Canada Teacher Regulatory Program Application Form

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*

Date

Gender*

FemaleMale

Passport Bio Page*

Select your Teaching Level*

Bachelors Degree in EducationDiploma in Education

Select your Teaching Level*

Early Childhood EducationPrimary EducationSecondary Education

Did you complete a teaching practicum as part of this credential? (Note: You must complete practicum to be eligible for this program)*

YesNo

Teaching Practicum*

Practicum Duration in Hours*

At what level did you teach during your teaching practicum? *

What subject did you teach during your teaching practicum?*

Please type any other subjects

Was the practicum experience(s) observed, reviewed, and assessed by*

Have you actively worked in this field for minimum of 1yr*

Yes

Which province would you like to teach in?*

Carib Student only provides support to the following provinces or territories: British Columbia, Manitoba, New Brunswick, Newfoundland and Labrador, Northwest Territories, Nova Scotia, Nunavut, Ontario, Prince Edward Island and Saskatchewan.

School Name*

School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Start Date*

Date

End Date*

Date

School Name*

School's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Start Date*

Date

End Date*

Date

Bachelor's Degree/ Diploma*

CV/Resume*

I have applied to participate in the Canada Regulatory Program offered by Carib Student. I understand my participation in the Program, and I agree and represent as follows:

I understand that The Canada Regulatory Program does not provide jobs for professions. This program supports professions in regulatory and immigration support with Regulated Canadian Immigration Officer.
I understand that, as a client in the Canada Regulatory Program, I am responsible for meeting the deadlines set by Carib Student. This includes any form of submission or deadlines of payment asked by the agent in aid of your application process. Failure to meet these obligations can result in the cancellation of my program. No refunds will be issued, if deadlines are missed or lack of communication requesting an extention.
Canada Regulatory Program Fee: I understand that, as a client paying the Canada Regulatory Program, I am aware that this fee is partially-refundable.
Refunds upon full payment based on fail evaluations:

WES Credential Assessment- $250USD
Additional Fees: I understand that there are additional fees associated with the program such as but not limited to: World Education Service Fee, Language Proficiency, Certificate or License Fees and other related fees. I understand that Carib Student has no control over the terms and conditions related to these fees paid or increases of these fees.
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 are deemed not up to standard by World Education Services and Canada Nurse Regulatory Program Fee as a result of this outcome will be partially refunded.
Authorization for Release of Educational Records and Personal: I understand that information from these records may be disclosed to my Agent and RCIC Partner,.
Contact Information: I will ensure that Carib Student has access to my current contact information for the duration of the Canada Regulatory Program. To that end, I will:
A. Maintain my permanent contact information throughout my Canada Nurse Program Journey, making updates as necessary.
B. Provide my contact details abroad (address, email, and phone numbers) via email or to my agent.
Withdrawal from the Canada Regulatory Program: I understand that if I choose to withdraw from the Canada Program that all program fees made are non-refundable and non-transferable. Additional fees paid will require the client to check terms and conditions of those related payments.
Entire Agreement and Modification: The terms and conditions of this Canada Regulatory Program Agreement represent my complete understanding of the parties hereto with regard to my participation in the Canada 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)*

Make Payment*

Regulatory Program Fee

$450.00

Payment Plan - Regulatory Program FeeTake it in steps, join our Payment Plan and pay the remaining balance within 30 Days of submission.

$250.00

Total

$0.00

Payment Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Canada Teacher Regulatory Program Application Form

Personal Details

Eligibility Requirement

Secondary High School

Post Secondary University/College

Canada Regulatory Program Terms & Conditions Agreement