RSCC HEART Program Application PP

RSCC HEART Program Application:

Healing Education and Remedial Training
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
Skype
Skype address
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? Click as many as apply.

Email from RSCCFacebookInstagramGoogleWaldorf TodayRSCC.caColleagueSchool AdministrationFriendOther
Education: Foundation Studies (email scan or photo of transcript, if not from RSCC)
List Dates, Institutions, Places, and Degrees
Education: Waldorf Teacher Education (email diplomas and certificates)
List Dates, Institutions, Places and Degrees
Education: Univ., College, etc. (please email scans or photos of transcripts)
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.
What are your reasons for wishing to enter the program at this time?
List personal skills, artistic and musical abilities relevant to Waldorf teaching
In addition to emailing (to info@rscc.ca) copies of your Foundation Studies and University or College degrees, diplomas and or Certificates, we will also need you to include two letters of reference (one professional and one personal).

You will also need to pay a non-refundable application fee of $100 (CDN) online. You have the option of paying with a Visa or Mastercard credit card.
Additional Comments
Application Processing Fee Required:
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RSCC Teacher Education Application Fee $100.00CAD

Total $0.00CAD
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RSCC HEART Program Application: