Note: Your listed surname may be changed only by special request. Please email the following address to submit such a request: registrar@saskdietitians.org

Please provide details for all dietetic and related employment. Click on the dropdown menu labelled “Number of employers” and select the appropriate number of employers that you have. This will open up the appropriate number of fields (ie. select 2 if you have 2 employers or 2 different jobs within same employer). The information you provide in regard to status (full time, part time, casual), area of practice and location of practice may be used in aggregate form for workforce planning and to monitor trends

Geographic Service Area

Geographic Service Area

Geographic Service Area

Geographic Service Area

Geographic Service Area

Indicate any relevant certifications you have received as well as initial date of certification and any recertifications since that time (ie. CDE, CNSC, Wellness Coach, etc)

SDA has three types of licences: Full practising, temporary and restricted:

• If you are transferring from another Canadian dietetic regulatory body, apply for a full practising licence.
• If you are licensed in another jurisdiction in Canada and only need to be licensed in Saskatchewan on a short term (less than 3 month) basis, apply for a temporary licence.
• If this is your initial registration with a regulatory body and you have not yet written and passed the CDRE, you will be applying for a restricted licence.

If you have questions as to what type of licence you are applying for, contact the Registrar at registrar@saskdietitians.org

If so, please provide the following information:

If you are doing your initial registration and are applying for a restricted licence with SDA, please provide the following information and submit payment for the exam fee and you will be pre-registered to write the Canadian Dietetic Registration Exam (CDRE) at the next available examination session.

If yes, please provide details and/or contact the SDA office to provide details.

Once SDA has approved your restricted licence, you will be provided with information on scheduling your exam writing at a Pearson Vue exam center. Candidates may choose to write at any testing center anywhere in Canada. Seats for the CDRE are on a first come first serve basis, therefore you are encouraged to register with SDA and schedule the CDRE as soon as is possible to ensure that a seat is available.

Your contact information will be shared with the exam testing agency Yardstick Assessment Strategies Inc. and the exam writing agency Pearson Vue. This information will be collected, used and disclosed according to their privacy policies and will be subject to U. S. laws, including the USA Patriot Act.

If you have answered "yes", please provide the following information.

Please enter your preferred username for the members only side of the SDA website. Once your application is processed you will receive an email with your password. You will be able to reset the password once you are inside the Members Only section of the SDA website.

By submitting this form electronically, I agree to the following terms:

• I verify that all statements contained in this application and supporting documentation are accurate. I understand that a false or misleading statement or misrepresentation may be cause for refusal of registration, disqua1ification from the CDRE or cancellation of membership and licensure with SDA.
• I understand that I may be required to provide further documentation or information and undertake other assessments in order to determine my eligibility for registration with SDA and that SDA will contact me if additional documentation is necessary.
• I am aware that the information I have provided may be verified by SDA and that in the course of such verification, that SDA may need to disclose to third parties the information that I have provided. I consent to such disclosure by SDA and I also consent to the disclosure of my personal information by third parties to SDA that may be necessary to process my application and to verify information that I have provided.
• I am 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 Exam and generally for regulatory activities under the Dietitians Act. I consent to collection, use and disclosure of my personal information for such purposes.
• I am aware that the information I have provided to SDA may be provided to eHealth Saskatchewan for their provider registry system to enable dietitian to be authorized for access to the electronic health record viewer.
• I consent to receive electronic correspondence from SDA.
• I agree to notify the SDA Board within 30 days when there are any changes to the information contained within this form.
• I agree to have my contact information added to the “Find a Member” feature on the Members Only section of the SDA website.