Form D - Educational Credential And Qualifications Assessment Document Request Form printable pdf download

1243 Islington Avenue, Suite 501

Toronto, Ontario M8X 1Y9

P : 416 234 8800 | F : 416 234 8820

Form D – Educational Credential and Qualifications Assessment

Document Request Form

Applicant: Complete this section

APPLICANT FULL LEGAL NAME:

Last Name(s)/ Surname(s):

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

Middle Name(s):

Date of Birth:

Student ID Number:

I agree to allow my physiotherapy institution to give the information asked for in the Document Request Form to the Canadian Alli-

ance of Physiotherapy Regulators (CAPR) so that CAPR can complete my educational credential and qualifications assessment.

Date:

Signature of Student:

Instructions to School for Completing and Submitting the Document Request Form

The student named above has applied to the Canadian Alliance of Physiotherapy Regulators (CAPR) for an educa-

tional credential and qualifications assessment. CAPR is the federation of provincial and territorial physiotherapy

regulators in Canada. We assess the educational credentials and qualifications of physiotherapists educated out-

side Canada on behalf of these regulators. We also administer the Physiotherapy Competency Examination (PCE).

To help us complete the student’s assessment, please provide the information asked for in the remainder of this

document. Your institution’s Registrar, Program Director, Dean or the Principal may complete the Document Re-

quest Form. You must send this information to CAPR office, not to the student. We will not accept this form if

the student completes it or sends it to us.

Documents to be sent directly to the Canadian Alliance of Physiotherapy Regulators:

1. This completed Form D: Document Request Form, including this page.

2. Official academic records (sometimes called transcripts or mark sheets or statement of marks) issued by univer-

sity. If your institution is a college affiliated with a university (e.g., India, Pakistan), we will accept the completed

Document Request Form and credit/clock hours from the college. The student’s official academic records must

come to us directly from the university (in the case of India) or from the Higher Education Commission (in the

case of Pakistan). We will not accept the student’s academic records from the applicant or the college.

Please ensure that the information sent includes the following:

•

Supervised clinical practice information, including the number of hours, the areas practiced and a detailed

description of supervised clinical practice; include the student’s Clinical Internship Certificate or Internship

Completion Certificate if applicable;

•

The number of classroom and laboratory and clinical credits or clock hours, grades or marks earned for each

completed course;

•

Final course grades;

•

The grading scale relevant to the student’s time of study (India and Pakistan: the University must send this

information to us and not the College).

Form D - Educational Credential And Qualifications Assessment Document Request Form

Related Articles

Related forms

Related Categories