Labour Mobility Applicants

Information

Membership Application for Labour Mobility Applicants

Thank you for your interest in becoming a member of the New Brunswick Association of Speech-Language Pathologists and Audiologists (NBASLPA). In the province of New Brunswick, an individual must hold a certificate of registration with NBASLPA prior to starting work as a speech-language pathologist or audiologist. It is an offence under the Act Incorporating The New Brunswick Association of Speech-Language Pathologists and Audiologists and An Act Respecting Health Professionals to practice or identify yourself as a speech-language pathologist or audiologist in New Brunswick without being registered with NBASLPA.

Speech-language pathologists or audiologists who wish to provide in-person and/or telepractice services in New Brunswick and are in good standing in another regulated jurisdiction in Canada may apply to NBASLPA as a Labour Mobility Applicant under the Canadian Free Trade Agreement.

Please read the instructions listed below before beginning your application with NBASLPA as it will explain how to apply and what documents are required. Payment of applicable fees is not required until documents are uploaded so it is advisable to begin this process early as it may take time to complete or obtain all required documents. After documents and payment are submitted, the average turnaround time is 2 weeks.

Your application will only be considered once all documents are received. The following items are required to process your application.

A completed Labour Mobility Application Form. All required information must be included.
Verification of registration in good standing from all current Canadian regulatory bodies. Forms must be sent directly from the regulator to NBASLPA.
Criminal records check. Form must be original, notarized, and within 6 months of issue. Upon your request, NBASLPA can provide a letter for you to submit to the police. Form must be mailed to NBASLPA (PO Box 23113, Moncton, NB E1A 6S8). We will make a copy and return the original to you. A digital criminal records check that can be authenticated is also acceptable.
Evidence of patient care or relevant work in current jurisdiction. Letters from current and previous employers listing job title and dates of employment as verification of clinical practice or relevant work in speech-language pathology or audiology during the three years immediately preceding the date on which NBASLPA received your application. Letters must be sent directly from the employer to NBASLPA.
Proof of identity by submitting a copy of a passport or other government-issued photo identification showing current legal name.
Permanent Residency in Canada or Canadian Work Permit if proof of Canadian Citizenship has not been provided by a copy of a valid passport.
Proof of current personal professional liability insurance (PLI) with a minimum amount of $2,000,000. The PLI certificate must contain the applicant’s name, profession, statement verifying validity in New Brunswick for in-person and/or telepractice services, and coverage dates for insurance providers other than those listed on the NBASLPA website, whose compliance with these requirements have been confirmed by the Registrar. All PLI must have an extended discovery and reporting period of a minimum of two years. Refer to document: PLI requirements
A non-refundable application processing fee of $200. This fee must accompany your application for registration and is applicable whether your application for registration is accepted, rejected/denied or incomplete. Please send payment by e-transfer to: info@nbaslpa.ca
A membership activation fee of $300. This fee is applicable each time a new membership is activated and will only be charged in the event your application for registration is approved.
An annual membership fee of $500 for full membership ($250 after August 31). This fee will only be applied when your application for registration is approved.
Once membership has been approved, a completed Database Form must be submitted. This form is required for government purposes and will be provided to you by the NBASLPA office.

Updated October 2022

Application Form

Personal Information
Name*
First Middle Last
Maiden Name
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Phone*
Fax
Email*
Date Of Birth*
MM slash DD slash YYYY
Gender*
- Female
- Male
- Other
Professional Information
Profession*
- Speech-Language-Pathologist
- Audiologist
Indicate type of services you will be providing. Check all that apply.*
- In-person services in New Brunswick
- Telepractice for New Brunswick residents
- Telepractice for clients outside New Brunswick
- I will not be providing any clinical services
- Unsure
- Other
Have you previously applied for registration with NBASLPA?
- Yes
- No
Have you previously been issued a registration number by NBASLPA?
- Yes
- No
List all jurisdictions in Canada or other countries where you currently are, or previously have been registered as an audiologist or speech-language pathologist. PLEASE NOTE: Applicants must arrange for verification of registration in good standing from ALL jurisdictions where they are currently registered, to be sent directly to NBASLPA.*

Province	Country	Regulatory Body	Period Of Registration

(Click + To Add More Rows)

List employment history as an audiologist or speech-language pathologist. PLEASE NOTE: You must provide letters from current and previous employers listing job title and dates of employment as verification of clinical practice or relevant work in audiology or speech-language pathology during the three years immediately preceding the date on which NBASLPA received your application. Letters must be sent directly from the employer to NBASLPA.

Employer	Employer Address	Employer Phone	Job Title	Employment Period	Total Hours Worked

(Click + To Add More Rows)

Citizenship
Are you a Canadian Citizen?*
- Yes
- No
Authorization to work in Canada?*
- Canadian Citizen
- Permanent Resident of Canada
- Work Permit from Immigration, Refugees and Citizenship Canada
File Uploads
Upload Supporting Documents*
Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 64 MB.
1) Proof of eligibility to work in Canada*

2) Proof of personal professional liability insurance with minimum amount of $2,000,000 – must contain your name, profession, and a statement verifying that it is valid in NB and for in-person and/or virtual professional practice*
Declaration
*
- I authorize NBASLPA to obtain information from other regulatory bodies, professional associations, educational institutions, and/or present and former employers for purposes related to my registration and qualifications.
- I have not been convicted of any criminal offences or offences related to the regulation of the practice of audiology and/or speech-language pathology.
- I have not been the subject of a finding of professional misconduct, incompetence, or incapacity in relation to audiology and/or speech-language pathology, or another regulated profession.
- I certify that the statements made by me on this application form are complete and accurate. I understand that false or misleading information may be cause for revocation of my certificate of registration or other disciplinary action.

Labour Mobility Applicants

Information

Membership Application for Labour Mobility Applicants

Application Form

Personal Information

Professional Information

Citizenship

File Uploads

1) Proof of eligibility to work in Canada*

2) Proof of personal professional liability insurance with minimum amount of $2,000,000 – must contain your name, profession, and a statement verifying that it is valid in NB and for in-person and/or virtual professional practice*

Declaration

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