PRINCIPAL’S QUALIFICATION PROGRAM
ONLINE APPLICATION FORM

WINTER  PARTS I AND II

Course Dates: January 27, 2012 - April 28, 2012
Application Deadline: January 06, 2012


Choice of Program

Choice of Location


First Choice:

Second Choice:
    

 

Personal Information

First Name:    
Middle Initial:
Last Name:  
   
Social Insurance #:
( format eg. 555888999 )
Ontario College of Teachers: 
( format eg. 123456 )		  
Date of Birth
(month/day/year eg. 7/21/1969)		  
Gender:
 

Address to which all correspondence should be forwarded:

Street Address  
Apt/Unit
City  
Province  
Postal code  
Home Telephone
(format eg. 416-483-1556 )		  
Secondary Telephone
(format eg. 416-483-1556 )
Email Address  
Please Re-Type Email Address

School Information

Name of School  
School Address  
School City  
Province  
Postal code  
School Type  
School Board  

Professional Qualifications and Experience

For Part I: (Complete only if you are applying to Part I )
Please forward a photocopy of your current Ontario Teacher Certificate of Qualification, along with the completed application form. 
All qualifications must be confirmed by an entry on the Certificate of Qualification or by official transcript or by an Acknowledgement of Additional Qualification/Degree letter issued by the Ontario College of Teachers.

As a Part 1 Candidate, I am aware that I must download and complete the Supervisory Officers Signature Form. (Click Here to download)



Divisional Areas of Concentration: (3 required, one of which must be Intermediate)



Specialist Qualifications 

1. 2.
3. 4.

Academic Qualifications  

 
Degree
Year Conferred
University
Major
1.
2.
3.
4
5

Course Fees

Prior to February 04, 2012 After February 04, 2012
Part I + 60 hour practicum: $950.00 Part I + 60 hour practicum: $1000.00
Course Fee:  $900.00 (GST included) Course Fee:  $900.00 (GST included)
Registration Fee:   $50.00 (non-refundable) Registration Fee:         $100.00 (non-refundable)
Total Fee:   $950.00   Total Fee:   $1000.00

Ottawa Fall 2011 registrants please click here for paper application.
Please fax to 416-483-1556

Withdrawal Policy

Candidates who withdraw on or before January 6, 2012 will receive a refund of the course fees note: $50.00 nonrefundable Registration Fee is included in the course fees. Those withdrawing by February 4, 2012 will receive a $250.00 refund. No refunds will be granted after February 4, 2012.

I have read, understood and agree with the Withdrawal Policy above:

Clicking on the purchase button takes you to the CPCO E-Store where your payment will be processed.

Please note that your application is NOT considered submitted and will NOT be processed unless payment is received.

 

Confirmation of receipt of your application and fee payment will be sent to you by e-mail within 24 hours. If you do not receive the confirmation of receipt, please contact Vanessa Kellow at vkellow@cpco.on.ca.
 

** Please Use Internet Explorer to Complete Application

Sorry, you are not allowed to print this form.

This PQP Online Application Form can only be submitted and paid for online. If you would like to submit a paper application, please select 'Paper Application' under 'Application Package' in the PQP Menu of the CPCO website or visit this URL to download the form: http://www.cpco.on.ca/pqp/pqpdocuments/Part1and2AppForm.pdf.