Canadian Registration
Board of Occupational
Hygienists

Exam Registration
EXDB-Member Exam Registration
Registration Type
**only for candidates who have successfully completed ROH Fast Track 1 exam.
Preferred Primary Contact and Public Member Directory:
**(only for candidates who have successfully completed ROH Fast Track 1 exam)

1. Contact Information

Name
Name
First Name
Last Name
Home
Address
Address
City
Province
Postal
Business
Address
Address
City
Province
Postal

2. Education

Attach a copy of an official transcript to this application or it have sent directly from each educational institution for all college or university Degrees or Diplomas. Copies of Certificates are acceptable and should be included with application. For international education transcripts outside of Canada/US please provide proof of equivalency through WES or similar.
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3. Occupational Hygiene Certifications Currently Held

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4. Board of Canadian Registered Safety Professionals (BCRSP)

Do you hold a CRSP/CRST?

5. Memberships

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6. Relevant Work Experience

Description of duties should include detailed description of occupational hygiene work and types of work environment. Additional information may be appended to application if required.
Position
Employer Address
Employer Address
City
Province
Postal
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7. References

2 references are required.
Business Address
Business Address
City
Province
Postal
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8. Additional Information

Separate documents may be attached.

Maximum file size: 268.44MB

9. Acknowledgement

By checking the following boxes, I indicate my acceptance of each of the following terms:
I certify that the information provided by me in this application is, to the best of my knowledge, accurate.
I understand that any falsification in this application will be grounds for rejection or for later revocation of any registration issued.
If I am registered, I understand that I must pay annually membership dues and adhere to maintenance requirements.
I recognize my obligation not to reveal the contents of any CRBOH examination and adhere to the CRBOH Code of Ethics
I wish to take the exam in: