Digital Consent Web Page

If your Certifcate of Qualifcation and Registration (CQR) has a condition to complete a course(s) in complementary education of your choice, you may complete one or more additional qualifcation courses listed in Schedule C of the Teachers' Qualifications Regulation 176/10.

When you successfully complete a course from Schedule C you must inform the College whether the course will be used to satisfy a condition to complete a course in complementary education of your choice or whether you wish to have the additional qualifcation recorded on your CQR.

Please complete and submit this form to advise the College of your decision. You must complete a form for each Schedule C course you take until you no longer have terms, conditions or limitations on your CQR.

You may choose different options for each course that you successfully complete.

Renseignements personnels

No de membre

Prénom

Nom de famille

Options

Choisissez l’option A ou l’option B. (Vous ne pouvez choisir qu’une seule option)

Option A
Option B

Nom du cours de l’annexe C

que j’ai suivi peut être utilisé pour satisfaire à l’une des conditions dont est assorti mon certificat.

Je consens à cette utilisation du cours de l’annexe C.

Acknowledgment Given?

Date (JJ/MM/AA)

Signature Content

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Please enter a digital signature and date this form before sending it back to the College.

In order to complete your request, the College must receive the following:

Your completed and signed form for each course you take indicating your choice (Option A or Option B), and
A report directly from the course provider confirming that you have successfully completed the course.

Only completed and signed forms will be processed.

Consent Form for Fulfilling Complementary Education Condition(s)

Renseignements personnels

Options