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Internationally Educated Physiotherapist (IEPT) Bursary Application Form

IEPT Bursary Application Form

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- Step 1 of 6

Personal Information

* Denotes required field

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

If ZIP/postal code is not applicable, please enter '000000'.

Email *

Phone *

Education/Licensing Information

* Denotes required field

In which country do you currently live? *

In which country(s) do you currently hold registration/licensure as a Physiotherapist (PT)? *

In which Country did you receive your university-level degree (entry-to-practice) in Physiotherapy? *

Do you currently, or have you ever held full licensure as a Physiotherapist in any province or territory in Canada? *

Yes
No

Applicants who hold or previously held FULL licensure as a Physiotherapist in any Province or Territory in Canada are not eligible for the IEPT Bursary. Thank you for your interest.

Required Documents

* Denotes required field

Please upload all documents in either .pdf, .jpg, or .png format. Reimbursement will be eligible for costs incurred on, or after July 19, 2022

A copy of your English-translated Passport as a supporting identification document. *

Click or drag files to this area to upload. You can upload up to 2 files.

Note: We do not need all of the pages in your passport, only the pages with your full legal name and signature. For example, if your photo, full legal name, and date of birth are on one page and your signature is on another page, we will need both pages.

Click or drag a file to this area to upload.

A copy of your Physiotherapist Degree from a country other than Canada. *

Click or drag files to this area to upload. You can upload up to 2 files.

Note: Our team may be unable to verify the document if it is not in English, this may lead to delays in your application. Please submit an English translation or verification document.

Click or drag a file to this area to upload.

Have you initiated the Educational Credentialing and Qualification Assessment process with the Canadian Alliance of Physiotherapy Regulators (CAPR)? *

Yes
No

Official Receipt from CAPR. *

Click or drag files to this area to upload. You can upload up to 2 files.

Note: Reimbursement is available for $1,486 CAD for a new application or $546 for a re-opened file review.

Click or drag a file to this area to upload.

Have you received the results from the Educational Credential and Qualifications Assessment with the Canadian Alliance of Physiotherapy Regulators (CAPR)? *

Yes
No

Do you plan to initiate the Assessment of Educational Credential and Qualifications with the Canadian Alliance of Physiotherapy Regulators (CAPR)? *

Yes
No

To be eligible for this bursary, internationally educated physiotherapists (IEPTs) must agree to complete the full credentialing and certification process.

CAPR Educational Credentials and Qualifications Results letter.

Click or drag files to this area to upload. You can upload up to 2 files.

Click or drag a file to this area to upload.

Additional Documents

Please note that submitting additional documents is optional. If you do not have additional documents to provide, you may proceed with the application by clicking “Next”.

Proof of payment for the “Knowledge of the Practice of Physiotherapy within the Canadian Healthcare System” course.

Click or drag files to this area to upload. You can upload up to 2 files.

Note: Funding is available up to $525 CAD upon proof of payment and course completion.

Click or drag a file to this area to upload.

Proof of completion for the “Knowledge of the Practice of Physiotherapy within the Canadian Healthcare System” course.

Click or drag files to this area to upload. You can upload up to 2 files.

Click or drag a file to this area to upload.

English Language Proficiency (ELP) Test Receipts.

Click or drag files to this area to upload. You can upload up to 2 files.

Note: Reimbursement is available for up to two (2) attempts of a CAPR-accepted test, whether you are successful or not. Funding is up to $400 CAD per test, up to a maximum of $800 CAD.

Click or drag a file to this area to upload.

CAPR Practice Exam for Written Component (WC – Practice Exam)

Click or drag files to this area to upload. You can upload up to 2 files.

Note: Funding is available up to $120 CAD upon proof of payment.

Click or drag a file to this area to upload.

Proof of payment for the UBC Physio Refresh written and/or practical exam preparation program.

Click or drag files to this area to upload. You can upload up to 2 files.

Note: Funding is available up to a maximum of $3,000 CAD for the written and/or clinical components, upon proof of payment and course completion.

Click or drag a file to this area to upload.

Proof of course completion for the UBC Physio Refresh written and/or practical exam preparation program.

Click or drag files to this area to upload. You can upload up to 2 files.

Click or drag a file to this area to upload.

Disbursement Requirements

To facilitate the electronic transfer of funds to your bank account and to issue a T4A, as the bursary is taxable income, HEABC requires a valid Social Insurance Number (SIN) as well as the below information:

Date of Birth *

Do you hold a Canadian Social Insurance Number (SIN)? *

Yes
No

SIN *

SIN Expiration Date *

Citizenship *

Do you have a bank account with a Canadian Financial Institution? *

Yes
No

Upload a Void Cheque or Direct Deposit Form from a Canadian Financial Institution. *

Click or drag a file to this area to upload.

Click or drag a file to this area to upload.

Consent and Acknowledgement

Please read the following and check the boxes below to finalize and submit your application:

Collection of Personal Information

All personal information related to your participation in the Internationally Educated Physiotherapist (IEPT) Credential Assessment and Education Bursary Program is collected in accordance with the applicable privacy legislation, for the purposes of administering the candidate’s participation in the program, facilitating the evaluation process, funding verification, entitlement, disbursement of financial stipends, grants, reimbursement or waiver programs, statistical analytics, surveys, research, potential recruitment, employment, and other such related purposes.

Consent and Agreement

By submitting your supporting documents, you are consenting to Health Match BC using the personal information provided to them and sharing said personal information in the future with the following entities: Ministry of Health, Canadian Alliance of Physiotherapy Regulators, College of Physical Therapists of British Columbia, First Nations Health Authority, Fraser Health Authority, Interior Health Authority, Island Health Authority, Northern Health Authority, Vancouver Coastal Health Authority, Provincial Health Services Authority, Providence Health Care, as necessary for the purposes of administering the candidate’s participation in the program, facilitating the evaluation process, funding verification, entitlement, disbursement of financial stipends, grants, reimbursement or waiver programs, statistical analytics, surveys, potential recruitment, employment, and other such related purposes.

I certify that all of the information that I have provided in this form is accurate and complete. *

I certify that all of the information that I have provided in this form is accurate and complete.

I understand and agree that if I make a false or misleading statement or representation with respect to my application, I will not be eligible for the Internationally Educated Physiotherapist (IEPT) Bursary. *

I understand and agree that if I make a false or misleading statement or representation with respect to my application, I will not be eligible for the Internationally Educated Physiotherapist (IEPT) Bursary.

I consent to the use of my Personal Information for the purposes listed above. *

I consent to the use of my Personal Information for the purposes listed above.

I understand that my Personal Information may be shared in the future without my express consent pursuant to a valid exception under the appropriate privacy legislation. *

I understand that my Personal Information may be shared in the future without my express consent pursuant to a valid exception under the appropriate privacy legislation.

You are free to withdraw your consent to any continued use of your Personal Information at any time. However, we require your Personal Information to determine funding eligibility and requesting the withdrawal will make you ineligible to receive any bursary or funding. Should you withdraw your consent, your Personal Information will be securely destroyed as soon as is reasonably practicable.

If you have any questions regarding the collection, use, access, retention and/or destruction of your Personal Information please contact ptbursary@healthmatchbc.org.

Signature *

Type your full name

Verification of Signature *

I attest that my typed name in the signature line above is equivalent to my legal signature.

Date of Signature *

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Manage Consent

We and our selected partners access and write information on your device (cookies and identifiers) and process personal information related to your browsing of our content (including your IP address) for the following purposes:

for essential functionalities of our website;
to optimize the user experience;
to improve the performance of our website;
to gather statistics, to analyze its traffic and performance;
for targeted advertising;
for geolocation;
for social medias functionalities.

If you wish to know more about cookies, to prevent the installation of these cookies, or how and change the settings of your browser, click here.

Functional Cookies Functional Cookies Always active

The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network.

Preferences Preferences

The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user.

Analytical Cookies Analytical Cookies

The technical storage or access that is used exclusively for statistical purposes. The technical storage or access that is used exclusively for anonymous statistical purposes. Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you.

Marketing and Social Media Cookies Marketing and Social Media Cookies

The technical storage or access is required to create user profiles to send advertising, or to track the user on a website or across several websites for similar marketing purposes.

Manage options Manage services Manage {vendor_count} vendors Read more about these purposes

Customize settings

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