INITIAL CERTIFICATE APPLICATION GUIDE - Caslpo · INITIAL CERTIFICATE APPLICATION GUIDE:...
Transcript of INITIAL CERTIFICATE APPLICATION GUIDE - Caslpo · INITIAL CERTIFICATE APPLICATION GUIDE:...
INITIAL CERTIFICATE
APPLICATION GUIDE: INTERNATIONAL GRADUATES
5060-3080 Yonge Street
Toronto, Ontario M4N 3N1
416-975-5347 1-800-993-9459
www.caslpo.com
Revised: January 2019
Reformatted: October 2018
Initial Certificate Application Guide: International Graduates
October 2018 CASLPO•OAOO CONTENTS
TABLE OF CONTENTS INTRODUCTION ......................................................................................................... 1
INITIAL CERTIFICATE OF REGISTRATION ...................................................................... 2
REGISTRATION REQUIREMENTS ................................................................................ 2
When Registration Requirements Have Been Met For An Initial Certificate .................... 3
WHAT IS A PROFESSIONAL MASTER’S DEGREE? ............................................................ 4
COMPLETING THE APPLICATION .................................................................................. 5
THE INITIAL CERTIFICATE APPLICATION FORM ........................................................... 5
Academic Credentials Assessment .......................................................................... 7
COMPLETING THE COURSEWORK REQUIREMENTS FORM .............................................. 7
What You Need To Know To Fill Out The Forms......................................................... 7
Filling Out The Form: Coursework Hours (Sections I – IV).......................................... 9
Filling Out The form: Content Areas (Section v) ...................................................... 10
Official Transcripts .............................................................................................. 10
For Graduates Of Canadian Programs That Are Not Accredited ................................. 11
COMPLETING THE CLINICAL PRACTICUM HOURS FORM .............................................. 11
COMPLETING The VERIFICATION OF REGISTRATION Form ......................................... 12
OTHER SUPPORTING DOCUMENTS ............................................................................. 13
EVIDENCE OF NAME CHANGE .................................................................................. 13
TRANSLATION OF DOCUMENTS ............................................................................... 13
VERIFICATION OF PROFICIENCY IN ENGLISH OR FRENCH .......................................... 14
FEES .................................................................................................................... 15
WHAT DO I NEED TO DO BEFORE SUBMITTING MY APPLICATION? ................................. 17
WHAT HAPPENS AFTER I SUBMIT MY APPLICATION?..................................................... 18
SECOND FILE REVIEWS AND APPEALS ..................................................................... 19
IMPORTANT INFORMATION ....................................................................................... 21
HOW LONG DOES MY APPLICATION STAY ACTIVE? ................................................. 21
PRIVACY ............................................................................................................ 21
ACCESS TO RECORDS ......................................................................................... 21
APPENDIX: TIMELINES – INTERNATIONAL GRADUATES ................................................. 23
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October 2018 CASLPO•OAOO PAGE 1
INTRODUCTION The practice of audiology and speech-language pathology are governed under the Regulated
Health Professions Act, 1991 and the Audiology and Speech-Language Pathology Act, 1991.
Important highlights related to registration:
1. To practice in Ontario as an audiologist or a speech-language pathologist you must be
a member of College of Audiologists and Speech-Language Pathologists of Ontario
(CASLPO).
2. Only members of the College may use the professional titles (e.g., audiologist, speech-
language pathologist, speech therapist, SLP), and hold themselves out as qualified to
practice.
3. The College is a self-regulatory body, meaning that the professional members along
with representatives of the public have the authority to set and enforce standards for
the profession.
4. The College is responsible for ensuring that everyone who is registered is qualified.
5. The College will assess applications in accordance with the requirements outlined in
Ontario Regulation 21/12.
The College views unauthorized practice very seriously. Failure to register is a significant
offence and can result in disciplinary action and/or fines.
If you have any questions regarding becoming registered with CASLPO, please contact the
International Applications Coordinator:
Telephone: 416-975-5347 ext. 223 or (Toll-free in ON) 1-800-993-9459 ext. 223
Email: [email protected]
Mail: CASLPO, 3080 Yonge Street, Suite 5060, Toronto, ON M4N 3N1
Initial Certificate Application Guide: International Graduates
October 2018 CASLPO•OAOO PAGE 2
INITIAL CERTIFICATE OF REGISTRATION The College offers an Initial certificate of registration to qualified applicants who have less
than two years of professional practice experience.
When an initial practice registrant begins practicing in Ontario, the member must complete a
six-month mentorship period that includes at least 48 hours of mentored practice and 500
hours of patient care. For more information about the mentorship program, please see the
“Mentorship” tab on our website.
REGISTRATION REQUIREMENTS
The applicant must meet all the registration requirements, both exemptible and non-
exemptible, posted in Ontario Regulation 21/12
(HTTP://WWW.E-LAWS.GOV.ON.CA/HTML/REGS/ENGLISH/ELAWS_REGS_120021_E.HTM)
1. GOOD CHARACTER REQUIREMENT
You must complete a declaration of your past conduct to the College. The College may ask
you to provide more information based on your response.
Note that declaring a conduct matter does not automatically disqualify an applicant from
registration with CASLPO. Each circumstance is reviewed by the College’s Registration
Committee on a case-by-case basis.
2. REGISTRATION IN ANOTHER JURISDICTION
You must provide verification of all of your previous registrations/licenses with professional
regulatory bodies in other jurisdictions. The College may waive this requirement if there is no
certification/registration/licensing body in your previous jurisdiction.
3. DEGREE REQUIREMENTS
To be registered in Ontario you must have completed a
professional master’s degree in audiology or speech-language
pathology.
4. LANGUAGE PROFICIENCY
While language proficiency is not the only indicator of communicative competence,
it is an important foundation particularly for audiology and speech-language
pathology practice. If the language of instruction of your professional master’s
degree program is not English or French, you will be required to submit scores that
meet or exceed the standards set by the College for language proficiency from one
of the College’s approved language proficiency tests.
If the College’s Registration Committee is not satisfied that the applicant has met the above
requirement for English or French language proficiency, the applicant will be required to
Applicants must have a
professional master’s degree
in audiology or speech-
language pathology to be
registered in Ontario.
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October 2018 CASLPO•OAOO PAGE 3
demonstrate the applicant’s English or French language proficiency by attaining a passing
score on one of the College-approved language proficiency tests.
5. CANADIAN CITIZENSHIP, PERMANENT RESIDENT STATUS OR A VALID WORK PERMIT
You must provide the College with proof of Canadian citizenship, permanent resident status
or authorization under the Immigration and Refugee Protection Act (Canada) to practice
audiology or speech-language pathology.
However, the College will evaluate your qualifications for registration in advance of your
completion of your immigration to Canada.
The Registrar will revoke a member's certificate of registration if the member has ceased to
be a Canadian citizen or a permanent resident of Canada or is no longer authorized by the
Immigration and Refugee Protection Act (Canada) to engage in the practice of the profession
in Canada.
WHEN REGISTRATION REQUIREMENTS HAVE BEEN MET FOR AN INITIAL
CERTIFICATE
Once the registration requirements have been met for an initial certificate, you will enter the
registration process.
To complete CASLPO’s registration process, you must:
• Secure an offer of employment and a mentor;
• Complete an Initial Certificate Registration form; and
• Pay the remaining fees for registration.
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WHAT IS A PROFESSIONAL MASTER’S
DEGREE?
A professional master’s degree must satisfy all the following criteria:
1. The degree must be recognized as a Canadian master’s degree (or its equivalent, as
determined by an outside credentialing agency).
2. The program must be officially identified as a program whose intent is to train
audiologists or speech-language pathologists.
3. The master’s degree program must consist of:
a. Coursework completed at the graduate level in audiology or speech-language
pathology;
b. Supervised practicum appropriate to the practice of audiology or speech-
language pathology completed at the graduate level; and
c. A research component providing study in research techniques and statistical
analysis as well as the design and execution of research related to disorders of
hearing functioning or disorders of communication and/or swallowing
completed at the graduate level.
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COMPLETING THE APPLICATION There are four parts to your application form:
1. Application form
2. Coursework Requirements form
3. Clinical Practicum Hours form
4. Verification of Registration form (if applicable)
THE INITIAL CERTIFICATE APPLICATION FORM
Please print all information clearly. Ensure that your application form is complete and that
you have signed your declaration. An incomplete application form will delay the
process.
PERSONAL INFORMATION
The name you provide will appear on the Public Register and must match the name on the
documents you submitted for registration.
If you need to change your name at any time, you must provide
the College with proof of your legal name change
(marriage/divorce certificates or evidence of legal name
change).
PROFESSION
Please indicate the profession you are applying for. If you wish to
apply for registration in both professions, you must submit two
separate applications.
RESIDENTIAL ADDRESS INFORMATION
Provide your current residential mailing address (in or outside of Canada) in full.
Please provide an e-mail address that you check regularly, as this will be our primary method
of communicating with you during the application process. CASLPO must be alerted to any
changes to your email address.
CITIZENSHIP STATUS
Your eligibility to work in Canada as an audiologist or speech-language pathologist must be
indicated, and the accompanying documentation must be provided.
It is considered professional
misconduct to practice under
a name other than the one
you have registered with the
College.
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If you are a Canadian citizen, you must submit a copy of the identification pages of your
valid Canadian passport, Canadian birth certificate or both sides of your Canadian citizenship
card.
If you are not a Canadian citizen, you must submit a copy of your record of landing (if it
is current), your permanent resident card or your valid employment authorization
documentation (i.e. work permit).
LANGUAGE PROFICIENCY
Please indicate the language of instruction in your professional master’s degree in audiology
or speech-language pathology, as well as your intended professional language and preferred
language of correspondence. If the language of instruction of your professional master’s
degree was not English or French, you will need to provide evidence of language proficiency.
EDUCATION (ACADEMIC HISTORY)
Please list your professional master’s degree as well as any other university-level programs
that support the information in the Coursework Requirements Form.
REGISTRATION/LICENSURE
Please list any current and/or previous professional memberships held with any regulatory or
licensing bodies in any jurisdiction and in any profession. Please note this does not include
membership with professional associations (e.g., ASHA, ISHA, RCST, SPA).
CONDUCT
Please answer all questions truthfully. Answers will be kept strictly confidential and are used
only in the application process.
Should you answer “yes” to any of the questions listed on the application, please contact the
College for an Evidence of Good Character form. You may be asked for further details for
clarification.
Please note that declaring a conduct matter does not
automatically disqualify you from registration with CASLPO. Each
circumstance is reviewed by the Registration Committee on a
case-by-case basis.
DECLARATION
Please read and respond to each of the declaration statements
carefully before signing the form. Any false declarations could be
grounds for refusal of registration, or revocation of your license.
FEES
Please complete this section. Fees must be paid in Canadian funds. For more information
about fees, please see the fees section of this guide.
Making a false declaration
in your application may
disqualify you from
registration.
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ACADEMIC CREDENTIALS ASSESSMENT
An academic credential assessment must be obtained for each degree obtained outside of
Canada, to serve as a comparison to Canadian educational standards. The cost of this
assessment is the responsibility of the applicant. An assessment must be obtained from one
of the following credentialing agencies, which have been recognized by the Inter-provincial
Mutual Recognition Agreement:
WORLD EDUCATION SERVICES (WES)
(Search ‘CASLPO’ on the website and follow instructions. A Document-by-Document
evaluation is required.) Note: If you apply for WES’s ICAP Document-by-Document
service, you will not need to submit additional transcripts to CASLPO, as a copy of your
verified transcript(s) will be forwarded to the College as part of their service.
Tel: 416-972-0070
Fax: 416-972-9004
Website: https://www.wes.org/ca/partners/credential-evaluation-requirements-
college-audiologists-speech-language-pathologists-ontario/
COMPARATIVE EDUCATION SERVICE (CES) UNIVERSITY OF TORONTO
Tel: 416-978-0393
Website:
https://learn.utoronto.ca/international-professionals/comparative-education-service-
ces
INTERNATIONAL QUALIFICATIONS ASSESSMENT SERVICE (IQAS)
(A Basic evaluation is required.)
Tel : 780-427-2655
Fax : 780-422-9734
Website: https://www.alberta.ca/iqas-employment-apply.aspx
COMPLETING THE COURSEWORK REQUIREMENTS FORM
All applicants must complete the academic coursework section of the application (Coursework
Requirements Form). The coursework requirements reflect the minimal coursework content
and hours necessary for practice in Ontario.
WHAT YOU NEED TO KNOW TO FILL OUT THE FORMS
To complete the Coursework Requirements Form, you must clearly identify the relevant
courses and coursework hours from your educational program(s) and provide details from
your syllabi that demonstrate that you have covered the required content and hours.
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SYLLABUS REQUIREMENT
You must submit a detailed course syllabus for each course listed in the Coursework
Requirements Form that includes the following information:
• the number and type of the course work hours (i.e. lecture hours, tutorial hours,
laboratory hours, problem-based learning hours. For information about the different
types of hours, please see below)
• course content and objectives;
• required assignments or reports;
• required text and readings;
• types of examination; and
• method of evaluation.
Please note that course descriptions generally do not provide sufficient information. Syllabi
usually specify the schedule of class time, the content, method of evaluation and associated
readings.
GRADUATE AND UNDERGRADUATE COURSEWORK
You may use both graduate and undergraduate university level coursework to fulfill CASLPO’s
academic coursework requirements. It is understood that the majority of the coursework
hours in the major professional area will have been completed at the master’s level. If this is
not the case, your application may be referred to the Registration Committee for review.
CASLPO recognizes only university level coursework towards meeting the requirements for
registration. Coursework completed at a community college level (i.e. at Colleges of Applied
Arts and Technology or equivalent) will not be accepted.
PROBLEM-BASED LEARNING (PBL) PROGRAMS
For applicants who studied within a problem-based learning curriculum, problem-based
learning hours must be specified in the applicant’s course syllabus. The College will recognize
30% of problem-based learning hours towards satisfying the requirements for registration,
similar to other student-directed instructional coursework hours (i.e., laboratory hours). The
number of problem-based learning hours should be indicated separately from instructor-led
coursework hours, in the Coursework Requirements form. If required, please attach separate
sheets to show calculations.
WHAT IS A COURSEWORK HOUR?
Coursework hours refer to the hours of course instruction provided by the educational
institution. Instructional hours may consist of both “instructor-led” and “student-led”.
A 100% of the instructor-led hours can be counted towards the required totals and include:
• lectures,
• tutorials,
• seminars
30% of the student-led hours can be counted towards the required totals and include:
• laboratory hours, and
• problem-based learning hours.
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University practicum hours and continuing education courses may not be included on the
Coursework Requirement form. In addition, self-study or preparation hours (i.e. activities
such as essay writing, research, reading, assignments, projects, etc.) may not be used to
meet CASLPO’s requirements.
TO CALCULATE COURSE HOURS
Course hour totals are generally determined by the number and type of class hours per week
multiplied by the number of weeks in a semester, although this may not always be the case.
In such cases, each of the number of class hours per week, the type of coursework hours and
the number of weeks in a semester must be indicated in the syllabus or transcript.
In cases where a course follows an irregular meeting schedule, the total number and type of
coursework hours (e.g., lecture, laboratory) must be clearly identified in the syllabus. If
information regarding coursework hours is not provided in a syllabus and/or transcript, then
you must provide an alternate verification of this information (e.g., a letter from program
director).
Please be advised that if you have used a course to satisfy the requirements in one category,
you cannot use those same hours to satisfy an hours requirement in another category. It is
possible however, that coursework hours within a single course may be divided across two or
more sections on the Coursework Requirements form, if the course content relates to multiple
sections. In such a case, the division of hours must be clearly indicated on the course syllabus.
FILLING OUT THE FORM: COURSEWORK HOURS (SECTIONS I – IV)
When filling out Sections I – IV of the Coursework Requirements form, please indicate the
courses (including course number and name) which contain content relevant to each of the
different sections. Each section and subsection contains descriptions of relevant course
content, with examples. For each course, indicate the number of lecture/tutorial hours (or
other instructor-led hours) related to that section, in the first column of hours. These hours
will be separate from relevant laboratory and/or problem-based learning hours (or other
student-led instructional hours), which will be included in the second column.
Please leave the third hours column blank where greyed out. At the bottom of each page, the
laboratory/problem-based learning column should be totalled up, and then multiplied by 0.3
to arrive at the “Lab/PBL” hours subtotal.
At the bottom of the page, add up the coursework hours in the Lecture/tutorial hours column.
To arrive at the ‘Total hours’ for each Section, please add the subtotals of the ‘lecture/tutorial’
hours and the Lab/PBL hours*0.3 columns.
EXAMPLES
1. For a course with instructor-directed coursework hours (e.g.,
lecture/tutorial/seminar) scheduled two hours weekly over a 12-week period,
the coursework hours would total 24.
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October 2018 CASLPO•OAOO PAGE 10
2. For a course with lecture/tutorial/seminar hours scheduled three hours weekly
over a 13-week period, the coursework hours would total 39.
If there are different types of hours within a single course, these must be clearly
indicated on the Coursework Requirements Form.
3. For course with 3 lecture hours and 3 laboratory hours weekly over a 12-week
period, the total coursework hours would total 47:
Lecture/tutorial hours: 3x12 + Laboratory hours: (3x12) x 0.3
= 36 + 36 x 0.3
= 36 + 10.8
= 46.8
= 47
Note that for courses that include laboratory hours (or other student-directed
instructional hours), you will not see the individual total of that course on the
Coursework Requirements form, as the multiplication by 0.3 will occur for all
such courses at the bottom of the page.
FILLING OUT THE FORM: CONTENT AREAS (SECTION V)
When filling out Section V, you must indicate where we can
find evidence of each content area in your documentation. For
each content area, please indicate the name of the course(s)
in which that content area was covered, as well as the page(s)
of the syllabus where this information is presented. Note that
the courses listed in Section V will be the same as those listed
in Section III.
If a content area was covered in your program, but you are unable to find information relating
to that content area within a course syllabus, then you must provide a letter from the
university department indicating that the content was covered, and in which course it was
presented. If a letter is provided in lieu of a syllabus, that can be indicated in the form. If a
content area was not covered in an applicant’s program, then that content area in Section V
should be left blank.
OFFICIAL TRANSCRIPTS
You must provide an official transcript from your graduate degree, as well as any other
transcripts (e.g. undergraduate degree) that verify any other courses listed on your
Coursework Requirements form. Transcripts must be sent directly to the College from the
university attended or must be provided with your application in a university sealed envelope.
Please note that
sections left blank on
the Coursework
Requirements Form
may be interpreted as
deficiencies in the
content of your
curriculum.
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If due to exceptional circumstances (i.e. war, political hardship, loss of records, closure of
schools) necessary academic documents may not be obtained from the university attended,
please contact the Director of Registration Services.
FOR GRADUATES OF CANADIAN PROGRAMS THAT ARE NOT ACCREDITED
The Council for Accreditation of Canadian University Programs in Audiology and Speech-
Language Pathology (CACUP) provides “Candidate” status to those Canadian master’s
programs that are currently in the accreditation process. Because these programs are not
yet accredited by CACUP, CASLPO processes applications from students of those programs
in the same manner as applications from internationally trained applicants. Please refer to
the information provided in this guide.
For graduates of these Canadian programs only (i.e., not graduates of international
programs), if your transcript does not indicate that your degree has been completed, you
may submit a current transcript listing all courses completed to date and a letter from your
program director regarding the completion of your degree. Both documents are required.
Alternatively, you may wait until your transcript indicates that your degree has been
completed.
The letter from the program director of your audiology or speech-language pathology program
must be submitted directly to CASLPO with the following information:
• that you have completed the requirements for your graduate degree (i.e. all
coursework, practicum and research projects/thesis papers); and
• the date on which your graduate degree will be awarded.
COMPLETING THE CLINICAL PRACTICUM HOURS FORM
A Clinical Practicum Hours form detailing the supervised clinical practice hours completed
within your program must be signed by the Program Director (or designate) of your audiology
or speech-language pathology program. Speech-Language and Audiology Canada’s Clinical
Hours Form may also be submitted in place of our Clinical Practicum Hours form. Photocopies
are not accepted.
If you are submitting clinical hours from separate degrees, a separate Clinical Practicum Hours
form must be submitted for each degree. It is understood that the majority of the clinical
practicum hours in the major professional area will have been completed at the master’s level.
If this is not the case, your application may be referred to the Registration Committee for
review.
MINIMUM REQUIREMENTS
A total (minimum) of 300 hours of university supervised clinical practice within your academic
program of study are required. These clock hours must involve supervised clinical experience
with patients. At least 225 of these 300 hours must be in the major professional area for which
you are seeking registration. This experience must include assessment, management, with
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both children and adults representing a wide range of disorders. A minimum of 20 clock hours
of direct clinical experience must be obtained in the minor professional area.
Direct clinical experience refers to shared supervised clinical activities or solo supervised
clinical activities involving direct patient contact and case conferences relating to a patient.
SIMULATED PRACTICE
Please be advised that no more than 30 of the 300 required hours may fall into the category
of simulated practice. Simulated Practice refers to activities using standardized or simulated
patients.
Please also be advised that observation hours may not be included towards meeting CASLPO’s
requirements for practicum. Observation hours refer to activities where you have no active
involvement.
COMPLETING THE VERIFICATION OF REGISTRATION
FORM
If you have been registered/licensed to practice as an audiologist or speech-language
pathologist in another jurisdiction or in another regulated profession in Ontario or another
jurisdiction, you must submit a completed Verification of Registration form from each
regulatory body for which you currently or have previously held registration/licensure. A
written letter confirming current membership is in good standing from a regulating body on
letterhead may be submitted as an alternative, provided that it includes all of the information
contained in the Verification of Registration form. Wall certificates or photocopies of
membership cards will not be accepted. CASLPO does not require any documentation
from professional associations who do not fulfill a regulatory function (e.g., ASHA, ISHA).
A checklist has been provided for
your use to verify that your
submission is complete. The
checklist does not need to be
submitted with your application.
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OTHER SUPPORTING DOCUMENTS All applicants must submit the following supporting documents with his/her Initial Certificate
Application Form:
EVIDENCE OF NAME CHANGE
If your current name is different from the name on birth certificate, citizenship card, passport,
record of landing or permanent residency card, you must provide either a copy of your
marriage certificate or legal change of name document.
TRANSLATION OF DOCUMENTS
All documents and letters not written in the English or French language must be accompanied
by an official translation. The applicant is responsible for the payment of translation fees.
We accept translations from:
• The consulate, high commission or embassy (in Ontario) for the country that issued
the documents.
• A Canadian consulate, high commission or embassy in the country from which you
emigrated.
• A certified member of the Association of Translators and Interpreters of Ontario (ATIO).
To obtain the name of a member translator from the ATIO, call 1-800-234-5030. Please
confirm with ATIO that the translator is certified to translate into English from the
language of the document. Translations completed by associated members of ATIO are
not acceptable.
• A translator accredited by a professional association of translators in Canada.
• A translator accredited by a federal, provincial or municipal government in Canada.
You must ensure that the translation is clearly identified so that we can match it to your file.
Additionally, all translations must be original and accompanied by the translator’s statement
indicating:
• That the translation is accurate and authentic;
• That the translator belongs to one of the categories listed above (identification number
and/or seal, name, address and telephone number are required)
• Full printed name and signature of the translator
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VERIFICATION OF PROFICIENCY IN ENGLISH OR FRENCH
Applicants must meet the language proficiency requirement in one of the following ways:
a) Graduation from a program accredited by the Council for Accreditation of
Canadian University Programs in Audiology and Speech-Language Pathology
(CACUP).
Evidence required: Official academic documentation (diploma, transcripts)
required to meet the education requirement of registration, sent directly from
the university to the regulatory body.
b) Evidence of completion of an audiology or speech-language pathology university
degree in English and/or French;
Evidence required: Academic credential assessment report which includes
indication of language of didactic and clinical instruction or official attestation
sent directly from the university to the regulatory body.
c) Achievement of the required minimum score on a standardized language fluency
test in the required language. All components of the test must be completed
using the same test.
Evidence required: Official test results on one of the tests indicated below,
completed within the two years prior to application, sent directly from the
testing agency to the regulator.
The acceptable standardized language tests and scores are as follows:
Test of English as a Foreign Language (TOEFL)
A minimum internet-based test (iBT) overall score of 100 is required with a score
of 26 in both the writing and speaking sections of the test.
TOEFL
Website : http://www.toefl.org
Please be advised that CASLPO’s TOEFL code number is 8492. Please enter this
code on your answer sheet when you sit for the TOEFL examination. You should
also enter the code on your Score Report Request Forms. Your scores will then be
sent directly to the College from the Educational Testing Service.
The International English Language Testing System (IELTS):
A minimum score of 8.0 is required from the IELTS (Academic or General).
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IELTS (In Canada):
Website: https://www.ieltscanada.ca/
IELTS (International):
Website: http://www.ielts.org/
TESTCan (For demonstrating French Proficiency Only):
A minimum score of 4.5 on each section – listening, reading, writing and speaking,
is required from TESTCan.
TESTCan Website: http://www.testcan.uottawa.ca/
The cost of these assessments is the responsibility of the applicant. The TOEFL and IELTS
tests are given regularly in many countries and in most provinces of Canada.
If your TOEFL, IELTS or TESTCan test score was achieved more than two years prior to your
application for a certificate of registration, the score achieved is no longer valid.
If the College’s Registration Committee is not satisfied that the applicant has met the above
requirement for English or French language proficiency, the applicant will be required to
demonstrate the applicant’s English or French language proficiency by attaining a passing
score on one of the College-approved language proficiency tests.
FEES
APPLICATION FEE
The application fee is due and payable with the submission of an application. The application
fee is $150.00.
The application fee must be paid by a cheque or money order separate from the registration
fee and the prorated annual fee.
A complete list of the fees is provided here.
METHOD OF PAYMENT
Fees may be paid using the following payment methods: Visa, MasterCard, cheque, or money
order.
Payments made by cheque or money order (in Canadian funds only) should be made payable
to “CASLPO”. Please give the College until at least one month after your certificate of
registration has been issued to cash all cheques, and do not assume your cheque has been
cashed prior to this time.
NSF cheques and declined credit cards will incur an additional service charge of $50.00.
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OTHER COSTS ASSOCIATED WITH THE REGISTRATION PROCESS:
The fees associated with the following services may be obtained at the links provided below:
Credential Assessment:
1. World Education Services (WES): https://www.wes.org/ca/partners/credential-
evaluation-requirements-college-audiologists-speech-language-pathologists-ontario/
2. Comparative Education Services (CES): http://learn.utoronto.ca/international-
professionals/comparative-education-service-ces/general-use/service-fees
3. International Qualifications Assessment Service (IQAS):
https://www.alberta.ca/iqas-employment-apply.aspx
Language Proficiency Tests:
1. TOEFL: https://www.ets.org/toefl/ibt/about/fees/ 2. IELTS: https://www.ieltscanada.ca/testfee
3. TEF Canada: https://www.lefrancaisdesaffaires.fr/tests-diplomes/test-evaluation-
francais-tef/tef-canada/
Initial Certificate Application Guide: International Graduates
October 2018 CASLPO•OAOO PAGE 17
WHAT DO I NEED TO DO BEFORE
SUBMITTING MY APPLICATION?
Step 1: READ
Please read the entire guide before you start the process. If you have any questions, read the
Frequently Asked Questions on our website. If you are unable to find the answer to your
question, contact the College at [email protected] or by telephone at 416-975-
5347 ext. 223.
Step 2: GATHER
Gather all of the documents that you need to include with your application. You may arrange
for some documents to be sent directly to the College by institutions on your behalf. If these
documents arrive ahead of your application, the College will file these documents until your
application form arrives at the College. If any of your documents are in a language other than
English or French, you must arrange to have these documents translated before you submit
them to the College. If you need to submit documents to an outside agency, in addition to
any documents being sent directly to CASLPO (e.g., for academic credential assessment), you
must consult with that agency regarding the need for translation.
Step 3: SUBMIT
Send in your application form along with the required supporting documents and fees. Please
refer to the Checklist (at the end of the application form) to ensure that your application is
complete.
Initial Certificate Application Guide: International Graduates
October 2018 CASLPO•OAOO PAGE 18
WHAT HAPPENS AFTER I SUBMIT MY
APPLICATION? For timeline of the review process, please see the Appendix at the end of the guide.
APPLICATION INTAKE
When CASLPO receives an application form, the applicant will be notified of any missing
documentation.
INITIAL REVIEW
The purpose of the initial review is to identify applications that do not have deficiencies. When
the College has received your completed application along with the required supporting
documents and an application fee payment, your qualifications will be evaluated.
CASLPO is only able to begin the review of an application when all of the required documents
have been received and deemed acceptable. Any missing or incomplete documents will delay
the review of the application and the registration decision.
RESULTS OF INITIAL REVIEW
After the initial review, an applicant will be contacted regarding whether or not there were
deficiencies in their application. Deficiencies in an application may include, but are not limited
to:
• missing coursework hours,
• missing content areas,
• missing clinical practicum hours,
• missing evidence of eligibility to work in Canada,
• professional degree is not at the master’s level,
• language proficiency test score below the cutoff.
IF THERE ARE NO DEFICIENCIES IN YOUR APPLICATION
If you meet the requirements for registration, you will be notified by email of your
eligibility to register with CASLPO and asked to submit a completed Registration Form
and the fees for registration in order for your certificate of registration to be issued.
IF THERE ARE DEFICIENCIES
If in the initial review it is found that you do not meet all the requirements for
registration, your application will undergo an in-depth review and will be referred to
the College’s Registration Committee. You will receive an email indicating that there
are deficiencies in your application and that CASLPO will be conducting an “in depth
review”.
Initial Certificate Application Guide: International Graduates
October 2018 CASLPO•OAOO PAGE 19
IN DEPTH REVIEW (NOTICE OF REFERRAL TO THE REGISTRATION COMMITTEE)
If deficiencies are identified, then your application will then undergo a further review. When
this review is complete, you will receive a Notice of Referral from the Registrar, which will
clearly specify the deficiency(s) in your application. This formal, detailed letter provides you
with the opportunity to respond. You will have 30 days to provide the College with any
additional documentation that addresses the deficiencies and that you would like the
Registration Committee to consider.
REVIEW BY CASLPO’S REGISTRATION COMMITTEE
The Registration Committee is made up of audiologists, speech-language pathologists and
appointed Public Members of CASLPO’s Council. A panel of the Registration Committee will
consider applications at its next scheduled meeting, following the receipt of any additional
documentation the applicant provides.
This panel of the College’s Registration Committee shall make an order doing any one or more
of the following:
1. Direct the Registrar to issue a certificate of registration.
2. Direct the Registrar to issue a certificate of registration if the applicant successfully
completes examinations set or approved by the panel.
3. Direct the Registrar to issue a certificate of registration if the applicant successfully
completes additional training specified by the panel.
4. Direct the Registrar to impose specified terms, conditions and limitations on a
certificate of registration of the applicant and specify a limitation on the applicant’s
right to apply under subsection 19(1).
5. Direct the Registrar to refuse to issue a certificate of registration.
If any information in an applicant’s submission is unclear, the panel may also request
additional information from the applicant before a decision is made.
A decision/order from a panel of the College’s Registration Committee is emailed to the
applicant within seven weeks of the meeting date. Applicants seeking a clarification of a
Registration Panel’s decision/order may call the Director of Registration Services.
SECOND FILE REVIEWS AND APPEALS
If an applicant wishes to submit additional information after a decision has been made, the
application may be referred back to the Registration Committee for reconsideration (Second
File Review). The case is then reviewed at the next available meeting of the Registration
Committee.
An applicant who has received an order from a panel of the College’s Registration Committee
can appeal the decision through the Health Professions Appeal and Review Board.
Initial Certificate Application Guide: International Graduates
October 2018 CASLPO•OAOO PAGE 20
The Health Professions Appeal and Review Board may be reached at:
Health Professions Appeal and Review Board
151 Bloor Street West, 9th floor
Toronto, Ontario
M5S 1S4
Tel: (416) 327-8512; 1 (866) 282-2179 (Toll Free)
Fax: (416) 327-8524
After the hearing or review, the Board will make an order doing any one or more of the
following:
1. Confirming the order made by the panel.
2. Requiring the Registration Committee to make an order directing the Registrar to issue
a certificate of registration to the applicant if the applicant successfully completes any
examinations or training the Registration Committee may specify.
3. Requiring the Registration Committee to make an order directing the Registrar to issue
a certificate of registration to the applicant and to impose any terms, conditions and
limitations the Board considers appropriate.
4. Referring the matter back to the Registration Committee for further consideration by
a panel, together with any reasons and recommendations the Board considers
appropriate.
CALLS OR EMAILS ABOUT THE STATUS OF YOUR APPLICATION
We will provide you with a timeline for when to expect to hear the
results of a review. Please contact us in the following situations:
• there has been a change to your application
• you have new contact information
• you would like to withdraw your application
• it is past the deadline you were provided with
Otherwise, please trust that we will email you regarding each step
of your application process. There are many applicants to the
College throughout the year, and additional calls and emails slow
down the review process for you and everyone else.
If you do need to contact the College about a change to your application, please contact the
International Applications Coordinator by phone number at 416-975-5347 extension 223 or
1-800-993-9459 extension 223 or e-mail at [email protected].
CASLPO maintains
procedures that are
transparent, impartial,
objective, and fair and
does not offer any
preferential treatment.
Applications ALWAYS get
processed in the order in
which we receive them.
Initial Certificate Application Guide: International Graduates
October 2018 CASLPO•OAOO PAGE 21
IMPORTANT INFORMATION
HOW LONG DOES MY APPLICATION STAY ACTIVE?
Incomplete applications will remain active for two years.
Your application will remain active for two (2) years following your receipt of a registration
decision from CASLPO.
After two years, your application will be closed. If you would like to become a member of
CASLPO at a later date you must submit a new application to the College.
PRIVACY
In the course of carrying out its regulatory activities, CASLPO collects, uses and discloses
personal information in accordance with CASLPO’s privacy code, the Regulated Health
Professions Act, 1991 and the Audiology and Speech-Language Pathology Act, 1991. While
these regulatory activities are not of a commercial nature and therefore are not subject to the
Federal “Personal Information Protection and Electronic Documents Act” (PIPEDA), the College
promotes the privacy of personal information in a manner consistent with its regulatory role.
A copy of CASLPO’s privacy code is available on the College’s website and in hard copy form
upon request.
ACCESS TO RECORDS
All original documentation submitted to the College throughout the application process will be
scanned by the College and stored permanently as a PDF document. The College will not be
returning original documentation to applicants regardless of whether the College approves or
denies an application.
Upon making a written request to the Director of Registration Services, applicants may have
access to copies of all documents submitted during the application process. The following
service fee is also required with the applicant’s written request:
• $50.00 per request including the first twenty-five pages, and $1.00 per page
thereafter.
Fees may be paid using the following payment methods:
• Visa;
• MasterCard;
• Cheque; or
• Money Order.
Initial Certificate Application Guide: International Graduates
October 2018 CASLPO•OAOO PAGE 22
Written requests may be sent:
• By mail to CASLPO, 3080 Yonge Street, Suite 5060, Toronto, ON M4N 3N1; or
• By email to [email protected].
Copies are available in the following formats:
• Photocopy; or
• PDF.
The College will make every effort to respond to written requests within 15 business days of
the request being received by the College.
PAGE 23
APPENDIX: TIMELINES – INTERNATIONAL GRADUATES
Applications with no deficiencies Applications with deficiencies
• Application form is received, and documentation is assessed for completeness.
• Applicant is notified of receipt of application and outstanding documents are identified (if applicable).
Timeline: 15 business days from the date that the application form is received.
• Any further required documents have been received. • Applicant notified that application is complete and that the application review process has begun.
Timeline: 5 business days from the date that all of the required documents have been received by
the College.
• Application is accepted. • Applicant notified of the approval of
application and requirements to complete registration process.
• Application is not accepted.
• Applicant notified that application requires
further consideration by the College.
• Completed Registration form received. • Remaining fees paid. • Certificate of registration issued.
Timeline: 5 business days from receipt of
completed registration form.
• In depth review of applicant’s
documentation.
• Identification of deficiencies completed.
• Applicant provided with a Notice of Referral
to the Registration Committee.
Timeline: 8 weeks after notification that application requires further consideration.
• College receives a written submission (if
applicable) from the applicant in response
to Notice of Referral.
Timeline: 30 days from the applicant’s
receipt of the Notice of Referral.
• Application is reviewed by the Registration
Committee at the next available Committee
meeting.
Timeline: Varied. The Committee meets
quarterly.
• Registration Committee’s decision is written
and mailed to the applicant.
Timeline: 5 weeks from the date of the
Registration Committee meeting or 7 weeks if
a decision requires translation.
• Initial Review of the complete application. • Applicant notified of the results of the Initial Review.
Timeline: 8 weeks from the date that the applicant is notified that the complete application has been
received.
College of Audiologists and Speech-Language Pathologists of Ontario
3080 Yonge Street, Suite 5060, Toronto, Ontario M4N 3N1
Tel: 416-975-5347 1-800-993-9459 (ON) Fax: 416-975-8394
INITIAL CERTIFICATE APPLICATION FORM – INTERNATIONAL GRADUATES
October 2018 Initial Application Form – International Graduates PAGE 1
PERSONAL INFORMATION: FOR OFFICE USE ONLY
First Name:
Middle Name or Initial:
Surname:
Previous Name(s) if applicable
Date of Birth (YYYY/MM/ DD)
Female Male
PROFESSION: Audiology Speech-Language Pathology
Have you previously applied for or been issued a registration number by the College of Audiologists and Speech-Language Pathologists of Ontario?
Yes No If yes, please indicate Previous Registration number:
RESIDENTIAL INFORMATION Street
City
Province/State
Country
Postal Code:
Phone Number
CITIZENSHIP STATUS - Documentat ion ver i f y ing c i t iz ensh ip s tatus must a ccom pany th is reg is tra t ion for m : Are you a Canadian Citizen?
Yes
No
If not Canadian, are you a permanent resident/landed immigrant of Canada?
Yes
No
If not, do you have a valid work permit that allows you to work in audiology or speech-language pathology in Canada?
Yes
No
If you have a work permit, indicate the date it expires:
FOR OFFICE USE ONLY Approval:
Date Approved:
INITIAL CERTIFICATE APPLICATION – INTERNATIONAL GRADUATES
October 2018 Initial Application Form – International Graduates PAGE 2
LANGUAGE PROFICIENCY:
Language of Audiology/SLP instruction: English French If Other, specify:
Will you provide professional services in: English French
If Other, please specify language(s):
Preferred Language of Correspondence from the College: English French
Documen tat ion ve r i f y ing language proficiency is requ ir ed , if the language of AUD/SLP instruction is not English or French
EDUCATION (Educational institutions must forward your official transcripts directly to the College)
AUDIOLOGY AND OR SPEECH-LANGUAGE PATHOLOGY EDUCATION:
DEGREE/DIPLOMA
AREA OF CONCENTRATION
INSTITUTION
YEAR
OTHER POST SECONDARY EDUCATION:
DEGREE/DIPLOMA
FIELD OF STUDY
INSTITUTION
YEAR
REGISTRATION/ LICENSURE: Are you or have you ever been registered/licensed to practise as an Audiologist, Speech-Language Pathologist, or any other regulated professional in any jurisdiction?
Yes No If yes, provide the information requested below and submit a Verification of Registration Form from each regulatory/licensing body to support your current or previous status of registration.
REGULATORY BODY PROVINCE/STATE/COUNTRY
REGISTRATION NO.
EXPIRY DATE:
INITIAL CERTIFICATE APPLICATION – INTERNATIONAL GRADUATES
October 2018 Initial Application Form – International Graduates PAGE 3
Conduct:
You have a duty to provide the College with details of any offences, findings and proceedings that relate to you.
Please complete all questions in this section. If your answer(s) to any of the questions is "Yes" please give details on a separate sheet of paper.
1. Have you been convicted of any offence in Ontario or in any other jurisdiction inside or outside of Canada?
2. Do you have any findings of professional misconduct, incompetence, or incapacity or similar findings that have been made against you by a body that governs a profession, inside or outside of Ontario, where that finding has not been reversed on appeal?
3. Are you currently the subject of a proceeding for professional misconduct, incompetence, or incapacity by a body that governs a profession, inside or outside of Ontario?
4. Have you been denied registration, licensure or similar status by any regulatory body (health profession) in Ontario or any other jurisdiction in or out of Canada?
5. Have you had your registration, licensure or similar status suspended or revoked by any regulatory body (health profession) in Ontario or any other jurisdiction in or out of Canada?
6. Do you have a physical or mental condition or disorder medical condition that could affect your ability to practice the your profession in a safe manner?
7. Based on your past and present conduct, is there anything that the College that should be aware of that might cause doubt that you will practice the profession with decency, integrity and honesty and in accordance with the law?
7 (a) Do you have any existing charges against you, commenced on or after January 1, 2016, in respect of a federal, provincial or other offence?
7 (b) Do you have any existing conditions, terms, orders, directions, or agreements commenced on or after January 1, 2016, relating to your custody or release in respect of federal, provincial or other offence processes?
8. Based on your past and present conduct, is there any reason that the College should doubt that you will display an appropriate professional attitude?
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
If your answer(s) to any of the questions above is "Yes" please complete an Evidence of Good Character form.
DECLARATION: 1. I hereby authorize the College of Audiologists and Speech-Language Pathologists of Ontario to obtain information from other regulatory
bodies, professional associations, educational institutions, present and former employers for the purposes related to my registration and qualifications.
2. I hereby certify that the statements made by me in this form are complete and correct. 3. I will not practise without professional liability insurance for a minimum of $2,000,000.00 per claim. 4. I understand that I must hold a current certificate of registration with CASLPO in order to practice Audiology and/or Speech-Language
Pathology in Ontario and that I cannot use the titles "Audiologist", "Speech-Language Pathologist" or "Speech Therapist" unless I hold the corresponding certificate of registration with CASLPO.
5. I agree and understand that I must notify the College in writing of any change to my name, home address, home telephone number, email
address or if my citizenship, residency, or employment authorization status changes within 30 days of the change occurring
6. I agree and understand that I am responsible for providing the Registrar with the details of any new information that would change my response to any of the questions in the above Conduct section within 30 days of the change occurring.
7. I understand that making a false or misleading statement or representation in respect to my application will be considered to be an act of
professional misconduct and may lead to discipline and other proceedings. Signature: Date:
INITIAL CERTIFICATE APPLICATION – INTERNATIONAL GRADUATES
October 2018 Initial Application Form – International Graduates PAGE 4
FEES:
You may pay by cheque, money order or by credit card. If you choose to send a cheque or money order, please make your payment payable to CASLPO. If you choose to pay by credit card, please fill out the information below.
Please be advised that NSF cheques and declined credit cards will incur an additional service charge of $50.00
Cheque/Money Order Visa MasterCard Card Number:
Expiry date on card: Name on card – PLEASE PRINT: Amount authorized: $150.00 Signature:
INITIAL CERTIFICATE APPLICATION – INTERNATIONAL GRADUATES
October 2018 Initial Application Form – International Graduates PAGE 5
BEFORE MAILING YOUR APPLICATION:
DO NOT submit documents with bindings, staples, tabs, or separators. DO NOT use highlighter on documents. Make sure you have included the items below that apply to your registration. A gra du ate of a n int erna t io na l m ast er ’s degree pro gram in a u dio logy or s pee ch - lang uage pat h ology (o r a Can ad ia n master ’s degree pr ogram tha t h as n ot ye t b een a cc redi ted ) mu st su bm it :
A completed, signed, and dated Initial Certificate Application Form;
An application fee (Please refer to the fees table at the following
link: http://caslpo.com/members/fees ).
Official transcripts from your undergraduate and graduate programs must be submitted directly from the university or submitted to CASLPO in a university sealed envelope.
A completed Course Work Requirements form.
A signed and verified Summary of Clinical Hours form. The program director or a designate of your audiology or speech-language pathology university program must complete CASLPO’s Summary of Clinical Hours form detailing the supervised clinical practice completed within your academic program. Photocopies are not acceptable.
Academic credential assessment for non-Canadian programs, obtained from one of the following credentialing agencies: International Qualifications Service (IQAS), World Education Services (WES), or University of Toronto Comparative Education Service (CES).
Note only to graduates of Canadian master’s programs that are
not yet accredited: You do not need to submit an academic
credential assessment. However, if your graduate degree has not
yet been conferred, you must submit the following:
1. A current transcript listing all courses completed to date; and 2. A letter from the Program Director verifying that you have
completed the requirements of your degree program and also verifying the date on which your graduate degree will be awarded. Photocopies are not acceptable.
Documentation to verify Canadian Citizenship, landed immigrant status or employment authorization under the Immigration and Refugee Protection Act.
A syllabus that provides a detailed description of each course indicated in your Coursework Requirement form. Course outlines should include:
a. Course objectives and format b. Nature of instructional hours (e.g.,
lecture/tutorial/laboratory/problem-based learning) c. Total number of each type of instructional hour d. Required assignments or reports e. Required text f. Required readings g. Type of examination h. Method of evaluation
A completed Verification of Registration/ Licensure form, or a written letter confirming current or previous registration/licensure from each jurisdiction where you are currently or were previously registered or licensed (if applicable).
Evidence of English or French proficiency (i.e. TOEFL, IELTS or TestCAN) is required if English or French was not the language of instruction in your audiology or speech-language pathology program. I will be providing proof of language proficiency in English or French with my application:
IELTS TOEFL CanTest None
COURSEWORK REQUIREMENTS FORM
October 2018 Coursework Requirements Form PAGE 1
COURSEWORK HOURS CALCULATIONS
This refers to the number of hours of instruction in a course. Generally, a syllabus should indicate the number of lecture/tutorial/laboratory, etc. hours per week, as well as the number of weeks for the course. If that information is not contained in the syllabus or on the transcript, you must provide an alternate verification of this information (please see Page 9 in the guide).
SECTION I
BASIC COMMUNICATION PROCESSES – 270 COURSEWORK HOURS REQUIRED
COURSE #
COURSE NAME
TOTAL LECTURE/ TUTORIAL HOURS
LABORATORY/ PROBLEM-BASED LEARNING (PBL) HOURS
LAB/PBL HOURS* 0.3
(30%) =
Anatomic & physiologic basis for normal development and use of speech, language and hearing (e.g., Anatomy, Physiology)
Physical bases and processes of the production and perception of speech (e.g., Phonetics, Acoustics)
Perceptual processes and psycholinguistic variables related to normal development and use of speech, language and hearing (e.g., Linguistics, Psycholinguistics)
SUBTOTAL HOURS SUBTOTAL WITH LAB/PBL CALCULATION (IF APPLICABLE)
TOTAL HOURS (270 COURSEWORK HOURS MINIMUM)
COURSEWORK REQUIREMENTS FORM
October 2018 Coursework Requirements Form PAGE 2
SECTION II
RELATED AREAS – 200 COURSEWORK HOURS REQUIRED
COURSE #
COURSE NAME
TOTAL LECTURE/ TUTORIAL HOURS
LABORATORY/ PROBLEM-BASED
LEARNING (PBL) HOURS
LAB/PBL HOURS* 0.3
(30%) =
Study of human behaviour, both normal and abnormal (e.g., Psychology, Cognitive Psychology, Abnormal Psychology, Sociology)
Statistics (e.g., Statistics, Research Methods)
Administrative organization of speech-language pathology and /or audiology programs (e.g., Professional Issues, Ethics)
SUBTOTAL HOURS SUBTOTAL WITH LAB/PBL CALCULATION (IF APPLICABLE)
TOTAL HOURS (200 COURSEWORK HOURS MINIMUM)
COURSEWORK REQUIREMENTS FORM
October 2018 Coursework Requirements Form PAGE 3
SECTION III
MAJOR PROFESSIONAL AREA – 360 COURSEWORK HOURS REQUIRED
COURSE #
COURSE NAME
TOTAL LECTURE/ TUTORIAL HOURS
LABORATORY/ PROBLEM-BASED
LEARNING (PBL) HOURS
LAB/PBL HOURS* 0.3
(30%) =
Include only courses, which provide in-depth study of disorders in the major professional area. Include academic courses directed toward diagnostic and management issues.
SUBTOTAL HOURS
SUBTOTAL WITH LAB/PBL CALCULATION (IF APPLICABLE)
TOTAL HOURS (360 COURSEWORK HOURS MINIMUM)
COURSEWORK REQUIREMENTS FORM
October 2018 Coursework Requirements Form PAGE 4
SECTION IV
MINOR PROFESSIONAL AREA – 90 COURSEWORK HOURS REQUIRED
COURSE #
COURSE NAME
TOTAL LECTURE/ TUTORIAL HOURS
LABORATORY/ PROBLEM-BASED LEARNING (PBL) HOURS
LAB/PBL HOURS* 0.3
(30%) =
Course work, which provides study in audiology for speech-language pathology applicants, and study in speech-language pathology (not related to hearing disorders) for audiology applicants.
SUBTOTAL HOURS
SUBTOTAL WITH LAB/PBL CALCULATION (IF APPLICABLE)
TOTAL HOURS (90 COURSEWORK HOURS MINIMUM)
COURSEWORK REQUIREMENTS FORM
October 2018 Coursework Requirements Form PAGE 5
SECTION V CONTENT AREAS (AUDIOLOGY)
Please indicate where in your application evidence of in-depth study of the following disorders may be found.
CONTENT AREA: COURSE SYLLABUS/SYLLABI OR ATTACHED LETTER(S) FROM PROFESSOR
PAGE NUMBER(S)
Hearing Disorders (peripheral & central)
Hearing Measurement
Diagnostic Audiology
Electrophysiologic Measurements
Advanced Amplification (systems, selection, fitting, verification and validation)
Implantable Hearing Devices (e.g., cochlear implants, BAHA)
Calibration and Maintenance of Instrumentation
Pediatric Audiology
Habilitation and Rehabilitation Procedures applied to children, adults, the elderly and specific populations
Occupational Hearing Loss (e.g., hearing conservation)
Tinnitus (including Hyperacusis)
Vestibular Disorders
COURSEWORK REQUIREMENTS FORM
October 2018 Coursework Requirements Form PAGE 6
SECTION V CONTENT AREAS (SPEECH-LANGUAGE PATHOLOGY)
Please indicate where in your application evidence of in-depth study of the following disorders may be found.
CONTENT AREA: COURSE SYLLABUS/SYLLABI OR ATTACHED LETTER(S) FROM PROFESSOR
PAGE NUMBER(S)
Articulation/Phonological Disorders
Neurologically Based Speech Disorders (including dysarthria and apraxia)
Developmental Language Disorders
Acquired Language Disorders (including Aphasia and Cognitive Communication disorders)
Aphasia:
Cogn Comm.:
Voice Disorders
Resonance or Structurally Related Disorders (including cleft palate and laryngectomy management)
Fluency Disorders
Augmentative and Alternative Communication
Dysphagia
CLINICAL PRACTICUM HOURS FORM (FOR AUDIOLOGY APPLICANTS)
October 2018 Clinical Practicum Hours Form PAGE 1
ASSESSMENT/
IDENTIFICATION (Minimum 100 hours)
TREATMENT/
MANAGEMENT (Minimum 50 hours)
SIMULATED
PRACTICE
CHILDREN ADULTS CHILDREN ADULTS MAXIMUM OF 30 HOURS*
Basic Audiometric Measurements
Electro- Physiological Measurements
Other Special Diagnostic Measurements
Amplification Aural (Re)Habilitation Education Audiology
Other (List)
TOTAL AUD HOURS
TOTALS Assessment (MIN 100): ______________ Treatment (MIN 50): _____________
Assessment and management of speech & language disorders not related to hearing loss
TOTAL SLP Hours
TOTALS: GRAND TOTAL
CHILDREN (MIN 50): _______ AUD (MIN 225): ___________
ADULTS (MIN 50): _______ + SLP (MIN 20): __________
= _________________
MINIMUM OF 300
Applicant's Name (Please print)
I verify that the above practicum experience was completed at (Name of University)
At the Master’s level Bachelor’s level (Please use one form per degree)
(Program Director's Signature) (Program Director's Email Address)
(Date)
N.B.: * No more than 30 of the 300 required hours may fall into the category of simulated practice. Graduates may submit Speech-Language and Audiology Canada’s (SAC’s) Clinical Hours Form in place of the above form.
CLINICAL PRACTICUM HOURS FORM (FOR SPEECH-LANGUAGE PATHOLOGY APPLICANTS)
October 2018 Clinical Practicum Hours Form PAGE 2
ASSESSMENT/
IDENTIFICATION (Minimum 50 hours)
TREATMENT/
MANAGEMENT (Minimum 100 hours)
SIMULATED
PRACTICE
CHILDREN ADULTS CHILDREN ADULTS MAXIMUM OF 30 HOURS*
Language Disorders Developmental
Language Disorders Acquired
Articulation/ Phonology Disorders
Voice / Resonance Disorders
Fluency Disorders
Dysphagia
Motor Speech Disorders
Related Disorders (List)
TOTAL SLP HOURS
TOTALS Assessment (MIN 50): _______________ Treatment (MIN 100): _____________
Aural Rehabilitation
Audiometric Testing
TOTAL AUD Hours (Min. 20 hours)
TOTALS: GRAND TOTAL
CHILDREN (MIN 50): ______ SLP (MIN 225): ___________
ADULTS (MIN 50): _______ + AUD (MIN 20): __________
=
MINIMUM OF 300
Applicant's Name (Please print)
I verify that the above practicum experience was completed at (Name of University)
At the Master’s level Bachelor’s level (Please use one form per degree)
(Program Director's Signature) (Program Director's Email Address)
(Date)
N.B.: * No more than 30 of the 300 required hours may fall into the category of simulated practice. Graduates may submit Speech-Language and Audiology Canada’s (SAC’s) Clinical Hours Form in place of the above form.
October 2018 Verification of Registration Form PAGE 1
College of Audiologists and Speech-Language Pathologists of Ontario 3080 Yonge St reet , Suite 5060 , Toronto, Ontar io M4N 3N1
Tel: 416-975-5347 Toll free in Ontario Only: 1-800-993-9459 Fax: 416-975-8394
VERIFICATION OF REGISTRATION FORM
SECTION A: To be completed by applicant and forwarded to appropriate jurisdiction
Surname Given Names Maiden Name
Date of Birth
YYYY MM DD
I was registered/licensed in your jurisdiction on:
YYYY MM
Under Number:
Signature of Applicant: Date (YYYY/MM/DD)
SECTION B: To be completed by a regulatory/licensing body and forwarded directly to the College of Audiologists and Speech-Language Pathologists of Ontario at 3080 Yonge Street, Suite 5060, Toronto, ON M4N 3N1.
The individual listed above has applied for registration in Ontario. Before further consideration is given to this application, we need the information requested on this form.
Class, Title or Category of Registration/License:
Profession: Audiologist Speech-Language Pathologist
Registration/License Number:
Original Issue Date: (YYYY/MM/DD)
Expiry Date: (YYYY/MM/DD)
Current Status of Registration/License: active inactive temporary other (explain)
Has the registration/licensure ever been suspended or revoked? Yes No
If yes, please explain reason on reverse side.
Has any disciplinary action been taken against this licensee? Yes No
If yes, please provide this office with any documentation regarding the disciplinary action.
( SEAL )
Signature of Registrar/Secretary:
Date: (YYYY/MM/DD)
Telephone:
Name of regulatory/licensing body:
Province/State/Country:
October 2018 Verification of Registration Form PAGE 2
VERIFICATION OF REGISTRATION FORM
Reason(s) for suspension or revocation