CCVE Application for Certification CERTIFICATION OVERVIEW FOR CCVE CERTIFICATION The completed application for CCVE certification process and all outstanding documents, particularly the required re-dacted VE and TSA reports for the Peer-review committee, MUST BE RECEIVED no later than 60 days prior to the scheduled biannual College June and November examination dates. A CCVE applicant must be a member in good standing to be accepted to sit the CCVE examination. Please review the CCVE Application Policy before completed the application below. Any questions about the eligibility requirements and/or the required application documentation can be addressed to info@cvrp.ca. First Name* Middle Name Last Name* CVRP Credential and Registration Number* Are you a member of CAVEWAS?* Yes No CAVEWAS VRA Membership Number:* Are you a member of ABVE* Yes No ABVE Membership Class and ID Number:* Home Address Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Home Phone* Personal Cellular Number Personal Email* Employer Information Employer Name* Address* Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Work Phone* Work Email* Work Cellular Number Current Position* Vocational Evaluation Credential (s) CVE ABVE(F) ABVE(D) Length you have held credential(s): (years) Length you have held credential(s): (years) Application Declaration: By checking this box, I declare the following statement to be true. I understand that the information provided on this application will be used for purposes of admission, registration, research and development, and other purposes consistent with the mandate of the College of Vocational Rehabilitation Professionals (The College). 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 TheCollege within 30 days in the event that any of my information changes. I understand that submission of this application in no way guarantees my registration in or certification by The College, and that misrepresentation of this information in any way may result in cancellation of my certification and registration status. I confirm that I have never been convicted of a criminal offence, for which I have not received a pardon that is relevant to my work as a Vocational Rehabilitation Professional and/or a Vocational Evaluator and/or Vocational Forensic Expert. By checking this box, I declare the following statement to be true. I confirm that I have not been dismissed from employment or refused membership in a professional association or registration in a related field, on the grounds of professional misconduct in Canada or elsewhere. The following questions must be answered: (If more space is required, please forward by email to ‘The Registrar’ at jray@cvrp.ca and indicate below by writing ‘Applicable’ or ‘Not Applicable’) Regardless of outcome, have you ever been the subject or recipient of a complaint of professional negligence through membership in a professional association or registration in a related field?* Yes No If yes please explain: Are you now the subject of any type of investigation, inquiry or proceeding by a professional licensing body or professional association relating to your professional conduct, competence, capacity or any other aspect of your professional practice?* Yes No If yes please explain: Are you aware of any facts, circumstances or situations which may reasonably give rise to a complaint other than noted above?* Yes No If yes please explain: * By checking this box, I declare the following statement to be true. If accepted as a CCVE through this CCVE examination process, I agree to annually review The College Code of Ethics, Standards of Practice and By-Laws. I undertake to abide by all of the rules, regulations, standards and policies of The College (the Governing Rules and Regulations”). 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 registration i status in 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 registration status under The College’s Bylaws, Policies or Code of Professional Conduct. As a voluntary registrant, I hereby release The College 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 with The College, I waive, release, and discharge The College 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 and its authorized representatives, for any acts, communications, or decisions regarding the processing, consideration, and maintenance of my registration and certification 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 bi-annually submit proof of approved Continuing Education Units (CEU’s) and must accumulate the total number of CEU’s required to maintain my level of certification. The maintenance level for CEU’s is currently set at 40 per 2-year period, as set-out in the College Continuing Education Policy. I hereby declare that the information given in this application and any attached/forwarded documents is, to the best of my knowledge, true, correct, and complete in every respect and that I am the applicant. Document Upload Re-dacted Sample VE Report Re-Dacted Sample TSA Report Curriculum Vitae or Resume Vulnerable Sector Police Check Professional Liability Certificate Birth Certificate or Passport or confirmation of permission to be employed in in Canada Letters of Reference, Attestation or Employer Verification: 1) Completion 40 VE & 10 TSA Reports 2) 24 months of performing vocational evaluation 3) CVE or ABVE certificaiton 4) completion of 40 hours of VE and TSA education Payment Options* PayPal Mail Payment* CCVE Application Processing and Examination Fee: $425.00 (Administration fee of $200.00 and examination fee of $225.00). Provincial taxes are assessed according to Applicant’s province of residence. To manually send in an CCVE application with certified cheque or bank draft, please add $30.00 administration fee and contact the College to inform of the pending application. Fee for manual submission is $455.00 plus tax according to the Applicant's province of residence. Price: $ 455.00 CAD Quantity: Total $ 0.00 CAD