Class Change Application Form

All Registrants of the College are provided a certificate of registration that is in one of two classes: - General Class - for those who are practising and seeing patients. - Inactive Class - for those who are not practising or seeing patients. This Class Change Request Form is used when a Registrant wishes to change their certificate of registration from one class to another. Please note that the information required and the fees associated with your request will change depending on which class you are moving into and how long you have been in your current class. Please review the information provided and questions posed carefully to avoid errors and delays.

1. BEFORE YOU COMPLETE THIS FORM

When to Submit Your Application

Any registrant wishing to change their class of registration may do so at any time; however, you should submit your application and any documentation no more than ten (10) business days prior to the date you intend to change class in order to allow for sufficient time for the application to be processed.

Registrants may change their class of registration during the Registration Renewal period; however, as this is not an immediate process and may require the anticipated ten (10) business days for the College to process, please allow ample time.

In order for you to proceed to renew in your new class, you will have to wait for the College to notify you that your change request has been completed. There is a blackout period for the final 10 days of the renewal period for class changes to be processed. Any requests received between mid-March and March 31st will be processed AFTER the renewals have been completed. Please renew in your current class of registration to avoid late fees being applied.

Step 1: Completing Your Application

Complete this on-line application carefully providing all of the information and documentation requested. Applications that are incomplete or are missing required documentation may result in processing delays.

Step 2: Submitting Your Documentation

Required documentation will be identified below. While this documentation may be mailed to the College, it is strongly recommended that the documentation be scanned and uploaded to this form to expedite processing time. If you wish to mail it to the College, the College's address is provided below.

College of Naturopaths of Ontario

ATTN: Registration Department

10 King Street East, Suite 1001

Toronto, ON M5C 1C3

Step 3: Payment of Fees

Once your application has been received, the College will apply a fee for processing your application. The fee will be entered into your account in your profile with the College. You will receive an email from the College when the fee is added to your account. The fee may be paid on-line in the Registrant Portal. The processing of your application cannot be completed until the fee is received. Inactive class registrants will also be required to pay the difference between the Inactive class and General class registration fee.

Step 4: Confirmation of Class Change

Once your documentation is received and processed, you will receive a letter from the Chief Executive Officer confirming the change of class for your certificate of registration. You will then be able to download a new certificate of registration from your account page on the College’s website.

Should you require any further information regarding this process, please contact the registration department at registration@collegeofnaturopaths.on.ca or 416-583-6002.

2 INFORMATION ABOUT YOU

Please provide the following information about you as it currently appears in the public register.

3 First Name

Please enter your first name as it appears on the public register (Naturopath Search) on the College's website.

4 Middle Name

Please enter your middle name, if applicable, as it appears on the public register (Naturopath Search) on the College's website.

5 Last Name

Please enter your last name as it appears on the public register (Naturopath Search) on the College's website.

6 Registration Number

Please enter your Registration Number with the College of Naturopaths of Ontario

7 Email Address

Please enter your email address

8. PRELIMINARY CLASS CHANGE INFORMATION

Please provide the following information to assist the College in identifying the class change process that is appropriate for you. You are strongly encouraged to review the Public Register (Naturopath Search) on the College's website.

9 Current Class

Please enter your current class of registration.

General Class

Inactive Class

10 Date you entered your Current Class

Please enter the date you entered your current class of registration. You can find this information from the Public Register (Naturopath Search) on the College's website or by logging in to the Registrant portal on the College's website.

yyyy-mm-dd

11 Class You are Changing Into

Please enter the class of registration into which you are seeking to move.

General Class

Inactive Class

14 Effective Date

Please enter the date by which you wish the class change to be completed. If you are in the General Class, it is the date you wish to formally change to the Inactive Class. If you are in the Inactive Class, it is the date on which you intent to resume practising the profession.

yyyy-mm-dd

18 INFORMATION & DOCUMENTATION

In this section, additional information will be sought as well as details provided regarding documentation that is necessary for your specific type of class change. Please review this information carefully.

28 Method of Providing Supporting Documentation

Please indicate how you will be providing the required documents to the College.

Mailed to the College

E-mailed to registration@collegeofnaturopaths.on.ca

Upload Now

30 DECLARATIONS

Please review the following declarations and indicate whether your agree or disagree with each.

33 Good character

I agree and understand that I am responsible, at all times, for providing the Chief Executive Officer (CEO) with details of any new information pertaining to findings of guilt, current proceedings, other registrations, or any other issue related to good character. I understand I must provide any new information to the CEO within thirty (30) days and that this requirement continues regardless of my class of registration.

I Agree

I Do Not Agree

34 Information verification

I hereby understand the College of Naturopaths of Ontario may make such inquiries as it deems appropriate for evaluating my application for registration to practise naturopathy in Ontario.

I Agree

I Do Not Agree

35 Complete and accurate

I hereby declare the contents of this application are true and complete. I understand and agree that if I make a false or misleading statement or representation in respect of my application, I shall be deemed not to have satisfied the requirements for a certificate of registration. I further understand and agree that if a certificate of registration is issued to me based upon a false or misleading statement or representation, the certificate maybe revoked.

I Agree

I Do Not Agree

38 SIGNATURE

I affix my digital signature

39 Signature By checking the box below, you are affixing a signature to this form and indicating that this form and the information contained herein is bound directly to you. Your are acknowledging the fee that is required for this request and agreeing that you will pay the fee stipulated to the College.

I affix my digital signature

40 Completion Date

I have completed this undertaking on the date noted.

yyyy-mm-dd

41 RETAIN A COPY OF YOUR SUBMISSION

Below is a check box to receive a copy of your submission. It is highly recommended that you check this box and enter your e-mail address. This will enable the on-line system to send you a copy of the information that you have provided to the College.

Send me a copy of my responses

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