SD #23 Career Transitions Programs

School District No. 23
DUAL CREDIT PROGRAMS
Student Application
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STUDENTS LOOKING TO ENTER SSA, OC, BCIT, OR
SCHOOL BASED DUAL CREDIT PROGRAMS NEED TO
COMPLETE THE FOLLOWING PACKAGE.
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RETURN COMPLETED APPLICATION
PACKAGE TO YOUR SCHOOL’S
CAREER/LIFE CENTRE.
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YOU WILL BE NOTIFIED OF AN INTERVIEW TIME ONCE
THE APPLICATION HAS BEEN REVIEWED.
SD No. 23 Dual Credit Programs
Checklist for Application
Last Name: __________________________________ First Name: ________________________________
School: _____________________________________ Grade: ____________________________________
Please  the program you are applying for:
 Okanagan College *
School-based ACE-IT:
 BCIT *
 KSS – Auto Service Tech
 SSA *
 MBSS – Culinary Arts
 MBSS – Hairdressing
 RSS – Res. Construction
 RSS – Utility Arborist
* Name of Trade/Program (i.e. Welding) ______________________________________________
In order to qualify for a SD #23 Dual Credit program, the following steps must be complete:
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Secondary School Apprenticeship: complete steps 1-10
School based ACE-IT Programs: complete steps 1-9
Okanagan College: complete steps 1-9 and
o
complete the attached OC documentation form (signed by parent and student)
BCIT: complete steps 1-9 and login to http://www.bcit.ca/files/pdf/admission/hsapplication.pdf and complete
the BCIT application. Print and attach to the Dual Credit Programs Application.
(MAKE SURE IT IS SIGNED BY PARENT AND STUDENT)
Please  as each step is completed:
 1.
Application forms (x2) – SD No. 23 & ITA Youth Apprentice Sponsor Registration Form.
 2.
Job Profile Research Project
 3.
Teacher statement of recommendation. Teacher should be from related program.
 4.
A one page personal letter in support of application showing commitment to completing your area
of study and showing experience in your career area (i.e. Job Shadows, CP Placements, etc.)
 5.
An updated resume. Include a list of any certificates you hold such as Superhost, First Aid,
Serving it Right, Foodsafe, CISCO, Work Safety, etc.
 6.
A copy of your Birth Certificate or Canadian Citizenship.
 7.
A copy of your school transcript (grades 10-12) and a record of your attendance (Career Centre
will provide).
 8.
IEP & LEARNING PLAN STUDENTS ONLY – Attach IEP if you have one.
 9.
ITA Essentials Skills Assessment
 10. SSA ONLY - One letter of reference from an employer.
PLEASE SUBMIT ALL COMPLETED APPLICATION FORMS TO THE
SCHOOL CAREER CENTRE OR TO:
DUAL CREDIT PROGRAMS,
1040 HOLLYWOOD ROAD, KELOWNA, V1X 4N2
APPLICATION FORM
(Please print neatly)
Name _________________________________________________________________________
Last Name
First Name
Middle Name
Address ______________________________________________ City ____________________________
Home Phone # ________________ Student Cell # _______________ Postal Code____________________
Date of Birth (Y/M/D) ______________________________ SIN __________________________________
Are you of First Nations Heritage? Yes 
No
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Student email address: (most used) _________________________________________________________
Parent email address:________________________________________________________
Parent / Guardian Contact _________________________________________________________________
Home Phone # ___________________________ Work/Cell # ____________________________________
Emergency Contact Person ________________________________________________________________
Home Phone # ___________________________ Work/Cell # ____________________________________
LA Teacher Name: ___________________________ Signature: ________________________
 Student is NOT _____on an IEP or a Learning Plan
 Student is currently on an ____ IEP or a _____ Learning Plan _____ Behaviour Support Plan
 Student was on an ________ IEP or a ________ Learning Plan in (Date) _________________
Last Psycho-Ed Assessment (Date): _________________________
If you have access to an employer in your area of study, please list the following:
Name of Employer/Contact ________________________________________________________________
Company ______________________________________________________________________________
Phone # ______________________________________________________________________________
I/We certify the information given in this application is true and complete to the best of my knowledge and understand that, if selected
for a Dual Credit Program, falsified statements may be reason for removal. I authorize investigation of all statements contained herein
and the references listed in this application. I allow the Dual Credit Department to communicate to all Post-Secondary Institutions for
educational purposes relating to my selected field of study. I allow the Dual Credit Programs Department to use any work or school
related picture of myself for the purpose of promotion and communication of the program.
Student Signature _____________________________________
Date_____________________
Parent/Guardian Signature _____________________________ Date_____________________
Application will not be accepted without all signatures in place.
JOB PROFILE RESEARCH PROJECT
RESEARCH…..through either the internet or a tradesperson or instructor of a Dual Credit Program.
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http://www.itabc.ca/discover-apprenticeship-programs/search-programs
www. bcit.ca
www.okanagan.bc.ca
Name of the Trade/Dual Credit Program:_____________________________________________________________
1. Describe the Trade/Dual Credit Program: _____________________________________________________________
_________________________________________________________________________________________________
2. What are some of your job duties and responsibilities in this trade? _________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
3. What are the pathways to becoming certified in your trade? (See the ITA program profile for your trade on the ITA's website)
4. How many levels of training are available in your trade? Is this a Red-Seal Trade?
5. What is required to successfully complete each level of training? Include exam(s) and passing grades. (Refer to the
program profile from the ITA's website.)
6. Schools that offer the Program: _____________________________________________________________________
Continued on next page…..
Continued on next page…continu
7. Salary Expected: (indicate the source where you found the expected wage). ______________________
8. Based on your research, are there any workshops, high school courses, or certificate courses that are regarded as
being useful to have, in looking for employment in this career? (i.e.: WHMIS, First Aid, Work Safe, Food Safe, Serving it
Right, CISCO, STAR etc.) _____________________________________________________________
DUAL CREDIT PROGRAM SHADOW…
1. What did you do on your Program Shadow? __________________________________________________________
_________________________________________________________________________________________________
2. What did you enjoy the most?_______________________________________________________________________
3. What did you enjoy the least? ______________________________________________________________________
4. What are some of the safety factors associated with this trade? ____________________________________________
_________________________________________________________________________________________________
5. What are some things you found out about this trade that you did not know before? ____________________________
_________________________________________________________________________________________________
6. Based on your research and Program Shadow…are you still interested in this trade/career? Why?
_________________________________________________________________________________________________
Teacher Statement of Recommendation
Thank you for completing the Teacher Statement of Recommendation regarding the student named
below. The information on this reference will be used to determine candidates for the SD No. 23
Dual Credit Programs. A quality response to the general comments section is also important.
Student Name: _________________________________________________________________
Teacher:
___________________________________ Class:__________________________
School:
____________________________ Teacher Phone #:________________________
1. Attendance/Punctuality
Excellent
Very Good
Good
Fair
Poor
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Comments:
____________________________________________________________________________
2. Work Ethic
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Comments:
____________________________________________________________________________
3. Attitude
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Comments:
____________________________________________________________________________
4. Mechanical Ability in Field
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Comments:
____________________________________________________________________________
5. Initiative/Motivation
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Comments:
____________________________________________________________________________
6. Interpersonal Skills/Citizenship
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Comments:
____________________________________________________________________________
7. General Comments:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Teacher Signature:_________________________ Date: _______________________________
Permission to Release
Personal Information
In order to comply with privacy legislation and college policy, any student who wishes Okanagan
College to release their personal information to a third party must complete and sign this form.
Student Name: ______________________________ Student #: ______________
Address: ___________________________________ City: ___________________
Postal Code: ____________ Phone No: ______________ Cell: ______________
Email address: ______________________________________________________
To Okanagan College,
Please release the personal information that I have checked below to the following group:

School District No. 23 Career Life Programs Staff
Name
Address
Phone Number
Letter of Acceptance
Transcript of Academic Record
Confirmation of enrolment
Able Test Results
Registration Information
The student may rescind or amend this authorization in writing at any time. Submit the completed
form with an original signature to the Registrar.
Student Signature: ________________________________ Date: ________________________
Parent/Guardian Signature: _________________________ Date: ________________________
ITA Essential Skills Assessment
Student Name: _________________________ School: _______________
Dual Credit Program: _____________________________
What is an Essential Skills Assessment?
All students are required to complete the Industry Training Authority's (ITA) Essential Skills Assessment as
part of the Dual Credit Application Package to determine the student's level of readiness with math and
literacy as it relates to their chosen Trade Program.
Students are to complete the exam under the supervision of a School Staff member and must be completed
at the students' school. Allot yourself 45–120 min. of continuous time to complete the assessment. The
supervising staff member must sign this form at the time the assessment is completed.
How to Take the Assessment
1. OC Programs: Email [email protected] to request a username and password.
BCIT Programs: Email [email protected] to request a username and password.
2. Login in to http://www.ita.essentialskillsgroup.com/index.php. Enter your username and password.
3. Select the Trade you are applying for to receive the appropriate assessment questions. Leave “test
results sharing” on. DO NOT TURN OFF “TEST RESULTS SHARING”.
4. Complete the assessment in one sitting.
5. Results are provided upon completion along with a training plan to improve your skills in a particular
area related to your trade program.
Supervising Staff Declaration:
I, __________________________ certify that ______________________________ completed the
(Staff Name)
(Student Name)
required ITA Essential Skills Assessment under my supervision.
Signature________________________________
Date: _______________
Office use only:
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Satisfactory: ITA Essential Skills Assessment
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Follow up Assessment required. ITA Essential Skills Assessment
Date completed:__________________