Health Care Assistant Program English Competency Self-declaration Form

Applicants to the Camosun College Health Care Assistant Program must meet the HCA Program English Language Competency Requirements set by the BC Care Aide Registry.

Please direct questions to the Camosun Admissions Department by phone 250–370–3550 or email admissions@camosun.ca

Personal Information

First Name: *

Last Name: *

Camosun C#:

Date of Birth: *

English Competency Statement

All applicants are asked to review and confirm the information in this document as part of their admission to a recognized British Columbia Health Care Assistant Program. This form will be kept in the student file and may be supplied to the Registry upon request.

Check the statement that applies to you: *

I have been educated in an English-speaking environment (a country with English language systems / institutions*) for a minimum of seven years.

I have been educated in an English-speaking environment (a country with English language systems / institutions*) for less than seven years.

I have been educated in an English-speaking environment (a country with English language systems / institutions*) for three consecutive years at the secondary or post-secondary level.

I have not been educated in an English-speaking environment (a country with English language systems/institutions).

See https://www.cachwr.bc.ca/Educators.aspx and click ‘English Language Competency – HCA Program Entry’.

The BC Care Aide Registry has established the following list of countries as those with English language systems/institutions (where English is a primary, official language and the language used for education):

* Canada (Applicants educated in Quebec at an institution where the language of instruction was not English, must meet the current English language proficiency requirements.)

American Samoa
Anguilla
Antigua
Australia
Bahamas
Barbados
Belize
Bermuda
British Virgin Islands
Cayman Island
Canada
Dominica
Falkland Islands

Fiji
Ghana
Grenada
Guam
Guyana
Irish Republic
Jamaica
Kenya
Malta
Mauritius
Montserrat
New Zealand
Seychelles

Singapore
South Africa
St. Kitts and Nevis
St. Lucia
St. Vincent
Trinidad and Tobago
Turks and Caicos Islands
Uganda
United Kingdom (England, Scotland, Wales & Northern Ireland)
United States of America (USA)
US Virgin Islands

Education History: *

First Language: *

First Language is English – Transcript(s) showing evidence of English 11 or equivalent as well as evidence to support stated years of education in a country with English language systems/institutions.

First Language is not English - English Language Proficiency test score.

Please state the type of evidence that you will submit:

Declaration

Acknowledgment: *

I have read the above information and agree my personal information and responses are accurate

Online Forms

Health Care Assistant Program English Competency Self-declaration Form