Registration for Re-Certification

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

    • Current membership on file.
    • Copy of lapsed Certification Certificate (if possible) uploaded with this application.
    • A copy of Diploma or Degree is required to be uploaded with this application.
    • An Endorsement of Supervisor Maintenance is required to be uploaded with this application.
    • Payment of $90.00 fee (Registration fee $90.00) Is required.
  • Member Information

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

  • Education Information

  • Date Format: MM slash DD slash YYYY
  • Professional Development

  • Name of Training / WorkshopDate# of Hours 
  • 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 for Certification Maintenance" document.
  • Price: $ 90.00 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 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.