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Forms

In order to confirm that all applicants meet the requirements for entry to the IEMBP, the program will require a combination of the following documents.

Each candidate is required to submit the following:

  • Either the A or B form.  Both may be submitted if a candidate believes it relevant.
  • 2 D forms from two different referees. 

Optional Forms which may be required include:

  • C Forms will be required should applicants need other sources outside of the two D forms to confirm the birth number requirements for entry to the IEMBP (minimum 100 births in the last 10 years). 
  • The E Form is for candidates who require translation of documents from their 1st language to English.

Required Forms

A Form* – Request for Information about Midwifery Education

For new graduates who have less than five years experience working as a midwife, they will use this option.  Applicants will complete Part 1 of the form before sending to their Midwifery Education Program to complete Part 2 and send, with corresponding program documentation, to the IEMBP address provided on the form.  This form must be sent directly from the institution to be considered valid. 

*With every A Form submission, applicants are required to have an educational credential assessment done by World Education Services – Canada (WES).  You must request that a copy of your course by course evaluation report be sent to the IEMBP office.  Please go to http://wes.org/ca/ for information on how this process works and what documents must be sent to them.  There is a fee for this service that is the applicants responsibility.

A FORM

B Form – Proof of Professional Conduct

For applicants who have a lot of experience working as a midwife, you may use Option B.  Many experienced applicants will submit this along with Option A as well to ensure they are proving all requirements for application. Applicants will complete Part 1 of the form before sending to each Regulatory organization where they have been registered as a midwife. This form must be sent directly from the Regulatory organization to be considered valid.

 B FORM

D Form – Professional Reference and Clinical Experience Confirmation Form

All applicants are required to submit 2 D forms with your application from two seperate referees to the IEMBP.  The D Form acts as the candidate’s professional references and confirmation of clinical experience.  Applicants will complete Part 1 of the form before sending to their identified references along with a recent passport photo to complete Part 2 and 3.  Referees are required to sign the back of the photo as verification that it is a true likeness of the applicant.  Referees who are also able to verify clinical experience will also complete Part 3 of the D Form.  This form must be sent directly from the referee to be considered valid.

D FORM

Optional Forms:

C Form – Request for Verification of Midwifery Clinical Experience

Applicants are required to show proof of a minimum of 100 births as primary midwife during their education and practice.  For some applicants, this proof can be satisfied through submission of the A form and D forms.  For those who require additional verification of their midwifery clinical experience, they may submit a C Form. Multiple C Form’s may be submitted if required.  Applicants will complete Part 1 of the form before sending to a colleague, supervisor or other qualified person who has observed them in their clinical work or has access to official records and can provide details about your clinical experience.  This form must be sent directly from the qualified source to be considered valid.

 C FORM

E Form – Request for Translation of Documentation

For applicants whose required documentation (forms, syllabi, transcripts etc.) are not able to be provided in English, a complete translation of such documents will be required using the E Form.  Applicants will complete the “To Be Completed By Applicant” section of the form and provide to a certified translator.  For an approved list of translators, please contact the IEMBP office at iembp.info@ubc.ca.

E FORM