Application for a Québec teaching licence
Transcription
Application for a Québec teaching licence
Application for a Québec teaching licence For holders of a teaching licence issued in Canada but outside Québec Ministère file number : A- Identity of candidate Mr. Last name (at birth) First name rs M Date of birth (yyyy-mm-dd) Social insurance number Apartment Mailing address City Province Country Telephone (Home) Other numbers (cell, work) Postal code E-mail address B- Language Language in which you received your university education : Other, specify : ________ French English Language of correspondence : French Province, territory or country where you received your teacher training English Other, specify : _________ ___________________________ In which Canadian province or territory were you granted a teaching licence ? ____________________ In which specialty ? _______________________ For which teaching level ? Preschool Elementary Secondary Vocational training The personal information collected by the Ministère is essential to the exercise of its functions, as provided for under the Regulation respecting teaching licences. This information may also be used for research or statistical purposes. It is treated confidentially and is accessible only to authorized staff who need it to carry out their duties.You have the right to request access to your personal information held by the Ministère and to request that it be corrected. To exercise this right, please contact the person responsible for access to documents and the protection of personal information. C- Reserved for the Ministère ÉMISSION D’UNE AUTORISATION D’ENSEIGNER AU QUÉBEC DÉCISION REFUS D’UNE AUTORISATION D’ENSEIGNER AU QUÉBEC Raison(s) du refus : ______________________________________________________________________ Commentaires : ______________________________________________________________________________________ Formation Champ d’enseignement Avis d’Admissibilité N° du document Examen : Français Anglais Initiales Ministère de l’Éducation, de l’Enseignement supérieur et de la Recherche Date d’émission page 1 de 2 Check off if you have mailed the Declaration Concerning a Judicial Record : I mailed: Declaration Concerning a Judicial Record (see section 2.2.1). CHECK OFF THE DOCUMENTS ATTACHED TO BOTH SIDES OF THIS FORM (certified copies or original documents, as applicable). The Ministère keeps all documents. No documents will be returned. 1. A certified copy of the document authorizing me to teach in a Canadian province or territory. 2. I have undertaken to have the official letter of attestation confirming the validity of my teaching licence sent to the Ministère. I understand that this original official letter must be dated less than three months prior to the current date. Persons who hold an Ontario teaching licence need only submit a certified copy of their certification document and membership card issued by the Ontario College of Teachers. 3. A certified copy of each of my diplomas supporting my application for a teaching licence. 4. Original or certified copy of the transcripts for each successfully completed training program supporting my teaching licence application. Documents written in a language other than French or English must include an official translation by a member of OTTIAQ. 5. A certified copy of my birth certificate or of my valid passport (and marriage certificate, if appropriate). 6. For all studies completed outside Canada : a certified copy of the Comparative Evaluation for Studies Done Outside Québec issued by the Ministère de l'Immigration, de la Diversité et de l’Inclusion. I keep the original document. 7. A certified copy attesting to my status in Canada: Canadian Citizenship Certificate, permanent resident, work permit, proof of refugee status, etc. (see section 2.2.2, paragraph 8, information Guide). 8. A copy of my valid Québec selection certificate, if applicable (see section 2.2.2, paragraph 9, information Guide). 9. As a candidate for the vocational training sector, a certified copy of the documents attesting to 3 000 hours of experience in the practice or teaching of the occupation, directly related to the program to be taught. If certified copies cannot be provided and the candidate presents valid reasons why, the Ministère may, exceptionally, accept sworn copies. I request that the Ministère issue a teaching licence in my name. I declare that the supporting documents included with my application are authentic and that all the information provided above is accurate. ______________________________________________ Signature (compulsory) ___________________________________________ Date Send your request to one of the following addresses : Applicants residing in Québec : Direction de la formation et de la titularisation du personnel scolaire Ministère de l’Éducation, de l’Enseignement supérieur et de la Recherche 1035, rue De La Chevrotière, Suite 600 Québec (Québec) G1R 5A5 Ministère de l’Éducation, de l’Enseignement supérieur et de la Recherche Applicants residing outside Québec : Direction de la formation et de la titularisation du personnel scolaire Ministère de l’Éducation, de l’Enseignement supérieur et de la Recherche e 1035, rue De La Chevrotière, 28 étage Québec (Québec) G1R 5A5 page 2 de 2