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Surname Given Name Other name s if surname and/or given names have changed OR if alternate name s or different spelling s of your name s appear on documents Home Phone Cell Phone Pager Email Permanent Address Street Address Apartment/Unit City Province Country Postal Code Current Address if different from permanent address PART B LEGAL STATUS Are you a Canadian Citizen OR As of year Page - 1 - of 3 Landed Immigrant PART C PROGRAM SURVEY How did you learn about the Alberta Clinical and Surgical Assistant Program Please check all that apply. Website AHS Website Other College of Physicians and Surgeons of Alberta CPSA Previous ECAP or CCAP Participant Other IMG Licensed Physician AHS Physician or Employee Community Resource for Immigrants ie. Alberta Clinical and Surgical Assistant Program ACSAP Application Form PART A CONTACT INFORMATION It is the responsibility of the applicant to update the ACSAP office immediately regarding any changes to the information provided below. Surname Given ....

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How to fill out the Acsap online

The Alberta Clinical and Surgical Assistant Program (ACSAP) application form is a crucial document for candidates seeking to participate in the program. This guide will provide clear and supportive instructions on how to accurately complete the online form.

Follow the steps to successfully complete your Acsap application.

  1. Click the ‘Get Form’ button to access the application and open it in the form editor.
  2. Begin with Part A: Contact Information. Fill in your surname, given name, and any other names you may have. If applicable, provide your home phone, cell phone, pager, and email addresses. Enter your permanent address, including street address, apartment or unit number, city, province, country, and postal code. If your current address differs from your permanent address, make sure to fill that information in as well.
  3. In Part B: Legal Status, indicate whether you are a Canadian citizen or a landed immigrant. Include the year if necessary.
  4. Proceed to Part C: Program Survey. Here, mark how you learned about the ACSAP by checking all applicable options listed.
  5. Next, read through Part D: Application Terms and Conditions carefully. You will need to certify that the information provided is true and complete. Sign and date where indicated.
  6. Move to Part E: Mandatory Requirements Checklists. In Part E1, ensure you have checked all items in the Application Package Checklist, which includes your completed application form, curriculum vitae, reference letters, and legal status documentation.
  7. For Part E2, review the Document Sharing Checklist, confirming that you have shared the necessary documents via the appropriate portal.
  8. Once all sections are completed, you can save your changes, download the form for your records, or print a copy if needed before submitting.

Complete your ACSAP application online today for a streamlined submission process.

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