ORDRE DES COMPTABLES
PROFESSIONNELS AGRÉÉS
DU QUÉBEC
CPA, CGA Practical work experience
authorization request form
BUREAU DE LA RUE SHERBROOKE
680, rue Sherbrooke Ouest, 18e étage
Montréal (Québec) H3A 2S3
T 514 288-3256 • 1 800 363-4688
Please write in print lettering
Take note
To submit a proposal for their practical work experience, candidates must have completed
their bachelor degree (or equivalent).
1. Candidate identification
ID number
Last name
First name
Address (No., street and apartment)
City
Province
Telephone home
Cell. phone
Postal code
E-mail (mandatory)
Name of the employer
Immediate superior’s name
Position
Number of hours worked per week
Duration of contract (if applicable)
Type of organization
Number of employees
Address of the employer (No., street and suite)
City
Province
Extension
Telephone office
Postal code
Fax
2. Status of the training supervisor
My CPA training supervisor is my immediate superior
My CPA training supervisor works in the same organization but he’s not my immediate superior
My CPA training supervisor doesn’t work in the same organization because there are no CPA members within the organization
3. Documents to be attached
You must submit a letter of attestation signed by your employer together with your duly completed application signed by you and your training supervisor.
The letter must be printed on the employer’s letterhead and must include the following information: title of position held, hiring date, number
of hours worked per week, detailed description of duties indicating the percentage of time spent on each. Only original documents are accepted.
Your application can only be processed if it is complete.
Réservé au personnel de l’Ordre
Accepté
Refusé
Commentaires :
Date
Signature
Please note that it takes eight weeks to process authorization requests for practical work experience.
*To know all the rules related to the practical work experience, please refer to the Practical Training Guide, available on our Web site, under Become a CPA, CGA/Practical
Training Program.
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CPA, CGA Practical work experience
authorization request form
ORDRE DES COMPTABLES
PROFESSIONNELS AGRÉÉS
DU QUÉBEC
Please write in print lettering
ID number
4. Training supervisor identification
The training supervisor must hold the CPA, CGA, CPA, CA or CPA, CMA designation.
Are you already a training supervisor?
CPA, CGA member number
No
Yes
CPA, CA member number
CPA, CMA member number
Last name
First name
Address (No., street and apartment)
City
Province
Telephone home
E-mail (mandatory)
Name of the employer
Postal code
Position
Address of the employer (No., street and suite)
City
Telephone office
Are you the immediate superior of the candidate?
Postal code
Province
Extension
Yes
Fax
No
If not, what is your position relative to the candidate?
Declaration et signature
I hereby solemnly declare not to reveal or disclose anything I might have learned while fulfilling my duties as a training supervisor without the authorization of
the CPA, CGA candidate and the Ordre des CPA du Québec.
YYYY / MM / DD
Signature
Date
5. CPA, CGA candidate attestation
I hereby declare that the information provided in this form is true and that I have made sure to complete and sign it. I understand that any false or incomplete
statement could have negative implications.
YYYY / MM / DD
NOTICE
The information in this form is collected for the purposes of protecting the public, monitoring the conditions giving access to the permit of the Order and for registering as
a candidate to the practice of the profession, carrying out research, compiling statistics and conducting surveys. It will be made available for these purposes to all staff
members of the Order to enable them to carry out their duties. The contact information contained herein may be transmitted to universities and training supervisors in their
capacity as mandataries of the Order, to ensure that the regulations governing the training period and the Professional Education Program (CPA, CGA path) are applied and
that adequate supervision is provided. This information may also be used by the Order for organizational purposes or to offer you goods and services, unless the access
officer at the Order is instructed otherwise in writing.
The information and the file that the Order currently maintains relating to you are kept at its head office. Under the law, you have a qualified right of access to them or to
request that corrections be made.
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