RSCC Waldorf Teacher Ed FT Grades Appl w Fee SQ

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Telephone Number (including area code)

Cell-phone Number (including area code)

Email

example@example.com

Date of Birth (dd/mm/yyyy)

Place of Birth (city, country)

Would you like to receive email news and updates from RSCC?

YesNo

SIN Social Insurance Number (for Canadians who want an Education Tax Receipt) The Canada Revenue Agency requires this information to be included on the receipt. If you don't want to put this info in the form you can provide it to us by phone or email.

Names and ages of children

Citizenship

Canadian Immigration Status

Name of Emergency Contact

First NameLast Name

Phone Number of Emergency Contact (include area code)

Email Address of Emergency Contact

example@example.com

Relationship to You of Emergency Contact

How did you hear about this? Click as many as apply.

Education: If you have completed Foundation Studies email scan or photo of transcript, if not from RSCC. Email to info@rscc.ca

List Dates, Institutions, Places, and Degrees

Education: Univ., College, etc. (please email scans or photos of transcripts to info@rscc.ca)

List Dates, Institutions, Places, and Degrees for each university, college, or training centre.

Waldorf Teaching Experience

List Dates, Schools, and Responsibilities. Also indicate whether positions were paid or volunteer.

Other Teaching Experience

List Dates, Schools, and Responsibilities. Also indicate whether positions were paid or volunteer.

Other Work Experience

List Dates, Organizations, and Responsibilities. Also indicate whether positions were paid or volunteer.

List Your Relevant Personal Skills and Abilities

List personal skills, artistic and musical abilities relevant to Waldorf teaching

1. In addition to completing and submitting this application form with accompanying online payment of $100 CAD, using Visa or Mastercard, you will also need to complete the following steps:

2. Email the following letters of reference to info@rscc.ca:

• Letter of reference: personal

• Letter of reference: professional

3. Once your application has been received, we will contact you to schedule an interview in which we will talk about your preliminary studies in anthroposophy, your reasons for applying and your professional goals

4. Upon acceptance student teachers must obtain a police clearance letter from their local police department. Email it to info@rscc.ca

5. International students will need to obtain a student visa. RSCC is registered with Immigration Canada as a Designated Learning Institute. Upon acceptance into our one-year program, you may apply for a one-year study visa. Email a copy of your visa to info@rscc.ca

6. International students will also need to arrange for travel health insurance to cover the duration of their stay in Canada since international students with visas are not covered by Ontario health insurance. Email documentation of your health insurance to info@rscc.ca

Additional Comments

MEDIA RELEASE AGREEMENT I agree to be photographed, recorded and videoed by Rudolf Steiner College Canada (RSCC) and their affiliates, and permit RSCC to use (a) my name, image, likeness, and voice, and (b) all photographs, recordings, video recordings, audiovisual materials, writings, statements, and quotations of or by myself (collectively the "Materials") for the purpose of promotion of RSCC and their services, without further consent or payment to me. I understand that all the Materials and all recordings and media etc., will remain the property of RSCC. I understand that RSCC is under no obligation to use the materials. This document contains the entire agreement between RSCC and myself concerning the subject matter hereof.

Media Release Agreement (above)*

YES i consentNO I do not consent

Application Processing Fee Required:

RSCC Teacher Education Application Fee $100.00CAD

Total $0.00CAD

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RSCC Waldorf Teacher Education Full-Time Grades SQ :

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