Application - OIEPB Comprehensive Program

Application to the Ontario Internationally Educated Physical Therapy Bridging Program

Comprehensive 8-month Program
Title*

MrsMsMissMrDr
Gender*
Legal Name*

First NameMiddle NameLast Name
Former Surname (if applicable)
Date of Birth*

YearMonthDay
Date
Age*
Cell Phone*
Please enter a valid phone number.
Home Phone *
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email*

Confirmation Emailexample@example.com

Immigration Status*
MM/YYYY of most recent immigration status*
Length of Time in Canada*

< 1 year1 - 3 years3 - 5 years> 5 years
Immigration Class

Independent - Professional/Skilled Worker ClassFamily SponsoredIndependent - Business ClassConvention RefugeeNot Applicable

Please indicate which ONE option best describes your current situation*

Credentialed by the CAPR as substantially equivalentFailed PCE candidateEligible for PCE but have not attemptedIn the process of credentialing by CAPRHave not started my credentialing with CAPR
Education

Formal Entry to Practice Physiotherapy Education - Transcripts of your degrees are not required as they are held by CAPR.

Formal Entry to Practice Physiotherapy Education. *

	Name of Institution	Degree/Certificate Obtained	Country	Start of Program (MM/YYYY)	End of Program (MM/YYYY)	Number of Years Attended

Work Experience Outside Canada

Start with your most recent paid work experience as a physiotherapist outside of Canada. Please include these details on your resume.

Paid Work Experience as a Physiotherapist Outside of Canada. List last 3 employers if applicable.

	Employer	Job Title	Country	Start Date (MM/YYYY)	End Date (MM/YYYY)	Hours Per Week
Employer 1
Employer 2
Employer 3

Work Experience in Canada

Start with your most recent work experience in Canada. Please include these details on your resume.

Paid Work Experience in Health Care Field in Canada. List last 3 employers if applicable.

	Employer	Job Title	Start Date (MM/YYYY)	End Date (MM/YYYY)	Hours Per Week
Employer 1
Employer 2
Employer 3

Volunteer Work

Start with your most recent volunteer work experience in Canada. Please include these details on your resume.

Volunteer work. List the last 2 organizations if applicable.

	Organization	Job Title	Start Date (MM/YYYY)	End Date (MM/YYYY)	Hours Per Week
Organization 1
Organization 2

Proficiency in the English Language*

My primary language is English.I have graduated from a university where the language of instruction, examination and clinical placements were all in English.I am scheduled to take the TOEFL iBT, IELTS (AC or GT) or CELPIP G (provide date below).I have taken TOEFL iBT or IELTS (AC or GT) language test and the results (within 5 years from the date of this application) are included with my application (provide test results below)
Date scheduled to sit one of the language proficiency tests listed above:

MonthDayYear
Date

IELTS (AC or GT) Results - A minimum overall score of 7.0 is required within the last 5 years.

	Reading Score	Written Score	Speaking Score	Listening Score	Overall Band Score

TOEFL iBT Results - A minimum overall score of 92/120 is required within the last 5 years.

	Reading Score	Written Score	Speaking Score	Listening Score	Total Score

CELPIP G Results - A minimum Reading score of 9.0 and 8.0 for Written, Speaking and Listening is required within the last 5 years.

	Reading Score	Written Score	Speaking Score	Listening Score

I have been licensed to practice physiotherapy*

YesNo
Country/Jurisdiction(s) of license*
Physiotherapy Competency Examination - Written component

Please provide details of all CAPR attempts at the PCE Qualifying Exam - Written Component.

Physiotherapy Competency Examination - Written component.

	MM/YYYY	Were you Successful (Yes/No)
Attempt 1
Attempt 2
Attempt 3
Attempt 4

Physiotherapy Competency Examination - Clinical component

If applicable, please provide details of all CAPR attempts at the PCE Qualifying Exam - Clinical Component.

Physiotherapy Competency Examination - Clinical OSCE component.

	MM/YYYY	Were you Successful (Yes/No)
Attempt 1
Attempt 2
Attempt 3
Attempt 4

Provincial Clinical Exam

If applicable, please provide details of any provincial exam attempts such as the Ontario Clinical Exam (OCE) or clinical exam from another province.

Provincial Clinical Exam.

	MM/YYYY	Were you Successful (Yes/No)
Attempt 1
Attempt 2
Attempt 3
Attempt 4

Prerequisite Course Requirement - Physiotherapy Practice within the Canadian Health Care Context Online Course

Completion of this course or another Canadian Health Care Context course approved by CAPR is a Prerequisite for Admissions to the OIEPB Program.

Physiotherapy Practice within the Canadian Health Care Context Online Course - please provide details of the course you completed.

	MM/YYYY	Name of Online Course	Name of Institution that offered the online course

Do you have a CAPR PIN or Client ID?*
CAPR PIN
Client ID

AUTHORIZATION

I understand the OIEPB Program staff will use information obtained from The Canadian Alliance of Physiotherapy Regulators (CAPR) to verify information I have provided on this application form to assist me to make informed choices about my learning needs and for purposes of internal program evaluation and review.
Please check below to agree to the above Authorization statement*

I agreeI do not agree
DECLARATION

I have read and understood the application instructions, and by checking the box below indicates that all responses are true and accurate. No relevant information, academic declaration, or citizenship status in Canada, or any other information, has been withheld, otherwise my admission to or registration at the University of Toronto may be revoked. I understand that successful completion of the OIEPB Program does not guarantee a successful outcome on the Physiotherapy Competency Examination or registration as a physiotherapist in Canada.
Declaration*

I understand the above declaration
Date

MonthDayYear
Date
Signature

Clear
Upload Resume - please provide your current resume.

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Upload Language Proficiency Document - please provide your official IELTS/TOEFL/CELPIP document or Proof of Language Exemption document.

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Upload Proof of Completion of Prerequisite Online Course - Physiotherapy Practice within the Canadian Health Care Context or another CAPR-approved course.

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Upload Canadian Status Document - front and back is required. Provide a copy of your Permanent Resident Card or Canadian Citizenship card or Convention Refugee status.

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Upload Proof of Canadian Residency (Province or Territory) - front and back is required. Provide a copy of your Driver's Licence or Passport as proof you are living or will be living in Canada during the program year.

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Upload a Digital Photo - please upload a recent digital portrait photo (jpg file) of yourself from the shoulders up looking directly at the camera (profile views not acceptable). The photo should be taken against a plain white or neutral-coloured background that is free of clutter or other images. The photo will be used for program identification purposes.

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Documents not uploaded on this page may instead be emailed to iept@utoronto.ca. To be considered for admissions to the OIEPB Program a completed application with all required documents must be submitted by the deadline date.
MAKING YOUR PAYMENT:

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Do not hit the 'back' button on you browser. This will result in a double payment and to receive a refund for a double payment, there will be an administrative fee charge of $75 CAD.

Payment

OIEPB Comprehensive Application Fee

$100.00CAD

Total

$0.00CAD

Credit Card
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Application to the Ontario Internationally Educated Physical Therapy Bridging Program

Education

Work Experience Outside Canada

Work Experience in Canada

Volunteer Work

Physiotherapy Competency Examination - Written component

Physiotherapy Competency Examination - Clinical component

Provincial Clinical Exam

Prerequisite Course Requirement - Physiotherapy Practice within the Canadian Health Care Context Online Course

AUTHORIZATION

DECLARATION

Documents not uploaded on this page may instead be emailed to iept@utoronto.ca. To be considered for admissions to the OIEPB Program a completed application with all required documents must be submitted by the deadline date.