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PLAR Bridging Post Test Application

If you are required to complete Bridging for the College of Opticians of Ontario Refresher Program, DO NOT FILL OUT THIS APPLICATION.

Please email general@nacor.ca to get the Refresher Program Application.

Personal Information

Full Name(Required)

First Middle Initial Last Maiden

Mailing Address(Required)

Suite/Apt & Street Address OR PO Box Number City Province Postal Code

Contact Information

Phone

Email(Required)

The email address you provide will be the address to which all correspondence from NACOR will be sent. Please add jhay@nacor.ca to your safe sender’s list. You are responsible for informing the NACOR office of any change in personal information.

Please indicate in which province you are completing PLAR(Required)

Date of Reasons & Decisions Letter

Day

Month

Year

CGA Applicant ID

for office use only

Please select all Post-Test(s) you wish to complete(Required)

Legislation

Communication

Professionalism

Infection Control

Equipment use - eyeglasses

Equipment use - contact lenses

Anatomy and Pathology

Optics

Critical thinking

Dispensing eyeglasses - Course #1

Dispensing eyeglasses - Course #2

Dispensing contact lenses - Course #1

Dispensing contact lenses - Course #2

The Intake Interview

Screening Tests

Refracting

Developing Refractive Specifications

Low Vision

Personal Affidavit – Please read carefully and agree to each of the following

Consent(Required)

I understand that NACOR will notify the province in which I am undertaking PLAR when I have completed and passed a post-test and I hereby give my permission.(Required)

Consent(Required)

I understand that failed post-test marks will only be sent to me, and the province will not be notified of failed attempts.(Required)

Consent(Required)

I understand that NACOR will only release to me my final score and that my actual test will not be available for review.(Required)

Consent(Required)

I understand that in order to process my application and administer the post-test(s); NACOR will collect some personal information about me (e.g. name and contact information). I agree to NACOR collecting, using, and disclosing personal information about me, as it deems necessary for the processing and administration of my application and post-test(s).(Required)

Consent(Required)

I understand that the province in which I am undertaking PLAR will verify all information I have declared on this application and hereby give my permission for the NACOR office to release and to discuss this information with this province. The province in which I am undertaking PLAR has absolute discretion to accept or reject this application.(Required)

Examination Fees

Legislation

Price:

Communication

Price:

Professionalism

Price:

Infection Control

Price:

Equipment use: eyeglasses

Price:

Equipment use: contact lenses

Price:

Anatomy and Pathology

Price:

Optics

Price:

Critical Thinking

Price:

Dispensing eyeglasses: Course One

Price:

Dispensing eyeglasses: Course Two

Price:

Dispensing contact lenses: Course One

Price:

Dispensing contact lenses: Course Two

Price:

The Intake Interview

Price:

Screening Tests

Price:

Refracting

Price:

Developing Refractive Specifications

Price:

Low Vision

Price:

British Columbia Tax

Price: $ 0.00 CAD

Alberta Tax

Price: $ 0.00 CAD

Manitoba Tax

Price: $ 0.00 CAD

Saskatchewan Tax

Price: $ 0.00 CAD

Nova Scotia Tax

Price: $ 0.00 CAD

Newfoundland & Labrador Tax

Price: $ 0.00 CAD

New Brunswick Tax

Price: $ 0.00 CAD

Nunavut Tax

Price: $ 0.00 CAD

Northwest Territories Tax

Price: $ 0.00 CAD

Yukon Tax

Price: $ 0.00 CAD

PEI Tax

Price: $ 0.00 CAD

Quebec Tax

Price: $ 0.00 CAD

Ontario Tax

Price: $ 0.00 CAD

Total

Form Total

Credit Card(Required)

MasterCard

Visa

Supported Credit Cards: MasterCard, Visa

Card Number

Expiration Date Month Year

Security Code Cardholder Name

About
National Examinations
PLAR
BRIDGING MODULE COURSES
Accredited Optician Programs
Resources
CE Accreditation
Contact
English

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