Declaration by a candidate practicing a regulated profession or trade in Qubec

A-0527-JA (2012-08)

This declaration must be signed by individuals practicing or trained to practice a profession or trade which corresponds in Quebec to one of the following regulated profession or trade: Professions governed by a professional order (if you are physician, consult and sign the Declaration by a graduate of a medical school outside of Canada and the United States); Regulated trades in the construction industry (governed by the Commission de la construction du Qubec); Vocational qualifications regulated by Emploi-Qubec (regulated trades outside the construction industry); Professions in financial sector (governed by the Autorit des marchs financier). Please refer to the list of professions and trades appearing on the back to check if you need to sign this declaration.

I, the undersigned, ________________________________________________________________________________________________________ ,

Name of the candidate

a ____________________________________________________________________________________________________ by profession or training,

Profession or trade

hereby declare that I have taken note of the requirements for obtaining the permit or the certification that will authorize me to practise my profession or trade in Qubec. Fact sheets providing information on those requirements can be found on the following website: www.immigration-quebec.gouv.qc.ca/en/employment/regulated-professions/index.html. I understand that: obtaining a Qubec Selection Certificate (CSQ) does not in any way guarantee that I will be authorized to practise my profession or trade in Qubec; in order to practise my profession or trade in Qubec, or to use a reserved professional title, I must obtain a permit or certification from the regulatory body that governs the practice of my profession or trade in Qubec; in order to obtain this permit or certification, I must submit to the requirements established by this body, and that I may not meet these requirements or may only partially meet them; the degree earned in my country or in another country, or the permit or certification issued in my country or in another country or in another Canadian province or territory, does not automatically give me the right to practise my profession or trade in Qubec; I may have difficulty obtaining access to bridge training in order to meet the standards established by this regulatory body in order to eventually obtain the right to practise my profession or trade in Qubec; in order to practise a profession governed by a professional order in Qubec, I must have an appropriate level of knowledge of the French language, pursuant to Article 35 of the Charter of the French Language; as soon as possible, I must contact the regulatory body that governs the practice of my profession or trade in Qubec if I intend to practise my profession or trade in Qubec.

Signed in ______________________________________________________________________ on _______________________________________

City

Date

Applicants signature

Please sign the original and return it with your application. Keep a copy for your records.

Ministre de lImmigration et des Communauts culturelles

A-0527-JA (2012-08)

List of regulated professions and trades referred to in this Declaration

Professions governed by professional orders Acupuncturist Advocate (lawyer) Agronomist Architect Audiologist Bailiff Certified human resources or industrial relations counsellor Certified interpreter Certified terminologist Certified translator Chartered administrator Chartered appraiser Chartered professional accountant Chemist Chiropractor Dental hygienist Dental technician Dentist Denturologist Dietician Dispensing optician Engineer Forest engineer Geologist Guidance counsellor Hearing aid acoustician Land surveyor Marital and family therapist Medical electrophysiology technologist Medical imaging technologist nuclear medicine Medical imaging technologist radiodiagnostics Medical technologist Midwife Notary Nurse Nursing assistant Occupational therapist Optometrist Pharmacist Physical rehabilitation therapist Physiotherapist Podiatrist Professional technologist Psychoeducator Psychologist Radiation oncology technologist Respiratory therapist Social worker Speech therapist Town planner Veterinary surgeon Regulated trades and specialized occupations in the construction industry Blaster Boiler maker Bricklayer-mason Building locksmith Carpenter-jointer Cement finisher Crane operator Electrician Electrician specialized in security system installation Elevator mechanic Erector mechanic (glazier) Fire protection mechanic Heavy equipment mechanic Heavy equipment operator Insulator Interior systems installer Lineworker Mechanical shovel operator Ornamental iron worker Painter Pipe fitter Pipe welder (high pressure) Plasterer Refrigeration mechanic Reinforcing steel erector Resilient flooring layer Roofer Scuba diver Site mechanic Surveyor Tile setter Tinsmith Welder Regulated vocational qualifications Non-construction sector Blaster Drinking water Electrician Elevator mechanic Elevator platform mechanic Halocarbons Lift mechanic Natural gas and propane attendant Oil heating Plumber Pressure system inspector Pressure vessel welder Refrigerationist Stationary machine mechanic Stationary machine, refrigeration unit mechanic Technical process piping Regulated professions in the financial sector The Autorit des marchs financiers (financial market authority) issues a representatives certificate to agents and brokers operating in the following fields: Financial planning Insurance Securities

Ministre de lImmigration et des Communauts culturelles

A-0527-JA (2012-08)