Education Support Professional Application Form

REGINA CATHOLIC SCHOOL DIVISION
Application Form
Please complete the following mandatory information:*
Are you an International Student?*

YESNO
Mission Statement of Regina Catholic Schools

The Regina Catholic School Division will work with the community and local church to provide a quality Catholic education that fosters academic excellence and the development of informed, responsible citizens.
Notice to Applicants

Whenever possible, please supply all information requested in each section of the application form.
Please refer to the checklist to ensure that all elements necessary to your application are included.
Applications are kept on active file for a period of 1 year. Applications will only be reactivated at the request of the applicant
by telephone or written correspondence.

General Information
Name in Full*

PrefixFirst NameLast Name
E-mail Address*
Cell Phone Number

Area CodePhone Number
Fax Number

Area CodePhone Number
Telephone Number

Area CodePhone Number
Present Address*

Street Address

Street Address Line 2

CityProvince

Postal CodeCountry
Religion:
Languages spoken other than English:
How did you learn about the position?*

Education (Transcripts of all education must be included)
The highest grade you completed in elementary or secondary school was Grade: *
Name of School:*
City:*

Post Secondary Education*

	Institution	Degree(s) or Certificate	Marjor Area of Study	Date Completed
Location #1
Location #2
Location #3

Employment History

Please list the most recent employer first*

	Name and Address of Employer (use a comma (,) to separate entries)	Position Title	Employment Period	Supervisor (please include phone #)	Email Address
Location #1
Location #2
Location #3

Additional Information
Please provide supplementary information such as: Service in voluntary organizations, special qualifications, other information which may be relevant to your application.
References

List persons (other than relatives) who are in a position to provide you with a character or work reference. Regina Catholic Schools will contact previous employers for references as per current practice. Email address of each reference must be provided. One of these references must be your parish priest. It is preferrred that you include a completed parish priest form or letter to accompany this application.
**All offers of employment with Regina Catholic Schools are conditional upon the receipt of a satisfactory Criminal Record Check.**

Please complete the following information for your references: Reference Email is a must*

	Name	Address (use a comma (,) to separate entries)	Email address (Must Be Included)	Phone Number (include area code)	Occupation
Reference #1
Reference #2
Reference #3

Aboriginal Self-Declaration

The Education Equity Plan is designed to respond to the needs of Indian and Métis students enrolled in Regina Catholic Schools. An element of Education Equity is the employment of more teachers of Aboriginal ancestry as role models in the school system.

If you are a person of Aboriginal ancestry and would like this fact to be considered by Regina Catholic Schools, you may voluntarily indicate so by checking the box below.
Completion of the following is VOLUNTARY: Person of Aboriginal Ancestry

Treaty IndianNon-Status IndianMétisInuit
Visible Minority / Disability Declaration(s)

Completion of the following is strictly VOLUNTARY:
Do you consider yourself to be a member of a visible minority?

Yes
Do you have a disability which will affect your ability to perform any of the functions of the job for which you have applied?

Yes
What functionality can you not perform and what accommodations could be made which would allow you to do the work adequately?
Declarations

I certify that the statements made by me in the application are, to the best of my knowledge and beliefs, true and complete and are made in good faith. I understand that if any of these statements are untrue this application may be rejected and that my appointment to a position may be rescinded.
Signature of applicant:
Date of Application:

MonthDayYear
This Application is Valid for One Year.

Please address your cover letter to:

Andrea Ward Supervisor of Human Resource Services
Regina Catholic Schools
2160 Cameron Street,
Regina, SK S4T 2V6

Contact information:

Telephone: (306)791-7200 Fax: (306)347-7699 Confidential fax: (306)791-7277
Email: HR@rcsd.ca Website: www.rcsd.ca
Upload your Cover Letter, click Choose File*

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Upload your Resume, click Choose File*

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Upload your Transcript, click Choose File

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REGINA CATHOLIC SCHOOL DIVISION

Application Form