Aboriginal Teacher Education Program BACHELOR OF EDUCATION OR DIPLOMA IN EDUCATION APPLICATION PERSONAL INFORMATION

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ATEP PROGRAM LOCATION Aboriginal Teacher Education Program BACHELOR OF EDUCATION OR DIPLOMA IN EDUCATION APPLICATION Community-Based Part-Time Program (Primary-Junior) Kenjgewin Teg Educational Institute, Manitoulin- North Shore region Seven Generations Education Institute (SGEI), North-Western Ontario PROGRAM Bachelor of Education (applicants who have/will have a completed university degree by September 2014) OR Diploma in Education (applicants with a secondary school diploma or equivalent) Eligibility for Teaching Certification in Ontario Those who wish to teach in Ontario s publicly funded education system must be certified by the OCT. For detailed information regarding the licensing requirements of the OCT, please check the OCT website http://www.oct.ca or contact the College (1-888-534-2222) in advance to determine what documentation is required. Applicants for the Diploma in Education must be of Aboriginal ancestry. Diploma candidates must submit documentary proof of Native ancestry, as specified by the Ontario College of Teachers, when they apply to the College for certification. Legal Surname PERSONAL INFORMATION All Legal Given Names in Full Common Name (No Nicknames) Former Surname Gender Date of Birth (YYYY/MM/DD) Apt. Number Number & Street Area Code & Phone Number City Province Postal Code Email Address Alternate Phone Number Status in Canada Canadian Citizen Permanent Resident Study Permit If Not Born in Canada, Date of Entry Other (specify, e.g., First Nations) Country of Citizenship First Language: English French Other If Other, submit the Test of Facility in English: http://educ.queensu.ca/apply In Canada, human rights legislation and policies recognize the importance of equity programs in ensuring equal participation by all members of society. Equity legislation and programs have designated four groups as needing special attention because of historical disadvantage including the Aboriginal Peoples of Canada. However, in Canada, measuring the degree of under-representation in post-secondary education is difficult, as existing national and provincial databases do not include detailed information on the university student population. Queen s University believes in the principle of equity and is committed to implementing equity programs that ensure that all students are treated fairly and with respect. The questions below will help us implement our equity programs. In addition it is a declaration of native ancestry which is required for admission to the Diploma in Education program. Please be assured that individual responses to questions will go directly to the Education Registrar s Office and are accessible only by the Education Registrar s Office and the ATE Program. 1

1. Are you an Aboriginal Person? Yes No Aboriginal People are persons who identify themselves as a North American Indian or member of a North American First Nation, an Inuit or Métis. North American Indians or members of a First Nation include status, treaty, or registered Indians, as well as non-status and non-registered Indians. Status Community to which you belong: Non-Status Community/Organization: Inuit Non-Registered Métis Community/Organization: 2. Are you fluent or functional in an Aboriginal language? Yes No Algonquin Cree Mohawk Ojibwe Other: All Secondary Schools Attended: (send official transcripts) From: To: EDUCATIONAL BACKGROUND Name and Location of School Grade Level Diploma Awarded All Postsecondary Institutions At Which You Have Been Registered (Colleges and Universities): (send official transcripts) From: To: Name and Location of Institution Type of Degree (3-4 Years) Degree Expected (BA, BSc, etc.) Conferral Date PROGRAM COREQUISITES Aboriginal Teacher Education Program Corequisites must be completed prior to graduation from the teacher education program. Candidates should check with the Education Registrar' Office to make sure their choice is appropriate, BEFORE enrolling in that course. If a course title does not seem to reflect the course content, candidates must forward a detailed course description before enrolling in a course. Please indicate if you have completed the following (not required for admission): Psychology: One half-year university course OR one half-year college course in child developmental psychology OR an appropriate one half-year Aboriginal Studies course which includes content in the four areas of development (physical, emotional, spiritual and intellectual) OR equivalent is acceptable. Aboriginal Language: 30 hours of certified instruction in an Aboriginal language, documented functionality OR a high school (any level), college or university course in Aboriginal language. Mathematics: Grade 12 (4U, C, M or OAC) course OR one half-year university course OR one half-year college math course. Academic Writing Skills (for Diploma in Education candidates only): One half-year university course OR one halfyear college course OR one secondary school 4U or OAC English course OR equivalent in academic writing skills. 2

ADDITIONAL APPLICATION REQUIREMENTS 1. Personal Statement of Experience (PSE) The Aboriginal Teacher Education PSE is a supplemental application (available at the end of this application). Please complete the form and submit it along with your application. 2. Letters of Community Support Have two respected members of your Aboriginal community write letters on your behalf indicating their support of you attending our Teacher Education Program. Examples of respected Aboriginal community members might include Elders, Education Counsellors, Teachers, Principals, Directors of your Local Friendship Centre, Elected Chiefs of a First Nation Council, Work Supervisors, Clergy, and Professors. Only original letters will be accepted, containing original signatures. Photocopies or fax copies of the letters will not be accepted. 3. Resume: the resume should provide a clear and concise overview of both (a) your academic background, and (b) work experience. APPLICATION CHECKLIST All documentation must be submitted to the Community-Based ATEP Office to which you are applying by 15 February 2013 (office addresses are listed below). Please ensure that your application package includes the following: A completed application form. Official transcripts: Bachelor of Education applicants must submit post-secondary transcripts from each institution attended. Diploma in Education applicants must submit secondary school transcripts, and if applicable, post-secondary transcripts from each institution attended. All transcripts submitted must be official, bearing the institutional seal and/or original signature of the institution s registrar. Photocopied or faxed transcripts are not acceptable. All transcripts, once received, become the property of the Queen s Education Registrar and will not be returned to the applicant. An applicant s previous academic credentials must be obtained at an institution providing an academic environment and education that prepares students for potential success in advanced study at Queen s. Personal Statement of Experience. TWO letters of Aboriginal Community Support (original letters with signatures). Resume. Only documentation requested by the Education Registrar is considered for admission. We will not read any unsolicited material or letters of reference; unsolicited documents will be destroyed. CRITERIA FOR SELECTION Selection of applicants for the ATEP Community-Based Part-Time program is based on: a. meeting the admission requirements and/or recommendations; b. the number of spaces available at the site; c. the assessment of academic background, prerequisites, work experience, Personal Statement of Experience, and Letters of Community Support. Queen s may, at its discretion, suspend admissions to the program or site in accordance with University policy. DECLARATION AND NOTICE OF COLLECTION, USE, DISCLOSURE AND TREATMENT OF PERSONAL INFORMATION AS PART OF YOUR APPLICATION The personal information collected on this form is collected under the authority of the Royal Charter of 1841 as amended. The personal information collected on this form will be used for admission purposes. If you have any questions or concerns about the information collected or how it will be used, please contact Bob Burge, FIPPA officer, 613 533 6205. I certify that the personal information and documents submitted in this application, or to be submitted (all of which constitutes the application), are true, complete and correct in all respects, including my declarations as to citizenship and immigration status in Canada, that my autobiographic and personal submissions were authored solely and entirely by me, and that all information requested in this application has been disclosed. I understand that it is my responsibility to keep the Education Registrar s Office at Queen s University informed of any changes to the information in my application materials and I agree to do so in writing immediately after any such change occurs. I understand that I may be required to supply documentation at some future date to substantiate my claim(s) and any 3

misrepresentation of this data may result in the cancellation of my admission or registration status. Applicant s Signature Date COMMUNITY-BASED ATEP OFFICES Complete applications for the 2014-2015 year are due by 14 February 2014. Hours of operation are 8:30-4:30pm ATEP c/o Seven Generations Education Institute P.O. Box 297 1455 Idylwild Dr. Fort Frances, ON P9A 3M6 Manitoulin-North Shore ATEP c/o Kenjgewin Teg Educational Institute P.O. Box 328 M'Chigeeng, ON P0P 1G0 Telephone: 807-274-2796 Fax: 807-274-8761 Toll Free: 800-668-6279 Post Secondary Education Programs Coordinator: Sherri Kabatay sherrik@7generations.org Telephone: 705-377-4342 Fax: 705-377-4379 Toll Free: 888-536-5439 On-site Coordinator: Rachel Lewis StudentLiaisonOfficer@ktei.net How did you find out about our program? Questions about the ATEP Application: Education Registrar s Office Queen s University 613-533-6205 education.registrar@queensu.ca ATEP Office Queen s University Toll Free: 800-862-6701 / atep@queensu.ca PERSONAL STATEMENT OF EXPERIENCE INSTRUCTIONS Queen s Faculty of Education believes that the best teachers are not necessarily the ones with the highest academic standing. Personal qualities and experiences are vitally important to the successful educator. Accordingly, we weigh your Personal Statement of Experience equally with your academic qualifications. The PSE is a required document in the Teacher Education application. PSEs are assessed only for applications that are deemed eligible (i.e., after the transcript is assessed). The statement must be prepared in your own words, without professional assistance. Only documentation specifically requested by the Queen s Education Registrar on the Admissions website is considered for admission. Letters of reference are not requested and hence will not be read; please do not send them. Queen s does not have specific requirements for the number of hours spent teaching or in teaching-related activities. Queen s believes that personal qualities and experiences are important to the successful educator. For question 1, applicants list up to 5 activities or jobs (paid or unpaid) that they have been involved in, including the positions held. Activities are valued equally and may include but are not limited to the arts, athletics, hobbies, volunteer, religious, social, farm, and/or household responsibilities. PSE Question 1 Example Experience Location Dates Age Groups Estimated Hours Nature of responsibilities Supervised 8 campers in archery, canoeing and crafts Daycamp counselor Camp Kawartha, Kingston July-Aug 2004 July-Aug 2005 5-9 years 8 weeks x 40 hours=320 8 weeks x 40 hours=320 Total 640 hours Helped in a classroom J.E. Queen s Elementary School Kingston Thursday Mornings - fall semester Grade 6 Approx 48 hours total Worked with reading group Sales person Good Enough Ice Cream Store 2 evenings a week MayJune Adults 6 hours a week Total 48 hours Helped people choose products, cashier 4

ABORIGINAL TEACHER EDUCATION PROGRAM PERSONAL STATEMENT OF EXPERIENCE Question 1: Using the chart below, list up to 5 activities or jobs (paid or unpaid) that you have been involved in, including the positions held. Activities are valued equally and may include but are not limited to the arts, athletics, hobbies, volunteer, religious, social, farm, and/or household responsibilities. Experience Location Dates Age Groups Estimated Responsibility Hours 5

ABORIGINAL TEACHER EDUCATION PROGRAM PERSONAL STATEMENT OF EXPERIENCE Question 2: Explain what you have learned from your list of experiences that will help you as a future educator in an Aboriginal context. Use paragraphs and full sentences. This is your opportunity to demonstrate your written communication skills. 6

ABORIGINAL TEACHER EDUCATION PROGRAM PERSONAL STATEMENT OF EXPERIENCE Question 3: List, in point form, the reasons for your interest in Aboriginal Education. 7

ABORIGINAL TEACHER EDUCATION PROGRAM PERSONAL STATEMENT OF EXPERIENCE Referee: Please provide the name and contact information of an individual not related to you (employer, supervisor, etc.) who can attest to your skills or experience in at least some of the areas you have listed. Your referee may be contacted to verify your statement. Referee s Name: Address: Email address: Telephone (daytime): Capacity in which the referee has known the applicant: Please indicate how long, years and months, that the referee has known the applicant (e.g., 3 years, 3 months): 8