(Carib Student) Canada Nurse Regulatory Program Application Form

Canada Nurse Regulatory Program Application Form

Instructions: Before you start this application, ensure to have the following required documents: Scanned copy Bachelor's Degree for RN/Midwife or Diploma for PN, scanned copy of passport bio page, updated CV/Resume and Debit/Credit Card for Regulatory Fee payment. Please ensure to read the policy agreement and submit the application form. If you are having any issues, please email us at support@caribstudent.com
Personal Details
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
D.O.B*

MonthDayYear
Date
Gender*

FemaleMale
Passport Bio Page*

Cancelof
Eligibility Requirement
Please select the option: (Note: Clients are responsible for ensuring that their institution is accredited)*

Registered Nurse with a Bachelors DegreeMidwife with a Bachelors DegreeLicense Practical Nurse with a Diploma (Certificates are not accepted)Nurse with any other specifications with Diploma or Bachelors Degree
Have you actively worked in this field for minimum of 1yr*

YesNo
Bachelor's Degree/ Diploma*

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CV/Resume*

Cancelof
NCLEX RN/PN (Only upload if you have sit and passed the exam)

Cancelof
Which province would you like to practice in to:*
Canada Nurse Regulatory Program Terms & Conditions Agreement
I have applied to participate in the Canada Nurse Regulatory Program offered by Carib Student. I understand my participation in the Program, and I agree and represent as follows:
1. I understand that The Canada Nurse Regulatory Program does not provide jobs for nurses. This program supports nurses in regulatory and immigration.
2. I understand that, as a client in the Canada Nurse Regulatory Program, I am responsible for meeting the deadlines set by Carib Student. This includes any form of submission asked by the agent in aid of your application process.
3. Canada Nurse Regulatory Program Fee. I understand that, as a client paying the Canada Nurse Regulatory Program, I am aware that this fee is non-refundable and non-transferable.
4. Additional Fees. I understand that there are additional fees associated with the program such as but not limited to: WES Accreditation Fee, NNAS Fee, Provincial Membership and License Fee (This does not included any Nurse Exam) and Work Permit Fees. I understand that Carib Student has no control over the terms and conditions related these fees paid.
5. Institution Accreditation: I understand that it is my duty to verify that my credentials are accredited. Carib Student is not liable for any credentials that is deem not up to standard by World Education Services and Canada Nurse Regulatory Program Fee in result of this outcome will be non-refundable and non-transferable.
6. Authorization for Release of Educational Records and Personal Data. I give consent for full access to any and all records about me held by Carib Student. I understand that information from these records may be disclosed to my Program Coordinator, Agent, RCIC Partner,.
7. Contact Information. I will ensure that Carib Student has access to my current contact information for the duration of the Canada Nurse Regulatory Program. To that end, I will:
  1. Maintain my permanent contact information throughout my Canada Nurse Program Journey, making updates as necessary.
  2. Provide my contact details abroad (address, email, and phone numbers) via email or to my agent.
8. Withdrawal from the Canada Nurse Regulatory Program. I understand that if I choose to withdraw from the Canada Nurse Program that all program fees made are non-refundable and non-transferable. Additional fees paid will require client to check terms and conditions of those related payments.
9. Entire Agreement and Modification. The terms and conditions of this Canada Nurse Regulatory Program Agreement represent my complete understanding of the parties hereto with regard to my participation in the Canada Nurse Regulatory Program and supersedes any previous or contemporaneous understandings I may have had with Carib Student on this subject, whether written or oral, and cannot be changed or amended in any way without the written concurrence of both Carib Student and me.
I ACKNOWLEDGE THAT I HAVE HAD THE OPPORTUNITY TO CONSULT WITH THE COUNSEL OF MY CHOICE PRIOR TO SIGNING THIS DOCUMENT AND I UNDERSTAND ITS TERMS, THAT BY SIGNING IT I AM GIVING UP SUBSTANTIAL LEGAL RIGHTS I MIGHT OTHERWISE HAVE, AND THAT I HAVE SIGNED THIS DOCUMENT KNOWINGLY AND VOLUNTARILY.
Signature (I have accept the following Terms and Conditions which was shared within the application form)*

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My Products*
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Regulatory Program FeeThe Regulatory Fee covers the following: Application Processing Regulatory Guidance Work Permit Assistance In Canada Aftercare Support Client Support
$295.00 Quantity

Total

$0.00
Should be Empty:

Canada Nurse Regulatory Program Application Form

Personal Details

Eligibility Requirement

Canada Nurse Regulatory Program Terms & Conditions Agreement