COLLEGE OF ALBERTA DENTURIST

Application for Initial Provisional Regulated Member Registration

It is your responsibility to read, review and ensure that all required documents are completed and all applicable fees remitted.

The registration form and supporting documentation will be received electronically and you will be advised via email when your application has been approved.  Please be advised that until approved by the Registrar and a practice permit has been issued you cannot practice as a denturist in Alberta.

To register as a regulated member:

-
if you are/were registered as student member with the College, please do not proceed with the online application.  Contact the College at 780.429.2330 or 1.844.380.1711 or via email reception@collegeofabdenturists.ca

- Select the applicable registration form ( See Application Forms ) and complete in full.
  • Please note that this is a legal document and as such you are required by law to provide truthful and complete response to all requested information, both personal and business.
  • Please provide the response N/A if not applicable.
  • If you own or work at more than one clinic please click on the icon and complete the information required.
  • To enter hours you are normally at the clinic location, please enter as follows:
    Example:  Monday - 8:30 - 4:30
  • All numbered questions or items marked with an asterisk must be completed in order for you to continue to the next page.
  • Please note the entry for any date is as follows:  Month/Day/Year
- If using a credit card for payment, please ensure that the name provided is the name as it appears on the credit card and the billing address of the card holder is required for the payment to
be processed.

- The following information should be printed, completed, scanned and uploaded as requested:
  • Passport-type photo
  • Current CPR certificate
  • Birth certificate or documentation indicating legal entitlement to work in Canada
  • Current (within the immediately previous six months) Criminal Record Check with Category A Vulnerable Sector Search
  • Two Character Declaration forms
  • Registration Declarations form
 - please provide original transcripts of marks from your denturist technology program to the College
405, 10408 124 Street NW
Edmonton AB T5N 1R5

- please provide the following to the College via email at reception@collegeofabdenturists.ca
  • a copy of your diploma from a denturist technology program
  • a completed Supervised Practice Agreement for each clinic in which you will be working on a provisional practice permit
- Please be advised that the College retains the right to require you to demonstrate proficiency in English, if necessary (Pursuant to Section 8.1(1) of the Denturists Profession Regulation)