BANCROFT PERSONAL SUPPORT WORKER PROGRAM

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Dear Student: You have just taken the first step to furthering your education, by inquiring about our Personal Support Worker Certificate Program. This program is being offered at the Bancroft Campus. Enclosed is your application package for the Personal Support Worker Program. This package contains the following three documents: Personal Support Worker Program Design Admissions Application Form Application Procedure & Checklist Financial assistance is available for those who qualify including: First Nations applicants may qualify for funding through their local Band, Education, or Employment Office. Second Career Funding may be available to those who are eligible. You may qualify for the Part-time Canada Student Loan and/or Canada Study Grant, which is accessed through the following website http://osap.gov.on.ca. Any questions regarding your Financial Aid application should be directed to Laura Russell, Financial Aid Officer, Belleville Campus, at 613-969-1913, ext. 2425. Payment options can be arranged. The next step is to fill in the enclosed application form, follow the procedure checklist and return the required information to Loyalist College, Bancroft Campus. If you have any questions or concerns about this program please contact: Rebecca Sears Admissions Officer o Ext. 235 or email: rsears@loyalistc.on.ca Lisa Woodcock Admissions/Records & Placement Officer o Ext. 237 or email: lwoodcock@loyalistc.on.ca

Program Dates & Times: September 8, 2015 June 10, 2016 Tuesday, Wednesday, Thursday Theory & Lab: 9:00 a.m. 4:30 p.m. Practicum I, II & III: Various Shifts Ontario College Certificate Program Design: This program is designed to meet the Ministry of Training, Colleges and Universities program standards for Personal Support Workers. Students will complete 704 hours of instruction including theory, laboratory practice and placement. Career Opportunities: Personal Support Workers provide a range of support to help their clients live as independently as possible. Assistance with the routines of daily living may include personal care, bathing, meals and home management. Personal Support Workers are employed in hospitals, long-term care facilities, retirement homes, and community agencies providing support in the client s home. They work under the supervision of regulated health professionals including registered nurses, registered practical nurses, physiotherapists, and other members of the health team, as well as the client. Personal Support Workers are responsible to their clients and their employers. Program Description: Personal Support Workers provide supportive care to clients who are experiencing physical, cognitive, emotional and behavioural challenges. They must be compassionate and conscientious working cooperatively with clients of different backgrounds, their families and other members of the health care team. Students will receive instruction in the classroom and lab setting to develop their skills prior to placement. This program provides supervised placement, followed by a consolidation placement in a nursing home and in-home agency. While in practicum experiences, students will attend the hours of the facility and/or their preceptor. This program enables graduates to begin working as Personal Support Workers immediately upon completion of the program. Note: The presentation and delivery of program is conditional on the number of registrants required to run the program. Students are responsible for costs incurred to meet placement prerequisites, travel expenses, and parking fees.

Admission Requirements: (a) Required Academic Preparation OSSD/OSSGD or equivalent with courses at the general or advanced (C), (U), or (M) level Grade 12 English (C) level or equivalent or Mature Applicant Status: Applicants who are 19 years of age at the start of the program and do not possess an OSSD are considered mature applicants. Mature applicants will be considered on an individual basis and will be required to write a Canadian Adult Achievement Test. (b) Criminal Record Check In order to participate in practicum placements, students will be required to supply a clean criminal record check including vulnerable sector screening by their local police service. Criminal record checks are required to be in progress upon admission to the program. (c) Health To qualify for the practice components of the program, accepted applicants are required to have the physical capabilities to meet the practice requirements and submit written documentation of immunization against certain communicable diseases. Health Record and submission date to be provided on first day of class at orientation. Program Details: Workplace English Human Body in Health & Illness Safe and Comfortable Environment Role of the PSW PSW Integrative Theory Supportive Care and Activities 1: Lab Offered in classroom setting Supportive Care and Activities 2: Lab Offered in classroom setting PSW Practicum 1 Supervised Nursing Home Placement PSW Practicum 2 Preceptored Community placement PSW Practicum 3 Preceptored Nursing Home placement CPR/First Aid Approximate Costs: Tuition: $ 5,060.22 Books: $ 260.00 Supplies: $ 150.00 Uniforms & Shoes Total: $ 5,470.22 Note: Costs are subject to change without notice. Financial Assistance: The PSW program is eligible for funding through Second Career and other sources of financial assistance for those who qualify. Please ask for details.

Application Procedure & Checklist Application Requirements: The following documentation must be supplied before acceptance to the program will be approved: 1. Completed Application Form 2. High School Transcript 3. If applying as Mature Applicant You will be considered on an individual basis and will be required to write a Canadian Adult Achievement Test. 4. Post-secondary Transcripts (if applicable) 5. Recent clear Criminal Record Check including Vulnerable Sector Screening must be in progress upon admission to the program (renewed every six months); a request letter is required from the college. 6. Current Resume When this application form is received along with the required documentation, and you have been deemed to meet the admissions requirements for this program, an acceptance letter will be issued. If you submit an incomplete application a conditional acceptance letter may be issued. Note: The presentation and delivery of this program is conditional on the number of registrants required to run the program. Please submit your application to: Rebecca Sears, Admissions Officer, ext. 235 Email: rsears@loyalistc.on.ca

Admissions Application Funding Options Please check one: Second Career Canada Student Loan First Nations Education Ontario Works Self Personal Information: Mr. Mrs. Ms. Miss Other What is your height? (Used for Graduation Gowns) First Name Middle Name Last Name Maiden Name (Former Surname) Home Address Gender (M/F) Mailing Address City or Town Province Postal Code Date of Birth Social Insurance # Home Telephone Month Day Year ( ) Cell Phone Number Email Address Work Number Work Name ( ) ( ) Emergency Number Emergency Contact Name Alternate Contact Number Alternate Contact Name ( ) ( ) Academic History: Please check one: Secondary School (High School) Graduate (By first day of class) Mature Student (19 years or older by the first day of class and less than Secondary School Diploma) Declaration: I hereby certify that all statements on this application are correct and complete to the best of my knowledge. I am aware that any misrepresentation of information will result in the cancellation of my admission and / or acceptance status with Loyalist College. Applicant s Signature Application Date