2022 Application for Canadian Trained MLTs
Initial and reinstatement application form for MLTs trained in Canada. Due to the CMLTA changing registration systems during the first few weeks of January, this application form is being used as a temporary solution. Additional information may be requested by the CMLTA. All documents must be in English. Any translated documents must be done by the ATIA (Association of Translators and Interpreters of Alberta) and notarized. 
Your CMLTA registration # will be your CSMLS certification #.
Click or drag a file to this area to upload.
Click or drag a file to this area to upload.
Upload a current (dated within 90 days of receipt of application) copy of your criminal record check. Contact your local police agency, RCMP, or backcheck.net to obtain this document. All associated costs are the responsibility of the applicant.

MLT Education

Click or drag a file to this area to upload.
For recent graduates of CMLTA approved Canadian MLT education programs awaiting receipt of official diploma/degree, the CMLTA will accept a copy of unofficial transcripts in English stating the date the MLT diploma/degree was awarded in the interim. In lieu of a diploma/degree, the CMLTA will accept an official etranscript.

CSMLS Certification

MLT Employment

Section 6 of the Medical Laboratory Technologists Profession Regulation pursuant to the Health Professions Act requires that all applicants for MLT registration must have been employed for at least 900 MLT hours in the previous four (4) years. Recent graduates (i.e. graduated within the previous four (4) years) from an approved Canadian MLT education program are exempt.
Enter '0' if not applicable
Enter '0' if not applicable
Enter '0' if not applicable
Enter '0' if not applicable
Enter '0' if not applicable

Declaration Questions

Authorization for registration with the CMLTA as a Medical Laboratory Technologist, including the collection and provision of certain information, is granted under Sections 9, 28, 29, 30, 33, 34, 36, 43, 44, 46, 47, 48, 119, 120, 122, 128, and 129 of the Health Professions Act, Sections 2 through 12.4, 23, 24, and 25 of the Medical Laboratory Technologists Profession Regulation, and Article 4 of the CMLTA Bylaws, which are subject to revision from time to time. To complete your application for initial for reinstatement registration and an MLT Practice Permit, you must attest to the following declarations.
I understand and agree that it is a Regulated Member’s responsibility to provide the CMLTA with a valid email address and to promptly update this and all other contact information (including change of employment or employer) when changes occur.
I understand and agree that the CMLTA requires a Regulated Member’s email address for the purposes of executing CMLTA operations and fulfilling its mandate pursuant to the Health Professions Act and the Medical Laboratory Technologists Profession Regulation.
I understand and agree that all CMLTA emails will pertain to the regulation of the Medical Laboratory Technologist (MLT) profession and should be regarded as important CMLTA information, such as the notification of registration, annual MLT Practice Permit renewal, the Continuing Competence Program (CCP) Compliance Audit, and similar regulatory matters.
I understand and agree that all CMLTA emails must be opened and responded to promptly.
I consent to the CMLTA providing information to employers and prospective employers regarding my MLT registration status, MLT Practice Permit status, or both.
I understand and agree that it is my professional duty and responsibility to understand and comply with the requirements of the Continuing Competence Program (CCP).
I understand that all CMLTA CCP records are subject to review and I may be required to participate in a Compliance Audit and submit up to five (5) years of records or other relevant information to substantiate my Learning Plan and CCP compliance.
I agree that I apply the knowledge, skills, judgments, and attitudes necessary for my current area of professional practice.
I am aware that any false or misleading statements made by me or contained in documents provided by me may be grounds for referral to the Complaints Director for further investigation and may constitute unprofessional conduct under the Health Professions Act and could be the subject of a Hearing Tribunal hearing.
I have not been the subject of a member undertaking, a complaint, an investigation, a hearing, or an appeal related to unprofessional conduct under Part 4 of the Health Professions Act or any other enactment that regulates a profession in Alberta or elsewhere. If disagree, please provide particulars.
I have not been disciplined by any regulatory body responsible for the regulation of Medical Laboratory Technologists or for another profession. If disagree, please provide particulars.
I have not been charged with, pleaded guilty to, or been found guilty of (i) a criminal offence or similar offence in Canada or (ii) an offence of a similar nature in a jurisdiction outside of Canada. If disagree, please provide particulars.
I do not have a criminal record. If disagree, please provide particulars.
I have not received a full or partial pardon for a criminal or similar offence in Canada or elsewhere. If disagree, please provide particulars.
I have not been the subject of an incapacity assessment, a fitness to practice assessment, or a similar assessment relating to my practice as an MLT or a healthcare provider. If disagree, please provide particulars.
I have not been refused registration or a Practice Permit under the Health Professions Act nor have I been refused registration, a Practice Permit, licensure, or certification with a professional regulatory body. If disagree, please provide particulars.
By clicking the submit button, I acknowledge I have read and understand the CMLTA Declarations as stated above and confirm and declare the information I have provided is accurate and complete. I am aware the information I provide will be used and disclosed as provided for under current legislation by the CMLTA in carrying out its regulatory functions.
MLT Registration Dues will be paid separately once your application has been approved.
$ 0.00