CPAWSB Employer Portal Application Form

CPA Employer Information

To request access to the CPAWSB Employer Portal, please complete this application form. Access to records will only be granted where the student/candidate has identified the employer in their MyCPA profile, and has consented to share their academic and registration information with their employer. Portal Administrators are responsible for ensuring that access to the portal is tightly controlled and given only to authorized staff within the organization.

Please note all sub-offices in the organization for which access should be allowed.

1. CPA Employer name *This question is required.

2. CPA Employer location (full address) *This question is required.

3. Other sub-offices to be included:
*if more than four (4) locations need to be included, please submit a complete list to partnerships@cpawsb.ca

Sub-office #1
Sub-office #2
Sub-office #3
Sub-office #4

This section will allow you to authorize portal access for up to three (3) Administrators. These people can be any employee of the organization to whom you wish to entrust this role and its obligations.

4. Administrator information *This question is required.

Space Cell	Administrator name	Email address	Phone number
Administrator #1	Administrator #1: Administrator name	Administrator #1: Email address	Administrator #1: Phone number
Administrator #2	Administrator #2: Administrator name	Administrator #2: Email address	Administrator #2: Phone number
Administrator #3	Administrator #3: Administrator name	Administrator #3: Email address	Administrator #3: Phone number

5. Declaration *This question is required.

Authorizing Administrator Name
Title
Date

6. Authorizing Administrator Signature *This question is required.

Clear

Signature of

Protection of Privacy - The information requested on this form is collected under applicable federal and provincial legislation and the CPA Western School of Business' policies and guidelines on data management, data access and data use. Employers' contact information will be shared with the provincial CPA bodies to help administer the CPA program. Direct any questions about data collection and use to the Director of Communications & Privacy Officer at privacy@cpawsb.ca