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 CVRP including immediate suspension of my certification of registration. I confirm that it is my obligation to notify CVRP within 30 days in the event that any of my information changes. I understand that submission of this application in no way guarantees a change in my certification of classification, and that misrepresentation of this information in any way may result in cancellation of my 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.
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: Please use a separate sheet if more space is required.
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