HCOS EA Online Application Form

This form must be completed before your application can be processed by the Inclusive Education Department of Heritage Christian Online School (HCOS). We are looking for dynamic people to work one-on-one with students learning at home.
Instructions: Please complete all fields marked with an asterisk as they are required fields. Please note that all perspective hires must complete a successful reference check and receive Criminal Record Check clearance. Work with a student can only commence once a contract has been issued, signed and returned to our office.
1. PERSONAL INFORMATION
Legal Name of Applicant Legal Name of Applicant First Last
Usual Name of Applicant Usual Name of Applicant First Last
Primary Phone #
Applicant's Email
Applicant's Address Applicant's Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Teachers enter your Teacher Certificate number.

All other applicants may be required to complete a Criminal Record Check, which must be processed through the Ministry of Justice, at the applicant's expense. (RCMP CRCs are not acceptable)
2. EDUCATION & TRAINING

Please provide the most recent and relevant qualifications you possess.
Year of Education/training
Educational Institution
Qualification Received
Year of Education/training
Educational Institution
Qualification Received
Year of Education/training
Educational Institution
Qualification Received
Year of Education/training
Educational Institution
Qualification Received
3. WORK EXPERIENCE

Please provide your most recent and relevant employment history.
Year Started-Year Ended
Business or Institution
Position
Year Started-Year Ended
Business or Institution
Position
Year Started-Year Ended
Business or Institution
Position
Year Started-Year Ended
Business or Institution
Position
General Information about work experience:
4. REFERENCES
Please provide the contact details for 3 references: 2 professional and 1 personal.

Please NOTIFY your references that they will be contacted by HCOS and be prepared to follow up with your references in the event that they do not complete your reference in a reasonable amount of time. All Service Provider's employment is contingent on receiving favourable references and a Criminal Record Check.
Professional Reference #1: Name
Phone #:
Email:
Details of your relationship with this person:
Professional Reference #2: Name
Phone #:
Email:
Details of your relationship with this person:
Christian Character Reference: Name
Phone #:
Email:
Details of your relationship with this person:
5. ADDITIONAL INFORMATION
Please upload your resume and include a brief introductory profile which includes:
- background & experience as an educator.
- academic & grade level strengths
- a celebrated achievement as an educator.

Attach Files

Use pdf or docx file format only.
Please upload all relevant certificates and documents.

Attach Files

Multiple files may be uploaded.
I have read and agree with the Statement of Faith.
How did you hear about this position?
Have you previously worked as an Education Assistant with Heritage Christian Online School?

Have you previously worked as an Education Assistant with Heritage Christian Online School? YES NO
What prompted you to apply?

What prompted you to apply? I am applying to work with a specific student. I am applying to work with a specific student and have additional availability to support other students. I am applying as a general EA hire.
Name of HCOS student(s) that you are applying to provide service for (if known).
Name of HCOS student(s)'s parent/guardian (if known).
Name of student(s)'s HCOS Inclusive Education Teacher (if known).
If your hire with HCOS is successful, how many additional hours per week of student support are you available for?
If your hire with HCOS is successful, how many hours per week of student support do you ideally want to secure as a self-employed independent contractor?
What strengths will you bring to this role?

Academic Support - Please select the highest grade level that you can support for each subject area.
	7	8	9	10	11	12	N/A
ADST	ADST7	ADST8	ADST9	ADST10	ADST11	ADST12	ADSTN/A
English/LA	English/LA7	English/LA8	English/LA9	English/LA10	English/LA11	English/LA12	English/LAN/A
IEP Classes	IEP Classes7	IEP Classes8	IEP Classes9	IEP Classes10	IEP Classes11	IEP Classes12	IEP ClassesN/A
SS/History	SS/History7	SS/History8	SS/History9	SS/History10	SS/History11	SS/History12	SS/HistoryN/A
Science/Biology	Science/Biology7	Science/Biology8	Science/Biology9	Science/Biology10	Science/Biology11	Science/Biology12	Science/BiologyN/A
Math	Math7	Math8	Math9	Math10	Math11	Math12	MathN/A
Pre-Calculus/Calculus	Pre-Calculus/Calculus7	Pre-Calculus/Calculus8	Pre-Calculus/Calculus9	Pre-Calculus/Calculus10	Pre-Calculus/Calculus11	Pre-Calculus/Calculus12	Pre-Calculus/CalculusN/A
Chemistry	Chemistry7	Chemistry8	Chemistry9	Chemistry10	Chemistry11	Chemistry12	ChemistryN/A
Physics	Physics7	Physics8	Physics9	Physics10	Physics11	Physics12	PhysicsN/A

Please outline the academic supports you can provide to students (grade levels & subjects).
I have read the Educational Assistant Training Manual and have an understanding of the general expectations.
I understand that I will be an Independent Contractor, contracted by Kelowna Christian Center Society (HCOS). EI, CPP, and taxes are not withheld from my pay. WorkSafe BC coverage may also be my responsibility.
I understand that my contract is contingent on HCOS receiving all required documents including Criminal Record Check and references. I understand that it is my responsibility to follow up and to ensure that all documents have been submitted.
I recognize that HCOS is an online school and computer skills are required for communication, report writing and invoicing.

Will be required to use web email that will be provided.
Also use a login and password to log into the report and invoicing web-service.
I certify that I am a Canadian citizen or permanent resident and that I am legally eligible to work in Canada.
I certify that the information contained in this application is correct to the best of my knowledge and I understand that any omission or incorrect information is just cause for the rejection of my application or dismissal. I authorize HCOS to verify the information provided, and to obtain any other information relevant to this application.
Any questions, please record here:

HCOS EA Online Application Form

HCOS EA Online Application Form

1. PERSONAL INFORMATION

2. EDUCATION & TRAINING Please provide the most recent and relevant qualifications you possess.

3. WORK EXPERIENCE Please provide your most recent and relevant employment history.

4. REFERENCES

Please provide the contact details for 3 references: 2 professional and 1 personal.

5. ADDITIONAL INFORMATION

2. EDUCATION & TRAINING

Please provide the most recent and relevant qualifications you possess.

3. WORK EXPERIENCE

Please provide your most recent and relevant employment history.