Recognition Application Form
- Those wishing to write the CRPA registration exam must complete the Core Level Recognition Application and postmark it no later than sixty (60) days prior to the scheduled registration exam date.
- A fully completed cross-referenced Competency Profile is required for applicants who have not completed accredited training. If accredited training has been completed, course certificate(s) must be provided and a cross-referenced Competency Profile is not required.
Electronic Submission of Required Documentation
- Acceptable files: .doc, ,docx, .pdf, .jpg, .png. If additional documents required, please email to firstname.lastname@example.org.
Personal & Professional Contact Information
- A non-refundable application fee of $50 CDN is payable to the Canadian Radiation Protection Association. This fee is for the review process and is separate from the Core Level Registration Application (Exam) fee. Receipts will be issued via email.
Credit Card Information
- I certify that all the information associated with this application is complete and correct to the best of my knowledge. I understand that any falsification in this application will be grounds for rejection, or later revocation of any certificate issued. I understand that the Canadian Radiation Protection Association (CRPA) may investigate any submitted information and I agree to provide additional documentation if asked. If I am registered with the CRPA at any level, I understand that I will be required to maintain the registration according to the conditions set by the CRPA. By signing this application I hereby release the CRPA, its administrators, volunteers, employees and all other persons associated with the CRPA, from any and all claims which have resulted or may in the future develop from any actions as a result of my practice of radiation safety. I am aware of the risks of practising radiation safety and hereby assume all risks known and unknown. I declare that these terms are fully understood and voluntarily accepted as part of this application process.
- ____ Current CRPA Membership Dues paid
____ Application Form completed and attached
____ Accredited Training Certificates or Cross Referenced Competency Profile attached
____ Fee enclosed or indicated on application form ($50.00)
PO Box 83
Carleton Place, ON