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* 1. Full Name

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* 2. Registration Number

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* 3. E-mail address associated with CRPO account

CRPO encourages submissions from a broad range of equity-deserving groups, as well as people who hold intersectional identities, which include but are not limited to First Nation, Inuit and Métis peoples, Black community members, Racialized community members , Newcomers to Canada (immigrants, refugees), Persons with disabilities and neurodivergent persons, 2SLGBTQIA+ community members, Seniors, Gender-diverse peoples (including but not limited to women, trans, and non-binary people), and members of these communities with experience living in the near and far North and/or rural regions of Ontario.

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* 4. Are you a member of an equity-deserving community as described above?

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* 5. Primary practice setting(s). Select all that apply:

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* 6. What application route did you follow when applying to CRPO?

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* 7. What client population(s) do you primarily serve in your practice? Select all that apply.

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* 8. What modality do you primarily use in your practice?

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* 9. Interested Registered Psychotherapists must submit a resume.

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Accommodations

CRPO welcomes and encourages applications from people with disabilities. Accommodations are available on request for RPs taking part in all aspects of the selection process. To make a request please contact, in confidence, a.fournier@crpo.ca. For more information regarding CRPO’s Accessible Customer Service Standard, please go to https://www.crpo.ca/accessibility/.
RPs who are deemed to be eligible will be contacted by College staff in order to move to the next step of recruitment.

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