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Distance Education Program Application Form

Indicate program you are applying to:
Autism and Behavioural Science
Construction Project Management
Emergency Management
Forensic Accounting and Fraud Investigations
Victimology
 
Student Number Date of Birth
Family Name Given Name
Other Name
(if applicable) 		Address
City Province Postal Code
Telephone:
Home Cell
Business
Citizenship  
Education Record:
Post-secondary (College/University), Secondary (High School)
Please provide copy of supporting documents by fax 613.727.7634 or by email to rendles@algonquincollege.com
Institution Location
Program Enrolled Date of Completion
 
Institution Location
Program Enrolled Date of Completion
 
Institution Location
Program Enrolled Date of Completion
Employment Record:
Employer Address
Job Title
Hours per week full-time part-time
Start (m/y) End (m/y)
Employer Address
Job Title  
Hours per week full-time part-time
Start (m/y) End (m/y)
Employer Address
Job Title  
Hours per week full-time part-time
Start (m/y) End (m/y)
 

To formalize compliance with the Freedom of Information and Protection of Privacy Act, Algonquin College requires that you read the statement below. The information gathered through this document is collected under the legal authorization of the Ontario Colleges of Applied Arts and Technology Act, 2002, S.O. 2002, Chapter 8, Schedule F, Section 6. The information is used for educational, administrative and statistical purposes of the College and/or ministries and agencies of the Government of Ontario and the Government of Canada. Administrative Purposes  may include the disclosure to or on behalf of the Students' Association of Algonquin College for the purposes of the activities of the Association or to establish qualifications for benefits such as drug plan cards, OC Transpo passes or Alumni Association. The College publishes the names of students who graduate and/or achieve academic excellence. For questions related to this policy, please contact the Registrar, 1385 Woodroffe Avenue, Ottawa, ON, K2G 1V8 or 613-727-4723. Under the Privacy Act, individuals can request access to their own, individual information held on federal banks, including those held by Statistics Canada. Students who do not wish to have their information used may ask Statistics Canada to remove their identification and contact information from the national database. Further information on the use of this information can be obtained form Statistics Canada's website: http://www.statcan.ca or by writing the Postsecondary Section of Statistics Canada, Centre for Education Statistics, 17th Floor, R.H. Coates Building, Tunney's Pasture, Ottawa, K1A 0T6.

I agree that the information above is accurate and that I am over 19 years of age.
 

College Admission Requirements:

Ontario Secondary School Diploma (OSSD) or equivalent
OR
Mature Student status (19 years of age or older).

Certificate Requirements:

To be eligible to receive a certificate, candidates must successfully complete all the courses listed in their Program of Study.

Program Eligibility:

Autism and Behavioural Science

  • Proof of successful completion of an approved diploma or degree program in a related discipline: behavioural science, early childhood education, child and youth worker, developmental services worker, social services worker, sociology, psychology, child studies, education.
  • Algonquin College Health Assessment Form and/or Immunization Form required prior to clinical experience.
  • Police Record Check required prior to the first clinical experience.

    • Construction Project Management
    A two-year community college diploma (minimum) in a construction or construction-related field or equivalent.

    Emergency Management
    University degree or two-year college diploma in a related business area; or equivalent.

    Forensic Accounting and Fraud Investigations
    Proof of a university degree or three-year college diploma in a related business area, or equivalent.

    Victimology

  • A university degree in one of the following fields of study; social work, criminology, law, psychology, counselling, nursing, sociology or other related degree,

    • or
  • A college diploma in social services, youth services, police foundations, early childhood education, community and justice services, or any other related area, or equivalent,

    • and
  • 1 – 3 years relevant volunteer or paid experience or equivalent.
    • Police Records Check Documentation:

    Successful completion of a field placement is a requirement for graduation from the Victimology program. Agencies that provide placement opportunities may require proof of a clear Police Records Check for Service with the Vulnerable Sector (PRCSVS). Your acceptance for placement is at the discretion of the agency. If you register in the program and do not have a clear PRCSVS and as a result are unable to participate in placement, you will not be able to graduate.

    Field Placement Eligibility:

    To be eligible for placement, you must submit proof of a PRCSVS, which will be retained on your department file and used only for purposes related to your placement. You will be required to disclose the contents of the PCRSVS, including all notations, to the placement agencies. It is your responsibility to obtain the PRCSVS from your local Police Department prior to the deadline identified by your Department and to pay any associated costs. It may take a long time to obtain this documentation; please submit your application as early as possible. Should you require further information, please contact the Program Chair.

     
    Please indicate below how your supporting documents will be sent to Algonquin College.