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By signing the application form, you are agreeing to all of these policies and regulations. Failure to do so may result in cancellation of your PLA application and a loss of your payment.  \n\n| Contact Information\u003Cbr>Canadian Society for Medical Laboratory Science\u003Cbr> Address \u003Cbr>33 Wellington St N\u003Cbr>Hamilton, ON\u003Cbr>L8R 1M7 |  |\n| --- | --- |\n|  Telephone \u003Cbr>(905) 667-8507 or\u003Cbr>(800) 263-8277\u003Cbr>Ext. 8507\u003Cbr> Email \u003Cbr>[pla@csmls.org](pla@csmls.org) | Fax\u003Cbr>(905) 528-4968\u003Cbr>Website\u003Cbr>[www.csmls.org](www.csmls.org) |\n| The Canadian Society for Medical Laboratory Science (CSMLS) is the national certifying body for medical laboratory technologists and medical laboratory assistants, and the national professional society for Canada's medical laboratory professionals. As such, to maintain fairness to all our members we do not allow visitors at the CSMLS nor do we accept documents at our door. |  |\n\nInstructions  \nAs you go through each competency statement, rate your knowledge and experience by the following ratings:  \n1. I have no experience or education in this area  \n2. I am developing skills/knowledge in this area  \n3. I have education but no work experience in this area  \n4. I perform or demonstrate skills in this area with some assistance  \n5. I perform or demonstrate skills independently in this area  \nWhen showing where you got your knowledge and experience, keep in mind:  \n􀂃 Education refers to your initial didactic learning, your clinical/practical internships, and continuing education or professional development.  \n􀂃 Work experience refers to employment.  \nIn the space provided, give details of your education and work experience related to the statement. Tell us if you accomplished a competency by education, work experience, or both. Indicate where you got your education or work experience.  \nOnce you finish the Personal Competency Rating Booklet:  \n􀂃 Make a copy for your files  \n􀂃 Send the original with your PLA application  \n\n| Number:\u003Cbr>2.03 | Competency:\u003Cbr>Confirms the identity of the patient and performs venipuncture and capillary blood collection to obtain appropriate samples for laboratory analysis |  |\n| --- | --- | --- |\n| Rating: | 􀂅􀂅􀀺􀂅􀂅 | 1. I have no experience or education in this area\u003Cbr>2. I am developing skills/knowledge in this area\u003Cbr>3. I have education but no work experience in this area\u003Cbr>4. I perform or demonstrate skills in this area with some assistance\u003Cbr>5. I perform or demonstrate skills independently in this area |\n| Details:\u003Cbr>I learned how to identify patients in class and about confidentiality but I have never collected blood or worked directly with patients. |  |  |\n\nExample  \nCategory 1  \nSafe Work Practices  \nThe medical laboratory technologist conducts their professional practice according to established protocols, safety guidelines, and existing legislation.  \n\n| Number:\u003Cbr>1.01 | Competency:\u003Cbr>Applies the principles of routine practices |\n| --- | --- |\n| Rating:\u003Cbr>Details: | 􀂅 1. I have no experience or education in this area\u003Cbr>􀂅 2. I am developing skills/knowledge in this area\u003Cbr>􀂅 3. I have education but no work experience in this area\u003Cbr>􀂅 4. I perform or demonstrate skills in this area with some assistance\u003Cbr>􀂅 5. I perform or demonstrate skills independently in this ar","cbCainFPAY69dMWb","https://ap.wps.com/l/cbCainFPAY69dMWb","pdf",762266,35,"English","# Applicant’s Statement\n# Disclaimer\n# Competency Rating Instructions\n## Rating scale (1-5)\n## Education vs work experience\n# Submission Instructions\n# Competency Examples\n## 1.01 Applies the principles of routine practices\n## 2.03 Confirms the identity of the patient and performs venipuncture and capillary blood collection","[{\"question\":\"What must applicants declare in the Personal Competency Rating Booklet?\",\"answer\":\"Applicants declare that the information provided is true and that they have read and agree to follow the prior learning assessment handbook policies, procedures, rules, and eligibility requirements.\"},{\"question\":\"How should applicants rate each competency statement?\",\"answer\":\"Applicants select a rating from 1 to 5, where 1 indicates no experience/education and 5 indicates performing or demonstrating the skills independently.\"},{\"question\":\"What is considered education versus work experience for completing the booklet?\",\"answer\":\"Education includes initial didactic learning, clinical/practical internships, and continuing education or professional development. 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