Internationally-Educated Applicants

Internationally-educated applicants applying to CSHBC

CSHBC does not recognize any international education programs for the professions of audiology, hearing instrument dispensing, and speech-language pathology.

However, graduates of international audiology and speech-language pathology  education programs can apply to become Registered Audiologists (RAUDs), or Registered Speech-Language Pathologists (RSLPs) in BC under section 85(a)(ii) and Schedule D of the CSHBC bylaws. Internationally-educated audiology graduates may also apply for registration as a Registered Hearing Instrument Practitioner (RHIP) by following the process set out under “Audiology Graduates Applying to Become RHIPs”, below.

Important: The professions of audiology and hearing instrument dispensing are regulated separately in BC. Under the Speech & Hearing Health Professionals Regulation, as set by the Ministry of Health, those seeking multiple licenses to practice are required to obtain separate registrations. CSHBC has no say in this matter.

There are several differences between the scopes of practice for audiology and hearing instrument dispensing in BC. The dispensing distinction is only one. Other differences in scope include: audiologists can diagnose, have different certified practice certificates available to them, can assess and manage children of all ages for a variety of hearing needs, and can delegate a broader range of clinical activities to support personnel (i.e., communication health assistants). For applicants who wish to apply for registration as a RHIP in addition to registration as a RAUD, there is a specific pathway to follow. For information about that pathway, see Internationally-Educated Applicants – Audiology Graduates Applying to Become RHIPs.

There is no provision in the CSHBC Bylaws for internationally-educated applicants who are not audiology graduates to become RHIPs in BC. To be eligible for RHIP registration, such applicants must have completed an approved education program as listed in Schedule C of the CSHBC Bylaws.

All applications from internationally-educated applicants require review by the CSHBC Registration Committee. To read more about this process, click here.

To apply, create an account in the CSHBC Applicant Portal, log in to the portal, follow the prompts for choosing a pathway, and follow the steps for each pathway outlined below.

Internationally-educated applicants – Audiology or Speech-Language Pathology professions

Internationally-Educated Applicants to become RAUDs or RSLPs in BC who have met CSHBC’s entry-to-practice requirements are granted Full registration after passing the entry-to-practice examination, or Conditional registration if they have not yet passed that examination. To complete your Full or Conditional registration application for entry-level practice in audiology or speech-language pathology, have the documents listed below ready, and apply through the Applicant Portal, which provides step-by-step instructions.

After your master’s degree has been conferred (i.e., awarded), arrange to have your official master’s program transcripts sent directly from the university to CSHBC, either electronically to [email protected] or by mail. Important: your official transcripts must indicate “Awarded” or “Conferred”. Unofficial or administrative transcripts that do not indicate “Awarded” or “Conferred” cannot be accepted.

Arrange to have your master’s program transcripts assessed by World Educational Services (WES). A basic assessment is acceptable.

Upload your university course outline or syllabus, with the conversion rate from credits to hours, including a record of clinical hours, in the Applicant Portal.

Upload a completed Academic Coursework Requirements form in the CSHBC Applicant Portal and use the following forms:

The Registration Committee will review your Academic Coursework Requirements form, course information, and syllabi against the academic coursework requirements defined in Schedule D of the CSHBC Bylaws.

Complete and upload the applicable form to document proof of clinical hours (minimum of 350 hours):

Each form requires sign-off from the Director of the program in which the clinical hours were completed. 

Arrange for your academic institution to send the completed and signed form directly to CSHBC at [email protected] or by mail.

The Registration Committee will review your Summary of Clinical Practicum Hours form, and any additional relevant information provided with respect to your program, against the clinical practicum requirements defined in Schedule D of the CSHBC Bylaws.

To be eligible for registration with CSHBC you must have, in the three years immediately preceding the date you submit your application for registration:

  • Graduated from a CSHBC-recognized academic program as set out in Schedule C of the CSHBC Bylaws;
  • Practised your profession in a regulated jurisdiction for a minimum of 750 hours, in accordance with criteria established by the CSHBC Board of Directors. See the Practice Hours for Applicants policy for information regarding this requirement, including the criteria for identifying a regulated jurisdiction and demonstrating that hours meet Board-approved criteria. These applicants report their practice hours to CSHBC using the Confirmation of Practice Hours form (PDF). 

If you have not graduated from a CSHBC-recognized academic program or practised a minimum of 750 regulated hours in the last three years, your application will need to be reviewed by the CSHBC Registration Committee to confirm if your knowledge, skills, and abilities meet CSHBC’s registration requirements. Staff will be able to provide guidance as to the type of information the Registration Committee may be looking for when reviewing your application, which will vary on a case-by-case basis.

If you completed an acceptable academic program, as defined at Schedule D of the CSHBC bylaws, that was delivered in English (including all academic learning and clinical practice), you will be exempted from completing English language proficiency testing. If you are not exempted, you must complete a TOEFL (iBT) or IELTS (AC or GT) English test and meet the following minimum test scores:




TOEFL internet Based Test (iBT), or the TOEFL iBT Home EditionIELTS (Academic or General), or IELTS Online (Academic)

Required minimum scores

Speaking: 26

Listening: 26

Reading: 22

Writing: 24

Speaking: 7.5

Listening: 8

Reading: 7.5

Writing: 7.5

Arrange to have your English language proficiency scores sent directly to CSHBC. Successful completion of one of the approved tests must be no more than two years before the date of application to CSHBC.

Applicants who do not meet the minimum English language proficiency requirements outlined above will be required to successfully meet the minimum standards before the application for registration can be submitted to the Registration Committee.

For more information, review the English Language Proficiency Requirements policy.

Applicants must provide two character references from individuals who have known you for at least two years, and who are not family members, classmates, or friends, or stand to benefit from your application, and who can attest to your values, morals, and conduct. These references must be dated within 60 days of your application to CSHBC.  

Log in to the Applicant Portal and provide the required information about your references, including an email address for each. Each of your references must submit a letter of reference directly to the College at [email protected] or by mail and must contain that individual’s contact information.

If you are, or have been, regulated as a health professional by any other regulatory body, you must provide a letter or certificate dated within 60 days of the date of your application from each relevant regulatory body (a “Verification of Registration”). This must specify details of any cancellation, suspension, limitation, or conditions on your entitlement to practise, and any investigation, review, or proceeding that could lead to one of these outcomes. Verifications of Registration may be sent to the College by email, so long as they come directly from an authorized individual at the regulatory body in question.

Upload a copy of one of the following documents in the Applicant Portal:

Under BC’s Criminal Records Review Act, all RAUDs and RSLPs must complete a criminal record check when they first become registered with the College and every five years thereafter.

Download the Consent to Criminal Record Check form (PDF) (also available for download in the Applicant Portal), fill out the form, sign it, and upload the signed form in the Applicant Portal. CSHBC will then communicate the required information to the BC government’s Criminal Records Review Program to ensure that your check is carried out.

Also upload a copy of two of the following documents in the Applicant Portal:

See Criminal Record Check for Applicants for more information.

As part of your online application form, you will need to complete the following declaration:

  • I understand that pursuant to section 151 of the CSHBC Bylaws, as a registrant of CSHBC, I must at all times maintain insurance that (i) is in the amount of at least $2,000,000 per claim and in a form satisfactory to the Board, and (ii) covers me and any non-registrant to whom I delegate an aspect of practice, against liability arising from an error, omission, or negligent act that occurs in the practice of my profession. (YES/NO)

You will also need to declare whether your professional liability insurance is covered by  your employer, whether you have obtained your own professional liability insurance, or whether you do not currently have the required insurance. If you do not have the required insurance at the time of submitting your application, you may provide updated information about your insurance at a future time. Note that no application may be approved without confirmation that the required insurance is in place.  

Employers such as health authorities, school districts, and other government agencies typically have insurance in place for their employees that meets CSHBC’s requirements. You must check the details of any insurance provided by your employer and confirm that it meets these requirements. If it does not, you must obtain your own professional liability insurance. Note that CSHBC does not provide insurance advice or recommend insurers to applicants or registrants; this is outside of the scope of the College’s role as a regulatory body.

Proof of passing an entry-to-practice examination approved by the Registration Committee is required before CSHBC can grant Full registration. The examinations currently approved by CSHBC for registration as a RAUD or RSLP are:

  • The Praxis Examinations for audiology (Praxis exam 5343) and speech-language pathology (Praxis exam 5331), administered by Educational Testing Service (ETS);
  • The Canadian Entry-to-Practice (CETP) Examinations for audiology and speech-language pathology, administered by Speech-language & Audiology Canada (SAC); and
  • The SAC Certification Examination for audiology and speech-language pathology. The SAC Exams were retired in March 2020; however, CSHBC will accept results from past sittings.

You must arrange to have your proof of passing sent directly from the examination administrator to CSHBC. Alternatively, you may have another regulatory body for speech and hearing health professionals send CSHBC your examination results, as long as that regulatory body received these results directly from the examination administrator.

If you do not have proof of passing one of the above-mentioned examinations, you must apply for the Conditional registration classification and practice under general supervision until you have passed an approved examination. Applicants for Conditional registration classification must secure a practice supervisor, who must be a Full CSHBC registrant of the same profession. You will be asked to provide your supervisor’s registrant details as part of the online application process in the Applicant Portal.

For further information regarding current examination requirements, including how to register for the Praxis Exams, please review Entry-to-Practice Examination Requirements (PDF), and the following CSHBC news stories on entry-to-practice exams:

The following fees are payable at application for registration:

  • Application for registration fee: $520
  • Criminal Record Check fee: $28

Pay by credit card (Visa or Mastercard) or debit card (Visa) in the Applicant Portal.

Upon approval of your application for registration, the following fee is payable:

  • Initial registration fee: $860

Pay by credit card (Visa or Mastercard) or debit card (Visa) in the Applicant Portal.

If you register part way through the registration year (April 1 – March 31), the registration fee is pro-rated quarterly for the remaining months of the registration year.

After you have submitted your application, staff will conduct an initial review. The sooner all of your required documentation is received by CSHBC, the sooner the College can process your application. Once your application is complete, it will be considered by a panel of the Registration Committee. Panels typically meet every one to two months. During the application process, you will be advised when the next Registration Committee panel meeting is scheduled to take place, and the deadline for providing any additional, relevant information that you wish the Committee to consider in support of your application. See Non-standard Applications & Registration Committee Review for more information about the Registration Committee process.

After submitting your application, please do not call or email CSHBC to inquire about the status of your application. The College handles a large volume of applications and processes them as quickly as possible. Responding to calls and emails inquiring about application status slows the process. If, however, you have questions prior to submitting your application that cannot be answered on the website or in the Applicant Portal, please contact CSHBC.

Please note that if you fail to meet the requirements for registration within two years of submitting your application, your application will expire and you will need to submit a new application should you wish to continue to pursue registration with CSHBC.

Internationally-educated applicants – Audiology graduates applying to become a RHIP

Graduates of audiology programs that meet the requirements set out in Schedule D of the CSHBC Bylaws may apply for registration as a RHIP (Conditional) in addition to registration as a RAUD by:

This is separate from your application for RAUD registration, and a separate $100 application fee for second registration applies.

You should have done this already as part of your application for RAUD registration. You must have successfully completed your audiology program and had this assessed by the Registration Committee as having met the Schedule D requirements to be eligible to apply for RHIP registration (see steps 4 and 5 under “Internationally-Educated Applicants – Audiology or Speech-Language Pathology Professions”, above, for more information regarding this process. If there is anything else you wish to provide regarding your education as it pertains to hearing instrument dispensing, you may do so.

Note: Commonly, applicants’ syllabi and clinical practicum information does not explicitly state that “selling and offering to sell hearing instruments” is covered in both such aspects of their program. If you think this may be the case in your application, yet you believe you have covered these areas in your education, we recommend that you request that your education program send a letter to CSHBC expressly confirming this.  For reference, under the Speech and Hearing Health Professions Regulation, “sell” means “to enter into a transfer of title, conditional sale contract, lease, hire purchase, or any other contract where a person disposes of, and any other person acquires, a hearing instrument, excluding a wholesale transaction”.

Once you have submitted your application, CSHBC staff will contact you and ask you to complete the following declaration:

I hereby confirm that my education program(s) in audiology contained both academic coursework and clinical practicum hours relating to the following:

  1. Assessment of hearing using an audiometer, or other methods, to identify hearing loss; and
  2. Recommending, selecting, preparing, altering, adapting, verifying, selling and offering to sell hearing instruments.

If you are able to answer “yes” to this declaration, your application will proceed to step 4, below.

Your application and academic documents will be reviewed by a Hearing Instrument Dispensing panel of the Registration Committee. The Registration Committee must confirm whether each of the following areas were covered in both your audiology program and your clinical practicum. This list is derived from the definition of hearing instrument dispensing and the relevant restricted activities as set out in the Speech and Hearing Health Professionals Regulation.

Area Relevant definitions  
Assessment of hearing using an audiometer or other methods to identify hearing loss“Hearing assessment” means the process of evaluating a person’s hearing, which is comprehensive and includes the degree, configuration, and type of hearing loss and the best treatment options.
Recommending hearing instruments“Hearing instrument” means an appliance or a device designed or offered to assist with a hearing condition. Instruments include any ear molds, boots, or other acoustic couplers and any parts or accessories for the appliance or device intended to affect the sound pressure level at the eardrum. Hearing instruments exclude direct audio input accessories, batteries and any accessories that are attachable to the appliance or device by the wearer and not intended to affect the sound pressure level at the eardrum.
Selecting hearing instruments

“Select” means to choose a hearing instrument with the electroacoustic response, features, and functions that meet an individual’s hearing, physical, and lifestyle requirements.

See also the definition for “hearing instrument”, above.

Preparing hearing instruments

“Prepare” means to get a hearing instrument ready for use.

See also the definition for “hearing instrument”, above.

Altering hearing instruments

“Alter” means to make changes in a significant way to the hearing instrument.

See also the definition for “hearing instrument”, above.

Adapting hearing instruments

“Adapt” means to adjust the hearing instrument for an identified purpose.

See also the definition for “hearing instrument”, above.

Verifying hearing instruments

“Verify” means to measure a hearing instrument’s electroacoustic performance compared to a standard.

See also the definition for “hearing instrument”, above.

Selling and offering to sell hearing instruments

“Sell” means to enter into a transfer of title, conditional sale contract, lease, hire purchase, or any other contract where a person disposes of, and any other person acquires, a hearing instrument, excluding a wholesale transaction.

See also the definition for “hearing instrument”, above.

If the Registration Committee confirms that your program included academic and clinical practicum content in each of the above areas, the Committee will consider this as evidence that you meet the education requirement for registration as a RHIP as defined at section 82(1)(a)(i) of the CSHBC Bylaws. If, after reviewing your application and academic documents, the Registration Committee cannot confirm that your program included each area listed above, you will be provided with an opportunity to submit further relevant information for the Committee’s review.

You must meet the requirements outlined under “Becoming a RHIP (Conditional)” on this webpage.

The following requirements overlap with the requirements for becoming a RAUD, and you do not need to meet these twice:

  • Reference letters
  • Proof of eligibility to work in Canada
  • Criminal Record Check and Criminal Record Check Fee
  • Verification of registration with other regulators

However, you must provide the following:

  • Evidence that you meet the “recency of practice” requirement for registration as a RHIP (i.e., that you have graduated from your recognized audiology program within the last three years, or that you have practised hearing instrument dispensing for a minimum of 750 hours in a regulated jurisdiction. If you have not, the Registration Committee will review your application to determine if your knowledge, skills, and abilities meet the registration requirements).

Important: Beginning December 15, 2022, CSHBC will no longer accept applications for HIP Intern status. Applicants seeking to become a RHIP in BC must first apply for and be granted RHIP (Conditional) registration.

You must pass the ILE Written Exam, as described under “Becoming a RHIP”, on the Canadian-Educated Applicants page.

You must pass the CSHBC HID Practical Examination, as described above under “Becoming a RHIP”, on this webpage.

You must provide CSHBC with confirmation that you have the appropriate professional liability insurance in place, as described under “Becoming a RHIP ”on this webpage. You must also provide confirmation that your insurance covers both your practice as a RAUD, as well as a RHIP.

If you have already paid your registration fee for RAUD registration, you will be required to pay a reduced, second registration fee for your RHIP registration. Upon approval of your application for registration, the following fee is payable:

  • Second registration fee for Full registration or Conditional registration: $150

Pay by credit card (Visa or Mastercard) or debit card (Visa) in the Applicant Portal.

If you register part way through the registration year (April 1 – March 31), the registration fee is pro-rated quarterly for the remaining months of the registration year.

As your application will require review by the Registration Committee, it may take several weeks to be processed. This will be in addition to the processing time for your application for RAUD registration. See Non-standard Applications and Registration Committee Review for more information about the Registration Committee process.

College of Speech and Hearing Health Professionals of British Columbia

900 – 200 Granville St
Vancouver, BC, V6C 1S4

Phone: 604.742.6380
Toll-free: 1.888.742.6380
Email: [email protected]