RSCC Biodynamic Program Appl Form PP

RSCC Biodynamic Farming Diploma Program Application Form
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityProvince / State

Postal / Zip CodeCountry
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.
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 program? Click as many as apply.

Email from RSCCFacebookInstagramGoogleBiodynamic or anthroposophical publicationOur websiteWord of MouthOther
If you selected biodynamic or anthroposophical publications above, please indicate here which publication(s) you heard about us through:
Do you have an Ontario Secondary School Graduation or Equivalent?*

YesNo
Do you have your own computer/laptop with internet access and sufficient bandwidth to support teleconferencing platforms such as Zoom?*

YesNo
Do you have the ability to do physical work in various positions (i.e. bent-over or crouched) and the ability to carry 20 kg and walk long distances over rough terrain?*

YesNo
Education: If you have completed Foundation Studies in Anthroposophy, email a scan or photo of certificate or transcript, if not from RSCC. Email to info@rscc.ca
List date of compleltion, institution and place
Education: Univ., College, High School, etc.
List dates, institutions, places, and degrees for each university, college, or training centre.
Farming and/or Gardening Experience and Background
List dates, enterprises, and responsibilities. Also indicate whether positions were paid or volunteer.
Other Work Experience
List dates, enterprises, and responsibilities. Also indicate whether positions were paid or volunteer.
List Your Relevant Personal Skills and Abilities
List interpersonal and collaborative skills
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:

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

• Copies of documents showing highest education level achieved

• Copy of your resume

• Letter of reference: personal

• Letter of reference: professional

• Prior to your practicum we may require a copy of your police check

2. Once we receive your application, we will contact you to schedule an interview.
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 (Non-Refundable):
prevnext( X )
RSCC Biodynamic Diploma Program Application Fee $100.00CAD

Total $0.00CAD
Should be Empty:

RSCC Biodynamic Farming Diploma Program Application Form