Founding Service Provider Application

Please complete this form with detail. We review every application manually to ensure alignment with our shared standards.

Full Name *

Email *

Phone *

How many years have you been active in your practice? *

Less than 5 years

5-10 years

10+ years

*5 years means includes school, training, and education. For example: 2 years of school + 3 years of work = 5 years in your craft.

Province or territory where you primarily practice (Canada)? *

In your own words, how would you describe your current practice or lived‑experience background? *

What brought you to CPiPM at this stage? *

What feels missing or limited in your current professional ecosystem that you believe collaboration could support? *

Does any part of your work fall under a regulated professional body or college? *

Yes