BCRSP ApplicationPage 1 of 17
Application for Canadian Registered Safety Professional CRSP®Designation
PLEASE READ THE ENTIRE APPLICATION FORM
BEFORE YOU BEGIN COMPLETING EACH SECTION
PLEASE COMPLETE AND SUBMIT ORIGINAL AND ONE COPY OF APPLICATION FORM
AND ONE COPY ONLY OF SUPPORTING DOCUMENTATION ALONG WITH THE NON-REFUNDABLE APPLICATION FEE TO:
Board of Canadian Registered Safety Professionals
6700 Century Ave Suite 100
Mississauga, ON L5N 6A4
FEES: R#100304195
Non-Refundable Application Fee $525.00 + HST/GST
Residents of AB, BC, SK, MB, QC, YT, NT, NU – Add 5% GST ($525.00 + $26.25 = $551.25)
Residents of ON, NB, NL – Add 13% HST ($525.00 + $68.25 = $593.25)
Residents of PEI – Add 14% HST ($525.00 + $73.50 = $598.50)
Residents of NS – Add 15% HST ($525.00 + $78.75 = $603.75)
Residents outside of Canada - $525.00
Application Fee Credit Card Payment:
Name of Applicant:Province of Residence:
Payment By: American Express MasterCard Visa
Card # Cardholder’s Name:
Expiry Date:
CVV#:
I authorize a $525.00 + HST/GST charge to the credit card noted above.
Signature:
Payment By: Cheque enclosed made payable to the BCRSP
Payment Online: If you submitted your payment via the BCRSP website, please enclose a copy of the receipt delivered to you via email.
Applications submitted electronically or via facsimile or handwritten submissions will not be accepted.
Please do not cerlox-bind your submission.
BCRSP Application Requirements
Before submitting your application, please ensure that all sections of the application (Parts A, B, C and Factors 1, 2, and 3) are completed in full and the “Declaration” is signed and dated. Supporting documentation must be clearly identified by Factor and attached in the same order as listed on the application.
Applications that are not fully completed with documentation attached and in the proper order will be returned to the applicant for resubmission. A $50.00 (+ HST/GST) resubmission fee must accompany the resubmitted application.
Chronological resumes should be submitted with your application however, they are not considered official documents. They may be used by the Qualifications Review Committee to clarify formal education and employment information and dates.
Eligibility Guidelines
There are three pathways of entry to the Canadian Registered Safety Professional (CRSP)® certification. Please review carefully and complete the application according to what is required based on your eligibility pathway.
Criteria - You may be eligible to apply if you:Category / Pathway A / Pathway B / Pathway C
Formal Education / Have successfully completed at least a one (1) year occupational health and safety (OHS) college or university certificate or diploma program, OR a two (2) year non-OHS college or university program. (50 point minimum) / Have successfully completed at four year occupational health and safety (OHS) degree from a recognized University (100 point minimum) / Have successfully completed a four year NON-OHS University degree (BSc/BA), AND a two year occupational health and safety (OHS) college or university certificate or diploma (100 point minimum)
Professional Development / Can demonstrate that in addition to formal education, you have completed professional development during the five (5) years immediately prior to submitting an application.
(15 point minimum) / Not required / Not required
Professional Practice / Are currently employed in a full-time position with at least 50% of your role dedicated to OHS duties that are at a professional level, AND have had three (3) years of continuous full-time OHS work experience immediately prior to submitting an application. (50 point minimum)
Total Minimum Points Required / 150
Special Accommodation and Assistive Devices
Special Accommodation for the application process (including interview) If an applicant requires special arrangements because of one or more documented disabilities, in order to participate in the interview stage of the application process, the BCRSP will make all reasonable efforts to accommodate applicants up to the point of undue hardship. A written request for disability accommodation must include:
- A signed request for accommodation letter explaining the nature and extent of the applicant’s restrictions or limitations in sufficient detail to ensure that the letter along with any supporting documentation, provides BCRSP with all the information it needs to determine the most appropriate accommodation.
- Original letter(s), on office letterhead, from the applicants fully-licensed practicing physician, clinical psychologist, other appropriate licensed health care provider, or other appropriate professional or practitioner (the practitioner cannot be a relative or spouse of the candidate) identifying and confirming the existence of the functional limitation(s), the nature of the accommodation requested, and a detailed explanation of why the accommodation is required.
All medical and other supporting documentation submitted will be kept confidential by the BCRSP, and will be used for the purpose of implementing the accommodations necessary for the applicant, if any.
All disability-related documentation must be current within six (6) months of the date of submission to the BCRSP. If the medical documentation, i.e. report or letter is not current within six (6) months of the date of the applicant’s submission, the applicant must include a letter from a fully-licensed practitioner or other professional with appropriate credentials. The letter shall indicate that they have reviewed the supporting medical documentation and concur that the accommodations set out within it remain valid for the applicant for the purposes of participating in the BCRSP application process, including the interview. If additional information is required to evaluate the accommodation request, the BCRSP will consult with the applicant. All requests will be handled on a confidential and individualized basis.
Special Accommodation for Examinations
Granting of special accommodation to participate in the application process (including interview) does not automatically grant special accommodation for the CRSP Examination. For candidates unable to take the BCRSP's examination (CRSPEX) using the standard testing process, the BCRSP will make all reasonable efforts to accommodate candidate needs up to the point of undue hardship. In this regard, BCRSP has adopted guiding principles for responding to requests from candidates for exam accommodation. A request for accommodation must be submitted in writing on the CRSPEX Accommodation Form (available from and accompanied by the required documentation to the BCRSP Executive Director at least 90 days before the examination date for both, first write and any re-writes of the examination. Late requests may be considered in extenuating circumstances but BCRSP cannot guarantee that such requests will be accommodated. All requests will be handled on a confidential and individualized basis.
International Applicants
International applicants whose first language is neither English nor French must:
- Submit documentation verifying a minimum score of 94-101 on a Test of English as a Foreign Language (TOEFL®) IBT; a band score of 7 on the International English Language Testing Sytem or a score of 785-900 on a Test de français international (TFI™). (Equivalent proof of language proficiency (e.g. a university assessment) will also be accepted)
- Foreign credentials must be translated to English or French and be verified by an official translator
- Foreign credentials must be submitted to a Canadian Credentialing Agency (see below) prior to application submission.
Foreign Credential Assessment and Evaluation
- Alliance of Credential Evaluation Services of Canada (Pan-Canadian)
- Canadian Association of Prior Learning Assessment (Pan-Canadian)
- Canadian Information Centre for International Credentials (Pan-Canadian)
- University of Toronto – Comparative Education Service (Pan-Canadian)
- International Qualifications Assessment Services (AB, SK, NT)
- British Columbia Institute of Technology - International Credential Evaluation Services (BC)
- Academic Credentials Assessment Service (MB)www2.immigratemanitoba.com/browse/work_in_manitoba/work-recognition-acas.html
- World Education Services (ON with pan-Canadian applicability)
- Centre d’expertise sur les formations acquises hors du Québec (QC)
Reference:The Employer’s Roadmap, Hiring and Retaining Internationally Trained Workers
Citizenship and Immigration Canada
Foreign Credentials Referral Office
C&I-1019-05-09E
APPLICATION FOR CERTIFICATION
It is the responsibility of applicants to review the “BCRSP Application & Eligibility Requirements” document before completing the application form.International applicants are reminded to review the requirements for application submission.
Please note:
If you have submitted your certification application, you may advise prospective employers that you have made application to the Board of Canadian Registered Safety Professionals. You may NOT indicate that you are a CRSP, a candidate CRSP, an applicant CRSP, a CRSP in process or a pending CRSPor any other variation on these terms. The designation may not be used until such time as you have successfully completed the certification process, been awarded the designation by the Governing Board and received verification of certification (certificate and ID card). Unauthorized use of the CRSP prior to Governing Board approval and receipt of proof of certification may result in the application process being terminated.
QUESTIONNAIRE (Optional)
Your response to the following would be appreciated
How did you hear about the CRSP designation?
Colleague
Employer requirement
Job advertisement
Trade show exhibit (please specify which trade show):
OH&S Conference Presentation (please specify which conference):
Magazine advertisement (please specify which publication):
Website
Educational institution
Other (please specify):
Part A: Personal InformationSalutation / MrMrsMsDr (Please select via drop down list)
Last Name
First Name
Employer
(Current employer information must be completed)
Your Position/Title
Business Address
City
Province
Postal Code
Business Telephone / ()
Home Address
City
Province
Postal Code
Home Telephone / ()
Preferred Mailing Address / Business Home
It is the applicant’s responsibility to keep the BCRSPinformed of any changes to the above information.
Part B: Reference Questionnaire (RQ)
Please provide the name, title, employer, telephone number and email address of your reference. When selecting your reference, be sure this individual has knowledge of the OHS work you have done and the degree of responsibility you have in the administering of your employer’s OHS program. You may not use anyone as a reference over whom you have supervisory responsibilities. It is not necessary that your reference be a Canadian Registered Safety Professional (CRSP)®.
The completed Reference Questionnaire is NOTto be returned to the applicant, but sent directly to the BCRSP. A Reference Questionnaire included with an application will not be considered and a new reference will be requested.
Contact Information for the Individual Completing the Reference
Name
Title
Employer
Telephone (with area code)
Part C: Practice Questionnaire (PQ)
Please provide the name, title, employer, telephone number and email address of your immediate supervisor. If you are a private consultant, the Practice Questionnaire may be completed by a current client.
The completed Practice Questionnaire is NOT to be returned to the applicant, but sent directly to the BCRSP. A Practice Questionnaire included with an application will not be considered and a new Practice Questionnaire will be requested.
Immediate Supervisor/Client Completing the Questionnaire
Employer Client
Name
Title
Employer (only if client)
Telephone
The same individual may not complete both the Reference Questionnaire and the Practice Questionnaire on behalf of the applicant.
Factor 1: Formal Education – to be completed by all applicants (Pathway A, B, or C)Minimum points required = 50; maximum points available = 100
Minimum requirement: a one year college/university certificate/diploma in OHS OR a two year college/university non OHS certificate/diploma.
Formal Education / Value
OHS
**One year OHS college or university certificate or diploma / 50
Two year OHS college or university certificate or diploma or one year post diploma / 70
Three year OHS college or university certificate, diploma or degree / 80
Four year OHS college or university diploma or degree / 100
Post graduate OHS degree / 100
NON-OHS
**Two year non-OHS college or university certificate or diploma / 50
Three year non-OHS college or university certificate, diploma, degree or one year non-OHS post diploma / 60
Four year non-OHS college or university diploma or degree / 70
Post graduate non-OHS college or university degree / 80
Applicants who completed formal education above the minimum requirement (e.g. undergraduate degree or college diploma in any discipline) meet the formal education requirements for certification. All completed post-secondary education programs may be claimed to a maximum of 100 points as follows:
- The highest level of completed formal education will be awarded the maximum number of points as per the matrix below
- Each additional level of completed formal education will be awarded 50% of its point total
- Specialty certificates/diplomas/degrees within the scope of OHS practice should be claimed as non OHS programs (i.e. kinesiology, ergonomics, environment, etc). OHS programs must be generalist in content reflecting the CRSP generalist designation as outlined in the Examination Blueprint.
- Program length is based on full-time attendance. If you are enrolled as a part-time student and it takes two to three years to complete what is a one year program for a full-time student, you must claim it as a one-year program.
Factor 1: Formal Education – to be completed by all applicants (Pathway A, B, or C)
Minimum points required = 50; maximum points available = 100
Minimum requirement: a one year college/university certificate/diploma in OHS OR a two year college/university non OHS certificate/diploma.
Level Completed / College/
University / Program Name / Year Graduated/ Completed / Final Sealed Transcript Sent to BCRSP / QRC Use Only
Pathway A:
One year OHS college or university certificate or diploma
OR
Two year non-OHS college or university certificate or diploma
OR
Two year OHS college or university certificate or diploma or one year post diploma
OR
Three year non-OHS college or university certificate, diploma, degree or one year non-OHS post diploma
OR
Three year OHS college or university certificate, diploma or degree
OR
Four year non-OHS college or university diploma or degree
OR
Post graduate OHS degree (please specify length)
OR
Post graduate non- OHS college or university degree (please specify length)
Pathway B:
Four year OHSuniversity degree
Pathway C:
Four year non-OHS university degree
AND
Two year OHS college or university certificate or diploma
Factor 2: Professional Development – to be completed by Pathway A applicants
Minimum points required = 15; maximum points available = 100
List all OHS-related training courses/seminars/conferences you have completed beginning with the most recent. To obtain credit, you must attach a copy of the course/seminar/conference outline that shows the title of course, length of course, name of course provider, and a copy of any certificate received or furnish equivalent proof of completion such as a letter from the organization presenting the course/seminar/conference.
Professional development credits will not be granted without documentation.Documentation must be attached for each course/seminar/conference in the same order as listed on the application. If you do not have supporting documentation, do not list the professional development activity on your application.
In-house training will be considered, however, applicants must provide verification from their employer of course dates, content and successful completion. Orientation training to meet job requirements may not be claimed in Factor 2.
IMPORTANT: The time limit for Category A1 and A2 professional development activities is five (5) years or 60 months. (The 5 years (60 months) is calculated from the date the application is received by BCRSP.)
There is no time limit for Category B OHS credit courses.Individual courses from completed OHS certificates cannot be claimed under Factor 2.
Online Courses:
Points may be awarded based on technical contact time as identified by the course provider, not the actual contact time for the applicant completing the activity. If the course provider cannot provide contact time for the activity, no points will be awarded.
Pathway B and C:
If you are applying under the eligibility criteria defined under Pathway B or C you do not need to complete the Factor 2 section.
Activity / Value
A1. OHS courses/seminars/conferences of a minimum one day (6 hours) duration / 1 point/day
A2. Non OHS course/seminars/conferences of a minimum of one day (6 hours) duration / 1 point/day (to a maximum of 5 points)
B. College/university OHS credit course (not part of formal education – Factor 1) / 10 points/course
Factor 2: Professional Development – to be completed by Pathway A applicants
Minimum points required = 15; maximum points available = 100
List all OHS-related training courses/seminars/conferences you have completed beginning with the most recent. To obtain credit, you must attach a copy of the course/seminar/conference outline that shows the title of course, length of course, name of course provider, and a copy of any certificate received or furnish equivalent proof of completion such as a letter from the organization presenting the course/seminar/conference.
A1. / OHScourses/seminars/conferences, minimum of one day (6 hours duration) completed in the last five years (60 months).(from the date of application received)
Course Provider / Title of Course / Seminar / Conference / Total Hours / Start/Finish Dates / QRC Use Only
A2. / Non OHScourses/seminars/conferences, minimum of one day (6 hours duration)., to a maximum of 5 points completed in the last five years.
Course Provider / Title of Course / Seminar / Conference / Total Hours / Start/Finish Dates
B. / College or university credit courses having a minimum duration of one full semester (35 hours). College/universityoriginal transcript must be received in order to receive credit. Do not include courses completed for formal education programs claimed in Factor 1.
College/University / Course / Total Hours / Start/Finish Dates
Factor 3: Professional Practice (Related Experience) – to be completed by all applicants (Pathway A, B, or C)
Minimum points required = 50; maximum points available = 100
Credit will be given for each year of continuous OHS employment to a maximum of eighty-five months (seven years). The minimum requirement for registration is thirty-six months (three years).
NOTE: University/college/co-op work terms may not be applied to professional practice.
The Qualifications Review Committee evaluates each job position using the criteria listed on the Professional Practice Experience Formto determine whether it is accepted as professional practice. Failure on any one means that the position is not accepted.
You must complete a Professional Practice Experience Form for each position listed below for which you are seeking credit. Do not overlap time periods.
Note: Gaps in employment due to parental leave, LTD, returning to school full-time, unemployment, etc, to a maximum of 12 months will not negate the 36-month continuous employment requirement but must be identified on the application. Employment gaps of more than 12 months will be assessed on a case-by-case basis.
Full-time OHS related experience / Value
Minimum 36 months (3 years) / 50
37-60 months (3 years - 5 years) / 65
61-84 months (5 years - 7 years) / 80
85+ months (7+ years) / 100
Factor 3: Professional Practice (Related Experience) – to be completed by all applicants (Pathway A, B, or C)
Minimum points required = 50; maximum points available = 100
Credit will be given for each year of continuous OHS employment to a maximum of eighty-five months (seven years). The minimum requirement for registration is thirty-six months (three years). NOTE: University/college/co-op work terms may not be applied to professional practice.
Current Resume is Enclosed with Application
Employer / Job Title / Dates Employed (Month/Year to Month/Year)
Do not overlap months / Professional Practice Experience Form Enclosed / Job Description enclosed / Employer verification letter enclosed / QRC Use Only
Current Employer
1st previous employer
2nd previous employer
3rd previous employer
DECLARATION
I certify that the information contained in this application and all documents attached thereto, are factual and accurate to the best of my knowledge and hereby request assessment by the Qualifications Review Committee. If approved to proceed with the certification process, I agree to present myself at a Regional Screening Centre for interview. If approved to write the certification examination (CRSPEX), I understand that the examination is a computer based test (CBT) based on the Examination Blueprint and administered at third party test centres contracted by the Board. I agree to abide by the BCRSP’s Code of Ethicsand the Applicant Code of Conductand understand that the Governing Board shall be the sole authority as to who shall and who shall not be approved for certification.
Signature:
Date:
Application Assessment
The final determination of the acceptability of an applicant to proceed to a Regional Screening Centre interview is made by the Qualifications Review Committee. Applicants should not assume that their assessment of points awarded in Factors 1, 2 and 3 will be the same as that of the Qualifications Review Committee.
A minimum total of 150 points from all three Factors is required for applicants to proceed in the certification process. Applicants must obtain a minimum of 50 points in Factor 1 (Formal Education), 15 points in Factor 2 (Professional Development), and 50 points in Factor 3 (Professional Practice).
Applicant Code of Conduct
DEFINITIONS