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438 University Avenue, Suite 1900

Toronto ON M5G 2K8


Telephone: 416 961-8558
Toll-free: 1 888 961-8558
Fax: 416 961-8772
registration@college-ece.ca
college-ece.ca

Application Form #1
for graduates of Ontario Colleges of Applied Arts and Technology &
Approved Post Secondary Programs in Early Childhood Education
Please read the corresponding application guide before completing this application form.
General Instructions:

Please PRINT all information clearly. You may also download and print the Application Form and
Application Guide from the website at college-ece.ca.
Complete all sections of the Application Form. Incomplete applications cannot be processed and will
delay processing.
Any original documents submitted may not be returned.
If the name(s) on any of your documents are different from your current name, you must provide proof
of a name change.
The College does not accept faxed/ e-mailed copies of the Application Form.
Please mail the original, completed, dated and signed Application Form and supporting documents,
with your application and registration fee payments to:

College of Early Childhood Educators


438 University Avenue, Suite 1900
Toronto, Ontario M5G 2K8
Educational Requirements for Entry:
To become a member of the College, you must meet the Colleges entry requirements. Please check the
ONE(S) that applies to you.

I am an applicant in my last semester of the ECE Program offered by an Ontario College of Applied
Arts and Technology (OCAAT) or a program on the Approved Post Secondary Programs List (see
page 5 of the Application Guide, available at college-ece.ca, for a list of OCAATs). Please answer
question 2a).

I am a graduate of a diploma program in early childhood education offered by an Ontario College of


Applied Arts and Technology (OCAAT) (see page 5 of the Application Guide, available at collegeece.ca, for a list of OCAATs). Please answer question 2a).

I am a graduate of an Ontario program on the Approved Post Secondary Programs List (see page 5
of the Application Guide, available at college-ece.ca, for the Approved Post Secondary Programs
List). Please answer question 2b).

I am a graduate of a program in Canada (outside of Ontario) on the Approved Post Secondary


Programs List (see pages 6-8 of the Application Guide, available at college-ece.ca, for the
Approved Post Secondary Programs List). Please answer question 2b).

If none of the above categories apply to you, do NOT complete this Application Form. Please refer to the Application Guide
for Individual Assessment Applicants or contact the College at registration@college-ece.ca for further information on the
application process.
College of Early Childhood Educators OCAAT & Approved Post Secondary Programs Application Form 2015

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Section 1 Personal Information


NOTE: If the name(s) on any of your documents is different from your current name, you must provide proof of the
name change(s). If you changed your name when you married, please provide a photocopy of the marriage certificate. If
you legally changed your name, please send a photocopy of either the change of name certificate or the court order that
changed your name. Please note that both your previous name(s) and your new name must be referenced in the
certificate or the court order.

Personal Information
Last name

First name

Harchandani

Divya

Middle name(s)

Common first name (name you are known by)

Former Names
Last name at birth (if different from above)

First name at birth (if different from above)

Former last name (if changed)

Former first name (if changed)

Gender

Female

Male

Date of birth (dd/mm /yyyy)

Home street address

Dd

24
_____

02
_______

mm

1985
______

yyyy

Apartment # / unit # / P.O.Box # / RR #)

11 Mugford Cres
City

Province

Brampton

Ontario

Home telephone number (include area code)

Postal code

L6Y 6A7
Mobile telephone number (include area code)

416-854-7788
Personal e-mail address(please include a personal e-mail address to receive communications from the College)

Employment Information
Employment Status:
Not currently employed

Casual
Full-time
Current place of employment

Part-time
Retired
Other (please specify): ________________________________________________

Current employment street address

City

Apartment # / unit # / P.O. Box # / RR #

Province

Current employment telephone number (include area code)

Postal code

Current employment fax number (include area code)

Communications from the College


Preferred mailing address for communications from the College:

Home Address

Business Address

Preferred language of communication from the College:

English

French

College of Early Childhood Educators OCAAT & Approved Post Secondary Programs Application Form 2015

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Section 2 - Educational Qualifications


The following registration practices were implemented by the College effective February 14, 2011:
i.
an applicant who is required to satisfy the requirements set out in the Registration Regulation must
provide an official transcript issued by the educational institution at which the applicant obtained his or
her academic credential, bearing the institutions seal and signature of the registrar or equivalent
official;
ii.
the transcript described in subparagraph (i) must be mailed directly from the educational
institution to the College of Early Childhood Educators.
In order to satisfy the educational qualifications for registration, you must provide evidence that you possess
one of the following:
A diploma from a program in early childhood education offered by an Ontario College of Applied Arts
and Technology (OCAAT)
A diploma/degree from an early childhood education program in Ontario on the Approved Post
Secondary Programs List
A diploma/degree from an early childhood education program in Canada (outside of Ontario) on the
Approved Post Secondary Programs List.
Please refer to the Approved Post-Secondary Programs List on pages 5 - 8 of the Application Guide.
Educational Entry Requirement
2a). Do you possess a diploma from a program in early childhood education offered by an Ontario
College of Applied Arts and Technology (OCAAT)?
Yes
No

OR
Are you a student in your final semester in a program in early childhood education offered by an
Ontario College of Applied Arts and Technology (OCAAT)?

No
Yes
If yes, please complete the following information. Please arrange to have an official transcript issued to the College by the educational
institution at which you obtained your academic credential, bearing the institutions seal and signature of the registrar or equivalent
official.
Note: The official transcript must indicate completion of program and must be mailed directly from the educational institution to the
College of Early Childhood Educators.

Educational Institution Name and Address (include the city)

Sheridan College Institute of Technology and Advanced Learning


Year Graduated

Name of Diploma Program

2016

Early Childhood Education

2b). Did you successfully complete an early childhood education program in Canada on the Approved
Post Secondary Programs List (listed on pages 6-8 of the Application Guide)?
Yes
No
i. In Ontario?
ii. Outside of Ontario?

Yes
Yes

No
No

OR
Are you a student in your final semester of a program in early childhood education offered by a
program in Canada on the Approved Post Secondary Programs List?
Yes
No
i. In Ontario?
ii. Outside of Ontario?

Yes
Yes

No
No

If yes, please complete the following information. Please arrange to have an official transcript issued to the College by the educational
institution at which you obtained your academic credential, bearing the institutions seal and signature of the registrar or equivalent
official.
Note: The official transcript must indicate completion of program and must be mailed directly from the educational institution to the
College of Early Childhood Educators. For graduates of the University of Guelphs Bachelor of Science program, the transcript is
necessary to demonstrate a major in Child Studies. A letter from the Registrars office is also requested to indicate a major in Child,
Youth and Family Child Stream.

Educational Institution Name and Address (include city, province)

Sheridan College Institute of Technology and Advanced Learning- Davis Campus


Year Graduated

Name of Diploma Program or Degree (indicate major)

2016

Diploma in Early Childhood Education

College of Early Childhood Educators OCAAT & Approved Post Secondary Programs Application Form 2015

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Section 3

- Language Fluency

You must be able to speak and write in either English or French with reasonable fluency. Please check at least
one below:
The language of instruction for my degree or diploma was in English.
a)

b) The language of instruction for my degree or diploma was in French.

Section 4

- Citizenship / Immigration Status

You are required to be a Canadian citizen, a permanent resident of Canada or be authorized under the
Immigration and Refugee Protection Act (Canada) to engage in employment within the practice of the
profession.
Please choose ONE of the following and attach evidence of Citizenship/Immigration status:

a)
I am a Canadian citizen.
Attach a photocopy of one of the following: Canadian birth certificate, valid Canadian passport, Certificate of
Canadian citizenship, Canadian citizenship card.
b) I am a permanent resident of Canada.
Attach a photocopy of one of the following: Record of Landing, Confirmation of Permanent Residence, Permanent
Resident card.
c) I am a Registered Indian under the Indian Act.
Attach a photocopy of the following: Certificate of Indian Status card.
d) I am authorized under the Immigration and Refugee Protection Act (Canada) to engage in employment
within the practice of the profession of early childhood education.
dd
mm
yyyy
Authorization expires: _______ _______ ______
Attach a photocopy of a valid work permit which provides authorization to engage in employment within the practice
of the profession.

Section 5 - Declaration of Conduct


You must answer ALL of the questions in this section.

a) Have you ever been found guilty of a criminal offence in Canada or in any jurisdiction outside of Canada?
Yes

No

b) Have you ever been found guilty of an offence under the Controlled Drugs and Substances Act (Canada) or the
Food and Drugs Act (Canada) or any other offence relevant to your suitability to practise early childhood education?
Yes
No
c) Have you ever been the subject of a finding of professional misconduct, incompetence or incapacity or any other
similar finding, including a finding of professional misconduct, incompetence or incapacity made by a professional
association or other body that has self-regulatory responsibility, whether in Ontario or any other jurisdiction, in
relation to the practice of early childhood education or any other profession?
Yes
No
d) Are you currently the subject of a proceeding in relation to professional misconduct, incompetence or incapacity or
any other similar proceeding, including a proceeding related to professional misconduct, incompetence or incapacity
held by a professional association or other body that has self-regulatory responsibility, whether in Ontario or any
other jurisdiction, in relation to the practice of early childhood education or any other profession?
Yes

No

If you answer Yes to any of the above questions, please provide a detailed explanation with your application on a separate piece of
paper, which you may place in a sealed envelope labelled confidential. The College will consider and assess whether the conduct is
significant. A Yes response does not necessarily make you ineligible for registration in the College. The College reserves the right
to decide on an individual basis as to the possible impact of the conduct on the practice of the profession.
You are required to immediately inform the Registrar if, after having applied for but before being issued a Certificate of Registration,
you become the subject of a finding or proceeding described above or you are found guilty of an offence described above.
Note: Supporting documentation may be required such as: additional information from the Children Aid Society, letters of reference
from past or current employers, etc.
1

If you have been found guilty of a criminal offence under the Youth Criminal Justice Act (Canada) or the Young Offenders Act (Canada), you are not required to disclose the
finding of guilty unless you received an adult sentence under the Youth Criminal Justice Act or the matter was transferred to ordinary court under the Young Offenders Act.

College of Early Childhood Educators OCAAT & Approved Post Secondary Programs Application Form 2015

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Section 6

- Application & Registration Fees

Application Fee
The application fee amount is $75. This one-time fee is for the processing of your application and is nonrefundable, regardless of the outcome of the application process.
Registration Fee
The registration fee amount is $150. This fee is for registration as a member and will be returned if your
application is not approved for registration. An annual fee of $150 is payable on the anniversary of the date on
which your Certificate of Registration is issued.
Please note:

Acceptable methods of payment for fees are:


Cheques in Canadian funds and from a Canadian bank
Money Orders in Canadian funds and from a Canadian issuer
Bank Drafts in Canadian funds
Visa or MasterCard

Post-dated cheques are not accepted.

American Express and pre-paid credit cards are not accepted.

Cash is not accepted and the College is not responsible for lost cash.

A processing fee of $30 will be charged for any cheque that is not honoured.

Bulk payments for multiple applications are not accepted.

U.S. and other international cheques are not accepted. For international payment, please pay in
Canadian dollars by bank draft or credit card.

If paying by credit card, the application fee and registration fee will appear as two separate charges.

For confidentiality and safety, the College does not accept credit card information over the phone.

To protect the confidentiality of your information, credit card information will be blacked out after it is no
longer needed.
Please check method of payment being submitted:
Cheque/money order/bank draft for a total of $225, made out to the College of Early Childhood
Educators
Cheque number:____________________ Amount:$________
Visa
MasterCard
I authorize the College of Early Childhood Educators to charge the credit card below in the amount of $225,
$150 only
$75 only
unless otherwise stated:

Card Number:
Month

Year

Expiry
Date:

Divya Harchandani

Cardholders Name (please print as it appears on the credit card):__________________________________


Cardholders Signature: ___________________________________________________________________

College of Early Childhood Educators OCAAT & Approved Post Secondary Programs Application Form 2015

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Application Form Checklist


All documents listed below are required by the College of Early Childhood Educators to verify the
information provided on this Application Form.
I am submitting the following documents:
Completed Application Form (Sections 1 - 7) original copy

Proof of Educational Qualifications:

An official transcript issued by the educational institution at which you obtained your academic credential,
bearing the institutions seal and signature of the registrar or equivalent official, mailed directly from the
educational institution to the College of Early Childhood Educators.
Transcript ordered on (please list date): ______________________________

Name your transcript will appear under:________________

Student number:_____________

Proof of name change(s), if applicable ( e.g. marriage certificate, change of name certificate, court order) photocopy
Proof of Citizenship/Immigration Status (e.g. Canadian birth certificate, valid Canadian passport, Certificate of

Canadian citizenship, Canadian citizenship card, Certificate of Indian Status card, proof of Canadian
permanent resident status, valid work permit) - photocopy
Application and Registration Fee Payments (e.g. cheque, money order, bank draft or completed credit card

information)
Other Documentation: (please specify) _________________________________________________

Section 7

- Signed Confirmation

All applicants are required to sign and date the Application Form to indicate that all the information in
the Application Form and related documents are true.
I confirm that all the information in the above Application Form and related documents are true. I acknowledge that

any false or misleading statement, representation or declaration in or in connection with this application, by
commission or omission, may disqualify me from registration and is cause for revocation of my Certificate of
Registration or other disciplinary action.
I understand that I must hold a current Certificate of Registration with the College of Early Childhood Educators in
order to practise as an early childhood educator in Ontario and that I cannot use the title Early Childhood
Educator (ECE) or Registered Early Childhood Educator (RECE) unless I hold a current Certificate of
Registration.
I authorize the College of Early Childhood Educators to contact any authority, institution, association, body or
person in any jurisdiction to verify the information set out in this application and related documents and hereby
authorize any such authority, institution, association, body or person to release to the College any information
relevant to the information set out in this Application Form and related documents.
I understand that the College of Early Childhood Educators may make inquires to gather additional information, as
required, in connection with this application. I understand that additional information, or supporting documents,
may be required from me at a later time for further consideration of this application.
I understand that the College of Early Childhood Educators collects, uses and discloses personal information
about me for regulatory purposes in accordance with the Early Childhood Educators Act, 2007 and the regulations
and bylaws made under the Act.
I agree to notify the College of Early Childhood Educators, within 30 days, if there are any changes to the
information provided on this Application Form.
I understand that my name and class of Certificate of Registration as well as other information listed in the Early
Childhood Educators Act, 2007 and the by-laws, is information which is available to the public.

Original Signature of Applicant

Date (DD/MM/YYYY)

College of Early Childhood Educators OCAAT & Approved Post Secondary Programs Application Form 2015

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