Registration for Special Education Professionals

REGISTRATION FORM
REGISTRY OF PROFESSIONALS IN SPECIAL EDUCATION

Name:

Certification: Phd EdD MSc MEd MA BEd BSc Diploma

Other

Email Address:

Current Employment:

Training: Please check the area(s) in which you are trained and certified.

Autism	Child Development Specialist
Audiology	Hearing Impairment
Career Counseling for Special Needs	Intellectual Disability
Child Development	Interpreting for the Deaf
Clinical Psychology	Itinerant Special Education
Counseling Psychology	School Psychology
Curriculum Design	School-to-work Transition
Developmental Disability	Occupational Therapy
Diagnostic and Prescriptive Teaching	Physiotherapy
Early Childhood Special Education	Speech and Language Pathology
Educational Diagnostics	Vocational Rehabilitation Counselling
Educational Psychology	Other
Guidance and Counselling for Special Needs

Certification: Institution(s) and year of certification

Institution Year

Please note, you will be required to present proof of certification from the stated institution(s) to verify authenticity of your qualifications.

Please insert above encrypted code to complete registration (if code is not legible please click the audio icon to hear the above code or refresh icon for a new code):