Please ensure that you have met the requirements for application for intermediate certification:
- Current membership on file
- Completed registration for certification on file
- Completed and signed Application for Intermediate Examination form enclosed
- Endorsement of Supervisor and/or Agency for Certification Examination(s) enclosed
- Intermediate certification date on file
- Examination fee $135.00 payment or receipt enclosed.
Upon receipt and confirmation of information provided, you will be contacted with instructions to proceed with the Certification Process.
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 firstname.lastname@example.org.