Registration for Certification Form

Please ensure that you have met the requirements for Registration for Certification and have all documents needed before starting this application:

  • Current membership on file.
  • A copy of Diploma or Degree is required to be uploaded with this application.
  • An Endorsement of Supervisor is required to be uploaded with this application.
  • Additional supporting documents can be uploaded with this application.
  • A registration fee of $90.00 is required.

Please note: All fields marked with an * are required to complete the form.

  • Member Information

  • Date Format: MM slash DD slash YYYY
  • Employer Information

    Complete only if changed from Application for Intermediate Certification.
  • Education Information

    Complete only if changed from Membership Application.
  • Date Format: MM slash DD slash YYYY
  • Previous Child and Youth Care Experience

  • Candidates Acknowledgement

    I attest that the information provided is true and complete to the best of my knowledge. I understand that misrepresentation could result in decertification by The Child and Youth Care Association of Alberta.
  • Drop files here or
    Accepted file types: jpg, jpeg, png, pdf, doc, docx, odt.
    Please upload a signed copy(ies) of the "Endorsement of Supervisor" document and your CYC Education credentials (if applicable).
  • Price: $ 90.00 CAD
  • $ 0.00 CAD

Personal Information Protection
The information requested in this form is collected under the Personal Information Protection Act for Child and Youth Care Association of Alberta’s internal use only.  No information contained in this form will be disclosed to any other individual, group, or agency as per the Confidentiality Policy of the Child and Youth Care Association of Alberta.  Questions concerning this collection should be directed to info@cycaa.com.