing and e-mail addresses will be used for correspondence from the University. The U of A uses electronic communications with its applicants and students in lieu of many paper-based processes. Currently this most often includes information by e-mail or via website. Your personal e-mail address will be used to communicate with you.
City
Province
Country
Home Country (country of origin)
Home Phone
Mobile Phone
Apartment Number
Street Number
Street Name
Postal Code
Are you taking this course as part of the Canadian Alliance of Physiotherapy Regulators credentialing process?
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I consent to have the University of Alberta notify CAPR regarding my course completion status:
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State the number of full-time years of formal education you have had at an institution where the primary language of instruction was English, excluding ESL course (post secondary education only)
Name of Institution where you obtained your degree
Province/State of Institution (if applicable)
Country of Institution (if outside Canada)
Graduation Year of Institution
Language of Institution
When do you wish to attend the course
Clear selection
A copy of your responses will be emailed to the address you provided.
Submit
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