Nova Scotia College of Counselling Therapists

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Initial Registration Application

All persons wishing to have their credentials considered for the designation Registered Counselling Therapist - Candidate must submit this completed application, with all required attachments, to the Nova Scotia College of Counselling Therapists. Please use the checklist below to ensure that you have included all additional documents required for review. Only original completed applications will be considered. Please ensure you complete all sections on every page.

ITEMS 1-7, and 11 are to be sent with this application.

ITEMS 8-10 must be sent directly from the source.

Course Descriptions of all Graduate Level Courses taken.
An original Criminal Record with Vulnerable Sector Check conducted within the previous 3 months.
Cheque or money order made out to the “Nova Scotia College of Counselling Therapists” for the nonrefundable Registration Application Fee of $ 100.
Current resumes of both Applicant and Proposed Supervisor.
Section A (2) Provide response, and if required, enclose test results.
Letter to Registration Committee (item ‘J’ on application).
Completed ‘Graduate Degree Obtained in Canada’ form. If degree was conferred by a university located outside Canada, contact the Registrar for the appropriate form to use.
Practicum Description Form, signed and sent to NSCCT by your University Practicum Professor or Practicum Supervisor.
Two Professional References (using the Professional Reference Form) sent by referees directly to this office.
An Official Transcript of your graduate degree, indicating that your degree has been conferred*, to be sent directly from from the institution’s Registrar, stating the Institution to the NSCCT Registrar. *If your degree has not yet been conferred, your Transcript, along with a letter that all requirements for graduation have been met, can be submitted.
Evidence of professional liability insurance policy coverage of $1,000,000 minimum.

Additional information and forms can be found here.

Members Info

Step 1 of 13

Given Name(s)

Surname

Previous Name

Date of Birth

Gender

Phone

Address

Address Line 2

Country

Province

Postal Code

City

Fax

Language Proficiency

Step 3 of 13

Masters-level Counselling Degree Language

All courses taken by me in my Masters level counselling degree were in English.
I have completed an English Language Proficiency test.

You must provide NSCCT with an official copy of your English Language Proficiency evaluation with this application ("Supporting Documents" section of this application). Please note: you may be required to take another test if NSCCT finds this test or the score to be unsatisfactory.

Primary Language

Will you be able to provide professional services in (Check all that apply)

English

French

Other

Other language

Education

Step 4 of 13

Please add at least one counselling therapy education record to proceed. Add other education if applicable.

Type of Education

Field of Study

Institution

Program Type

Year Completed

Address

Country

Province

City

Postal Code

Practicum Details

Step 5 of 13

Please add details for your practicum(s) below.

Practicum Supervisor

Name

Employer

Position

Professional Qualifications

Email

Phone

On-Site Supervisor

Name

Employer

Position

Professional Qualifications

Email

Phone

Professional Registrations - Optional

Step 6 of 13

Please complete the attached Registration/Licensure Data Verification Form to support your status or registration with a regulatory/licensing organization. This step is optional.

Regulatory/Licensing Body

Province/State

Country

Reg./License No.

Date Registration Held From

Date Registration Held To

Employment - Optional

Step 7 of 13

This step is optional.

Is this your primary or secondary employer?
Primary Secondary N/A

Is this proposed employment (i.e. an offer of employment)?
Yes No

Employer Details

Employer Name

Country

Province

District (NS)

City

City

Address

Postal Code

Phone

Fax

Employer Type

Department

Position Details

Employment Category

Position Type

Are you engaged in clinical education / preceptor activity?

Yes No

Time Status

Start Date

End Date

Primary Area of Practice

Practice Details

Are you currently taking new clients?
Yes No

Website URL

Self-Declared Clientele

Counties

Professional Liability Insurance

Step 8 of 13

Do you have Professional Liability Insurance?

Yes

No

Provider

Policy Number

Effective Date

Expiry Date

Professional References

Step 9 of 13

Referees are asked to complete the Professional Reference Form and submit it directly to the NSCCT at the address noted on the form or sent to registrar@nscct.ca and dated within 2 months of the date of this application.

Name

Email

Professional Relationship to Applicant

Professional College/Association to which referee belongs

Registration Number with Above College/Association

Address

Address Line 2

City

Province

Postal Code

Graduate Counselling Courses

Step 10 of 13

Record all Masters level courses you have taken in your "counselling therapy education program" using the ones listed as a guide. Check that the course content in your description corresponds with the content in the generic course description listing, 'Graduate Course Content' available in Section A of the 'Guide for Preparing Your Registered Counselling Therapist-Candidate Application'.

Notes:

Please include full descriptions in the provided fields for all of the courses you list below.
An official transcript from the institution(s) where the courses recorded below were taken is required to be sent directly from the institution's Registrar's office to NSCCT. If the institution is not in Canada, contact the NSCCT Registrar.
You must include one entry for each of the four compulsory courses listed below. Of the additional courses you list, you must ensure that a minimum of four are chosen from the 'Additional Courses' listed below. Of these, no more than two courses per category can be accepted. While course names may vary, course content should be similar. The balance of the credit hours of Masters level courses taken should complete the list, be recorded below and verified in your University transcript.

Your Course #

Your Course Title

Your Course Description

Category

Credit/Hours

Date Completed

Declaration and Disclosure of Information

Step 11 of 13

If your answer is YES to any of the following questions, you MUST provide full details in the text area provided.

Have you ever been subject to a complaint or disciplinary process with any professional association or regulatory body in any jurisdiction, including current investigations/proceedings with respect to alleged professional misconduct, incompetence or incapacity?

Yes No

Please provide details

Have you ever been charged with, pleaded guilty to, convicted of or found guilty of any offence in or out of Canada, or has there been a civil case initiated against you that relates in any way to your professional practice as a Counselling Therapist or might be construed by the public as relating to issues of character and trust?

Yes No

Please provide details

Have you ever been a member of another regulated profession in any jurisdiction (including as a Counselling Therapist or equivalent outside of Nova Scotia, or as a member of another profession in Nova Scotia or another jurisdiction)?

Yes No

Please provide details

Are you currently experiencing a medical, physical, mental or emotional disability, condition or disorder that may impair your ability to practice Counselling Therapy safely and competently?

Yes No

Please provide details

Supporting Documents

Step 12 of 13

I will be uploading scanned documents with this application:

Yes No

Item	Uploaded
Criminal Record Check - Required		Upload File
Vulnerable Sector Check - Required		Upload File
'Graduate Degree Obtained in Canada' OR 'Graduate Degree Obtained Outside Canada' Form - Required		Upload File
Proof of Professional Liability Insurance - Required		Upload File
Proof of English Language Proficiency		Upload File

Sending your documents by regular mail will considerably lengthen the time for processing.

Please send your documents to:
Nova Scotia College of Counselling Therapists
Unit 207 - 1 Kingswood Dr.
Hammonds Plains, NS, B4B 0P4

Payment of Fees

Step 13 of 13

In order for your application to be processed you must submit payment of your registration and application fees.

Select a class of registration above to see fee...
Registration Fee: $460.00
Registration Fee: $350.00
Registration Fee: $430.00
Registration Fee: $110.00
Registration Fee: $55.00
Registration Fee: $55.00
Application Fee: $110.00

Choose Your Method of Payment

Credit Card

Send a Cheque or Money Order via mail

Interac e-Transfer

Upon submission, you will be asked to provide credit card information. Visa MasterCard American Express

Upon submission, you will be given mailing details.

Upon submission, you will be given instructions on where to send your e-Transfer.

I certify that all of the information included in this form and accompanying documents is correct in consideration of which I wish to apply for Candidacy as an RCT as stated. I agree to abide by the ‘Code of Ethics’ and ‘Standards of Practice’ of the Canadian Counselling and Psychotherapy Association *. If I am granted Registration by NSCCT and practice counselling as a private practitioner, I do so at my own risk. I hereby release NSCCT from any and all liability and/or claim that may arise from any decisions to practice privately as a Registered Counselling Therapist -Candidate. I understand that all material submitted to the College becomes the property of NSCCT upon receipt and that neither originals nor photocopies will be returned to me unless stated in correspondence. I have included a valid Criminal Record with Vulnerable Sector Check report conducted within the last 3 months, and, a Child Abuse Registry check if my practice does or will include persons under 16 years of age. * As per Section 41(1) of the NSCCT By-Laws, the Code of Ethics and Standards of Practice adopted by the College are the CCPA Code of Ethics and Standards of Practice.

I have made arrangements for the original documents noted below to be completed and forwarded to the NSCCT Registrar, and until these are received, I understand that my application cannot be reviewed. I understand that I am responsible for any inquiries about these documents having been sent to the College and that I will hear from the Registrar or designate when all documents have been received for the next Registration Committee review.

Practicum Description for RCT-Candidacy Application

Professional reference Forms (2)

Official University Transcript

Matthew Lafond, Registrar
Nova Scotia College of Counselling Therapists
Unit 207 - 1 Kingswood Dr.
Hammonds Plains, NS
B4B 0P4