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CANADIAN ASSOCIATION OF IRLEN PROFESSIONALS
REQUEST FOR SCREENERS MEMBERSHIP
Indicates required field
Phone Number (Primary)
Phone Number (Cell)
Phone Number (Office)
Screeners (full membership only)
With access to all in-service training and listing on CAIP national registry.
Are you currently certified with the Irlen Institute?
When were you trained to be a screener? mm/dd/yy
In what cities or areas do you offer your services?
How many screenings have you done during the last 12 months?
Do you normally refer screening clients to an Irlen Centre Director for Irlen Spectral Filters?
What % of your referrals to a diagnostician go for Irlen Spectral Filters?
By submitting this form,
you agree that if admitted to CAIP, will you fully and completely abide by its
Code of Ethics
creener membership fee: $50 per year
Agree & Submit
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