Nova Scotia Dietetic Association

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Initial Registration Application

Instructions

In order for this application to be processed you must:

Complete all relevant sections of the form.
Upload/send all required documents (see document list below).
Send transcript(s) of marks from university(ies) in sealed envelope or request that university send them directly to NSDA.
Incomplete applications will be denied. Applicants should note that approval of a completed application, including all required documents, may take up to four weeks. If your application is denied, your registration fee will be returned and you will be advised of the reason(s) for the decision and the appeal process.
If your cheque is returned because of insufficient funds (NSF), the application will be held back until payment is honoured. An incomplete application or NSF cheque will delay the processing of your application. There is a penalty of $25.00 for NSF cheques.

Documents

If you will be uploading a copy of your birth certificate or citizenship documentation with this application, please make sure you have the following scanned in PDF or JPG format before you begin.

Alternatively, you can send your copy of your birth certificate or citizenship documentation by regular mail but this will considerably lengthen the time for processing.

Required Documents:

These documents are required in order to complete the application.

Copy of birth certificate or citizenship documentation.
An official transcript of all pertinent courses. Transcripts must be sent to NSDA in a sealed envelope or sent directly to NSDA from the university.
If your university transcript does not yet state that you have met degree requirements, provide a verification letter from the university indicating completion of degree requirements.
Verification letter from the institution (e.g. internship director) where you completed your practicum program.

Situation Specific Documents:

These documents may be required, depending on your situation.

If English is not first language, proof of English language proficiency may be required.

Members Info

Step 1 of 10

Given Name(s)

Surname

Previous Name

Date of Birth

Gender

Phone

Address

Address Line 2

Alternate Email

Country

Province

Postal Code

City

Class of Registration

Step 2 of 10

Class of Registration

Full Registration: Has met basic requirements of the profession and is able to practise in the profession in Nova Scotia.

Temporary Registration: A temporary member has met all registration requirements (with the exception of the examination). This application for temporary membership is also the application to take the next sitting of the Canadian Dietetic Registration Exam.

I have unsuccessfully written the Canadian Dietetic Registration Examination in the past.

Date of Exam

Exam Preferences

What is your language of choice for taking the CDRE?

In which province do you intend to take the CDRE? (Notify NSDA if this changes).

Do you require a special accommodation?

Yes

No

If yes, complete and submit Form for Candidates Requiring Special Accommodation, found in the CDRE Preparation Guide to NSDA.

Language Proficiency

Step 4 of 10

If your first language is not English, documentation of English proficiency may be required.

First Language

Exam Language

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

English

French

Other

Other language

Academic Qualifications

Step 5 of 10

Please add at least one basic Academic Qualification record to proceed. Add other Academic Qualification histories if applicable.

Type of Academic Qualification

Field of Study

Institution

Program Type

Year Completed

Degree/Diploma/Certificate Obtained

Address

Country

Province

City

Postal Code

Practical Training

Step 6 of 10

Please add at least one basic practical training record to proceed. Add other practical training records if applicable.

Program Name

Program Director

Year Completed

Address

Country

Province

City

Postal Code

Employment

Step 7 of 10

For the purpose of assessing currency of professional knowledge and skills, have you actively practiced as a dietitian or nutritionist for at least 800 hours within the last three years?

Yes No

What is your current employment status?

Do you have previous employment as a dietitian in any jurisdiction at any time in the past?

Yes No

I do NOT wish to have my employment contact information made available to other members.

Employer Details

Employer Name

Country

Province

District (NS)

City

City

Address

Postal Code

Phone

Employer Type

Department

Division/Site/Campus

Position Details

Employment Category

Position Title

Primary Function

Dietitian or regulated health professional is required in this role. Yes No

Time Status

From Date

To Date

Job Title

Name of Manager/Supervisor

Title of Manager/Supervisor

Please describe briefly what your job duties will be and/or the area in which you will practice.

Birth Certificate or Citizenship Documentation

Step 9 of 10

I will be uploading a scanned copy of my birth certificate or citizenship documentation with this application:

Yes No

Item	Uploaded
Verification of Practicum Completion - Required		Upload File
Proof of Citizenship - Required		Upload File

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

Please send your documents to:
Nova Scotia Dietetic Association
380 Bedford Highway, Suite 301
Halifax, NS, B3M 2L4

Payment of Fees

Step 10 of 10

In order for your application to be processed you must submit all applicable fees.

Application fees (non-refundable):

$85.00 - Canadian Education
$400.00 - Assessment fee for international applicants (do not pay membership fee)

Full registration fees:

$400.00 - Full membership
$200.00 - After September 30^th

Temporary registration fees:

$466.00 - from September 26 to March 24 (writing November exam)
$266.00 - from March 25 to September 25 (writing May exam)

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.

You verify that all statements contained in this application are accurate and understand that a false or misleading statement or misrepresentation may be cause for revocation of your license,

You agree to keep your account profile up-to-date (e.g. email address, current employment information),

You understand that you may be required to provide further documentation and information and undertake other assessments in order to determine eligibility for registration with NSDA, and that the regulatory body will contact you if additional documentation is necessary,

You provide consent for NSDA to disclose personal information to third parties and for third parties to disclose personal information to NSDA that may be necessary for NSDA to process your application and verify the information that you have provided,

You are aware that you may not practice or use protected titles Dietitian, Nutritionist or the initials P.Dt. in Nova Scotia until you have been formally notified by NSDA that you are entitled to do so,

You are aware that you may not begin employment as a dietitian until you have been formally notified by NSDA that your application has been approved.

You are aware that personal information requested on this form is used for the purposes of administration of Labour Mobility Agreements with other regulatory authorities, administration of the Canadian Dietetic Registration Examination, and generally for regulatory activities under the Dietitians Act. You consent to the collection, use and disclosure of your personal information for such purposes.