Canadian Physiotherapy Association - Physiotherapy, It'll Move You


Step 1 of 4	Student Join Now

Welcome to CPA’s on-line membership application for physiotherapy students

Note: After August 1, 2010, "Student Join Now" is for the 2010/11 membership year. To join as a student for the remainder of the 2009/10 membership year, please fill out a student application form and fax it to the CPA Office.

Entry-level physiotherapy students joining CPA for the first time can join CPA on line. We just need your contact information, and details about your school and anticipated graduation date. Please note that in order to assist in verifying your status as a student, you MUST use your school-issued e-mail address in order to join (e.g, janedoe@utoronto.ca).

Please provide us with your contact information:

Salutation:

First Name:

Middle Name / Initials:

Last Name:

Address Line 1:

Address Line 2:

City:

Province/State:

Postal / Zip:

Country:

Home Phone:

E-Mail:

Please provide us with some personal details – please note that this information is confidential and is not shared with anyone.

Date of Birth:

Gender:

Male Female

Language Preference:

English French

Please provide us with some information on your physiotherapy education. Note: If you do not know your "day" for graduation (not date of convocation), enter 01, and complete month and year as accurately as possible.

Please provide us with the year of study you are currently in. If you are graduating before December 31, 2009 please select option “Graduation year – before Dec 31”.

Entry-level School:

Student Year:

Entry-level Credential:

Anticipated Graduation Date: