New Second Year Graduate Sign-up





Organization Information

Note: You will be able to add additional office locations after your membership has been approved.


Do you offer home visits?
 Y    N









Profile Information

Education
 D.Ch.  
 D.Pod.M.  
 S.R.Ch.  
 DPM  
 B.Sc.  
 BA  
 BSc Pod Med  
 MCLSC-WH  
 NHD Pod  
 Hons BSc. Pod  


Registered Providers
 VAC - Veteran's Affairs Canada  
 ND - National Defense  
 CAF - Canadian Armed Forces  
 RCMP - Royal Canadian Mounted Police  
 ADP - Assistive Devices Program  
 WSIB - Workplace Safety Insurance Board  
 ODSP - Ontario Disability Support Program  
 Ontario Works  
 NIHB - Non-Insured Health Benefits for First Nations and Inuit  


Other Languages Spoken
 Afrikaans  
 American sign ASL  
 Arabic  
 Cantonese  
 Croatian  
 Czech  
 Dari  
 Dutch  
 Ewe  
 Farsi  
 French  
 German  
 Greek  
 Hebrew  
 Italian  
 Korean  
 Mandarin  
 Ndebele  
 Portuguese  
 Polish  
 Punjabi  
 Russian  
 Slovak  
 Spanish  
 Tagalog  
 Twi  
 Ukrainian  
 Vietnamese  
 Xhosa  
 Zulu  

Privacy Information

Date of Birth


Would you like your membership renewed automatically by credit card?
 Y    N

Who can view your profile?
 public    members only    administrators only

Do you give permission to the OSC to share your information with suppliers and advertisers?
 Y    N

Display my email in my membership profile?
 Y    N

Do you want to join the general membership ListServ? (Please note: it takes up to 24 hours to get added to the ListServ)
 Y    N

    

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