Combined Master s Program Application

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1 Chartered Professional Accountants of Ontario 25 York Street Suite 1100 Toronto ON M5J 2V5 T F Toll Free Candidate No: (Office use only) Combined Master s Program Application PLEASE PRINT Surname Given Name Middle Name TITLE: Mr. Mrs. Miss Ms. Dr. Prof. Other Designations BIRTHDATE: Male Female mm/dd/year BUSINESS ADDRESS: COMPANY NAME: POSITION TITLE: ADDRESS: SUITE/FLOOR: CITY: PROVINCE: POSTAL CODE: TEL: ( ) EXT: RESIDENCE ADDRESS: ADDRESS: APT/SUITE: BUZZER CODE: CITY: PROVINCE: POSTAL CODE: TEL: ( ) PREFERRED ADDRESS: NO HOTMAIL ACCOUNTS PLEASE (may be provided to a third party for communication and shipping confirmation purposes) EDUCATION: List university education in chronological order. Name of University Degree Awarded Year Awarded I HERE BY GRANT CMA Ontario and CPA Ontario PERMISSION TO RELEASE MY PERFORMANCE ON THE ACCELERATED PROGRAM, ENTRANCE EXAMINATION, CASE EXAMINATION, BOARD REPORT AND PRESENTATION TO THE EDUCATION INSTITUTION(S) FROM WHICH I GRADUATED. Yes No Confirmation of Eligibility: check () I confirm that I have not written a previous Certified Management Accountants of Canada qualifying examination (Entrance Examination and/or Case Examination) within the past five years. Candidates who, at an earlier time failed a Certified Management Accountants of Canada Qualifying Examination (Entrance Examination and/or Case Examination) are eligible to pursue the designation through this route but are still only allowed three attempts at each exam in total. Combined Master s Program you are applying for: check () Queen s EMBA/CMA Queen s MBA/CMA Queen s AMBA/CMA DeGroote MBA/CMA DeGroote Accelerated MBA/CMA Rotman EMBA/CMA U of T MMPA/CMA Schulich MBA/CMA Schulich IMBA/CMA Sprott MBA/CMA Telfer EMBA/CMA Telfer MBA/CMA Waterloo MAcc/CMA Brock MBA/CMA Royal Military College MBA/CMA Original enrollment date in Master s Program (MM/DD/YYYY): Expected graduation date from Master s Program (MM/DD/YYYY): I acknowledge that I will be required to submit my official transcript(s) with final grades and degree conferred date once they become available by regular mail. Yes No I hereby certify that the information I have provided in this application and in the enclosed documents is complete and true in all respects. I have read and understand the Certified Management Accountants Program Requirements as they apply to me in connection with Combined Master s Program. I agree to abide by CMA Ontario's regulation 6 5 Candidates Pursuing the CMA Designation and the CPA Ontario Rules of Professional Conduct. Signature Date

2 Chartered Professional Accountants of Ontario 25 York Street Suite 1100 Toronto ON M5J 2V5 T F Toll Free Candidate No: (Office use only) Combined Master s Program Application (continued) Please submit your Registration Fee of $500 + $65 (HST) = $565 Remittance: $ 565 Card Number: / / Expiry Date: / M M Y Y Cardholder's Name: Cardholder s Signature: Method of payment (check one only): Cheque Visa MasterCard Visa Debit Discover If paying by cheque, please mail the cheque, payable to Certified Management Accountants of Ontario, with this form. If paying by credit card, you may submit this form by fax to , to or by mail to address above. Payments will only be processed once your eligibility has been confirmed. Privacy Statement: The information collected by this form is used for the purposes of enrolment. An individual has the right to privacy in respect of information of a personal nature known to CMA Ontario that is unrelated to enrolment or not required to be disclosed in respect of the fulfillment of CMA Ontario s regulatory responsibilities. CMA Ontario may disclose your personal information to CPA Ontario and to provincial or national accounting bodies for the purposes of providing services to Firms, Members, Students and Applicants and to third party providers for the purposes of providing Member benefits.

3 CERTIFIED MANAGEMENT ACCOUNTANTS PROGRAM REQUIREMENTS: To be eligible to apply for the Certified Management Accountants designation, candidates must successfully complete a Master s Program in accordance with the completion requirements set by the University. All Accredited Combined programs candidates must achieve a minimum grade of 70% in each Certified Management Accountants required course with an overall average of 75% for all Certified Management Accountants required courses. Candidates from non Accredited combined programs must achieve a minimum grade of 70% on each Certified Management Accountants required course. Please refer to the Combined Certified Management Accountants Master s program candidate handbook or the Certified Management Accountants Ontario website for a list of Combined programs. All candidates interested in pursuing the Certified Management Accountants designation through the Certified Management Accountants of Ontario Combined Master s program, must register with Certified Management Accountants of Ontario by February 1, 2015 and have completed all elements of the program leading to the CMA designation within five years of entering their graduate studies, and in any event prior to September 1, All applications for the Certified Management Accountants of Ontario Combined Master s Program are currently being assessed on a case by case basis to ensure sufficient programming is available for each program. Information on the next steps will be communicated to each applicant upon completion of their evaluation. For Combined Master s candidates only, the last offering of the Accelerated Program is planned for September 2014, the Entrance Examination for June/July 2015, the Case Examination for August 2015 and the last planned offering of the Board Report will be in June The applicable components must be successfully completed no later than these dates; there will be no exceptions to this timing, nor will additional offerings be available for candidates who are unsuccessful on the final offerings. Please note that these components are for first time writers only. Any candidate who has already attempted one of these components and was not successful will not be eligible to participate in these offerings. These will be the FINAL offerings of these assessments and any student who is not successful on any of the applicable Combined Program components will be required to transition to the CPA Program. Certified Management Accountants of Ontario will reassess candidate s eligibility for the CPA program as some candidates may be required to complete the CPA program in its entirety. PRACTICAL EXPERIENCE REQUIREMENTS: Practical Experience is a required component for the CMA Combined Master s Program. Candidates are required to meet the following Practical Experience requirements in order to graduate from the program: 1. Concurrent practical experience must be evaluated at an overall Professional Proficiency level or higher 2. You must have acquired 24 months of valid practical experience 3. Have acquired a minimum of 12 months of concurrent experience while enrolled in the Combined Program All candidates must demonstrate competency through verifiable work experience. Candidates must achieve a Professional Proficiency level position before certification. Validated Practical Experience Report must be submitted to CMA Ontario prior to Candidate s first attempt at a Case Examination. The link for the Online Practical Experience website is on the Certified Management Accountants of Ontario website under the heading CMA Candidates, Complete the SLP and Work Experience. The direct link for the website is:

4 FEE STRUCTURE: The registration fee in the amount of $565 is required with submission of this application. This fee will cover your Certified Management Accountants of Ontario registration fee for the two year duration of the program. This fee will only be processed after your eligibility has been confirmed. The registration fee is non refundable. The registration fee does not cover the Program Component fees. Enrolled candidates will be advised upon registration for each available component what their fees are. Candidates will be sent an application for these components and must submit the completed application and the required fee upon registration. The Combined Master s Program component fees are subject to change without notice. REQUEST FOR CANCELLATION AND REFUND POLICY: Cancellation requests are subject to the notification deadlines and administrative fees of each component as outlined on the component application. Payment by either cheque or credit card is acceptable. If paying by cheque, please mail the cheque, payable to Certified Management Accountants of Ontario, along with this form to the address on the front of this application. If paying by credit card, you may submit the payment option form by fax to , to or by mail to the address listed below. Requests for cancellation will be accepted only when the request is postmarked no later than ten business days beyond deadline and the request is submitted in writing. No cancellations will be considered after this date. All program component cancellations are subject to a $500 + $65.00 HST = $ administrative fee. The registration fee is non refundable. APPLICATION SUBMISSION: Applications can be sent via mail, or fax to the information listed below. Please submit your completed application, including university transcripts and/or letter of academic status with registration fees to: Chartered Professional Accountants of Ontario 25 York Street, Suite 1100, Toronto, ON M5J 2V5 Please direct inquiries to Tel: , Toll Free: Fax:

5 Chartered Professional Accountants of Ontario 25 York Street Suite 1100 Toronto ON M5J 2V5 T F Toll Free Certified Management Accountants of Ontario Declaration with Respect to Character Candidate Number: Have you ever been convicted or found guilty of a criminal or other statutory offence for which you have not received a pardon? Has a civil judgment involving fraud or theft ever been rendered against you? Have you ever been expelled or removed from any educational institution? Have you ever been sanctioned or penalized by any court or tribunal? Have you ever been refused admission to or been expelled from a licensing or professional organization? Are you the subject of an investigation or are you / have you been the subject of disciplinary proceedings by a regulatory organization, whether or not you are a member of that organization? Within the past six (6) years, have you: become bankrupt; made a proposal to creditors; become the subject of a formal proceeding as an insolvent debtor; or had a business of which you are an owner placed under a receiving order, as defined in the Bankruptcy and Insolvency Act? For any questions above answered yes, please attach an explanation and/or supporting documentation to this application at the time of submission. I declare that the above information and any explanation or documentation provided in relation to this declaration is true and complete. This statement is made in full recognition of my responsibilities under the CPA Ontario Rules of Professional Conduct. Dated in the City of in the Province of Ontario, on this day of, 20. Applicant Full Legal Name Applicant Signature If you have previously received a decision of the Registrar or the Review Committee of CMA Ontario in relation to the matter disclosed above, please attach a copy to this declaration. Do not include parking infractions or offences under the Highway Traffic Act

6 Candidate Name: This check list must be included in your application package Application Checklist: Application Package Complete Incomplete Combined Master s Program Application Signed Declaration Form MBA Transcripts (official, or copy of the official for the initial evaluation) Undergraduate Transcripts (required if received a waiver from courses in graduate program) $565 Registration Fee (only processed if approved for program) Reminders: Applications should only be submitted when you are in your final semester Transcripts must be official, or copy of official submitted in PDF (if submitting via ) If submitting unofficial transcripts for the initial evaluation they must be directly from the website listing: student name/university/weblink/grades achieved Transcripts in Microsoft Word and/or Excel will not be accepted Unofficial transcripts from York University are not accepted Staff Only: Chartered Professional Accountants of Ontario 25 York Street, Suite 1100 Toronto, ON M5J 2V5 Please direct inquiries to

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