Heart Lake Secondary School

CO-OPERATIVE EDUCATION APPLICATION

Congratulations on taking this very significant step in your career. Co-Op interviews for your work interests and career goals will be held in May 2013 (for semester 1) and Nov 2013 (for semester 2). Start to prepare an “error proof” Resume and visit the Co-Op site on Office 365.

RETURN THIS APPLICATION TO Room 113 (Co-Op Office) by October/March

Personal Information

Student Name:
ID #: M or F / Home Phone:
Cell Phone: / DOB/Age:
Credits Earned to Date:

CIRCLE CAREER CHOICES YOU LIKE:

Aesthetics Food Industry OYAP (Ontario Youth Apprenticeships)

Business Law Retail

Child Care/Teaching Logistics (Warehouse) Sports/Athletics

Computers (IT) Medical & Health Clinics Travel & Tourism

Entrepreneurship Music & Arts Industry Trades – Specify______

Other (If you have your own placement, the company name here):______

OR CIRCLE CENTRAL OR REGIONAL PROGRAMS YOU LIKE:

These require specialized applications, essays, interviews, more commitment of your time & transportation costs. These placements are subject to availability each semester and have a strict deadline!

Army Reserves (Sem 2 usually; sometimes Sem 1)
Brampton Fire/Life Safety Centre
City of Brampton – Parks and Rec, Animal Services, etc
Credit Valley Hospital
Donato Salon and Spa
Lexsan Industrial Electrical (Mississauga) / Mississauga News and Mississauga Business Times
Peel Regional Police
Region of Peel – Learn/Play/Care Centres
Rogers TV – Brampton and Mississauga
Spiegel Nichols Fox Law Firm
William Osler Health System – Caring for the Future

Dual Credit Programs

These programs are usually available in the Trades, ECE, Law and some Wellness programs but VARY every year. They require attending a local community college (transportation is provided) to get a jump start on College Courses while in high school. Please visit the following link for more info and speak to a co-op teacher to determine availability: http://www1.peelschools.org/makingmyway/programs/DualCredits.htm

Transportation:

How far are you willing to travel for your placement? (Select One)
Anywhere in Brampton Walking Distance Only Mississauga Anywhere in GTA
How will you get to your placement? (Select One – you are responsible for transportation!)
Walk Brampton Transit Drive Myself Drive with Parent/Relative who works nearby


The more we know, the better we can match you to the perfect job! Please complete these questions.

1. List your skills, interests and extra-curricular experiences that you can offer to an employer.
______
______
2. Describe your volunteer activities or part-time jobs. ______
______
3. List Awards/Certificates of Achievement you have earned, both in and out of school, in sports, academics,
attendance, Driver’s Ed, martial arts, dance, etc. ______
______
4. How is your attendance? (Circle one) Excellent Good Fair Could be better
How is your punctuality? Excellent Good Fair Could be better
5. When do you expect to graduate with 30 credits? (Month, Year) ______
6. What are your plans after you graduate? (Circle one) College University Work
7. Why do you want to take Co-Op, or what do you hope to learn from it? ______
______
______
______

References: List ONE teacher reference and have them sign below:

Teacher’s Name (print) / Teacher’s Signature / **Comments:
______/ ______

Approval: PARENTS/GUARDIANS SHOULD BE AWARE THAT EACH STUDENT:

1. Will be interviewed by the Co-Op teacher and prospective employer

2. Is encouraged by the Peel District School Board to use public transportation to and from the placement

3. If own (personal/family) vehicles are used:

-the student must have the appropriate classification of driver’s license and car insurance

-the primary insurer is the owner’s insurance

-the insurer of the vehicle must respond to any insurance claim

4. Will be covered, while at the co-op placement, under the Workers’ Compensation Act by WSIB

I am aware that the information contained in this application will be used for purposes consistent with the Education Act

______

Student’s Signature Date

______

Parent/Guardian’s Signature (REQUIRED If under 18) Date