FHCC Early Childhood Education Pilot Diploma Application *This program and application are only for individuals who are currently working as approved Family Home Providers. "*" indicates required fields Criteria* I plan to continue working a minimum of 15 hours per week in a licensed childcare or FHCC program throughout the duration of the pilot program. I have a minimum of two years experience working in licensed childcare, pre-primary, or FHCC programs (minimum of 1080 hours in the year prior to applying) I have a knowledge of basic computer and technology skills such as word processing, sending and checking emails, and web browsing. Personal InformationName* First Middle Last Maiden Name (if applicable) Date of Birth* YYYY dash MM dash DD Email* Phone*Your AddressCountry*CanadaUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAzerbaijanAustriaBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBritish Virgin IslandsBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African Rep.ChadChileChinaColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCyprusCzech RepublicDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Isl. (Malvinas)FijiFinlandFranceFYRO MacedoniaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupe (Fr.)Guam (US)GuatemalaGuineaGuinea BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribatiKorea (North)Korea (South)KuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascar (Republic of)MalawiMalaysiaMaldivesMaliMaltaMartinique (Fr.)MauritaniaMauritiusMayotteMexicoMoldaviaMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew Caledonia (Fr.)New ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana Isl.NorwayOmanPakistanPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPolynesia (Fr.)PortugalPuerto RicoQatarReunion (Fr.)RomaniaRussiaRwandaSaint LuciaSan MarinoSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSomaliaSouth AfricaSpainSri LankaSt. Kitts or NevisSt. Pierre & MiquelonSt.Vincent & GrenadinesSudanSurinameSwazilandSwedenSwitzerlandSyriaTadjikistanTaiwanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyEast TimorTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVenezuelaVietnamWallis & Futuna IslandsYemenZambiaZimbabweProvince* Address* Street Address Address Line 2 City ZIP / Postal Code Residency Status* Canadian Citizenship Permanent Resident Other Students must reside in Nova Scotia for the duration of the program, and hold either Canadian Citizenship or legal Permanent Resident status. If your status is "Other", please describe. Country of Citizenship*CanadaUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAzerbaijanAustriaBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBritish Virgin IslandsBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African Rep.ChadChileChinaColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCyprusCzech RepublicDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Isl. (Malvinas)FijiFinlandFranceFYRO MacedoniaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupe (Fr.)Guam (US)GuatemalaGuineaGuinea BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribatiKorea (North)Korea (South)KuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascar (Republic of)MalawiMalaysiaMaldivesMaliMaltaMartinique (Fr.)MauritaniaMauritiusMayotteMexicoMoldaviaMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew Caledonia (Fr.)New ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana Isl.NorwayOmanPakistanPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPolynesia (Fr.)PortugalPuerto RicoQatarReunion (Fr.)RomaniaRussiaRwandaSaint LuciaSan MarinoSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSomaliaSouth AfricaSpainSri LankaSt. Kitts or NevisSt. Pierre & MiquelonSt.Vincent & GrenadinesSudanSurinameSwazilandSwedenSwitzerlandSyriaTadjikistanTaiwanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyEast TimorTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVenezuelaVietnamWallis & Futuna IslandsYemenZambiaZimbabweFamily Home Child Care Agency InformationYour Agency will need to complete a Verification Letter confirming your years' experience and that they are able to support your participation in this program. This form can be found here on our website: https://janenorman.ca/wp-content/uploads/2025/05/FHCC-ECE-Diploma-Program-Agency-Letter-of-Support.docx-1.pdf. Your Agency can submit the completed form to us directly, or send it to you to submit with your other required documents.Name of Agency* Director's Name* Director's Email Address* Director's Phone Number*Previous EducationCurrent or last high school attended: (an official transcript of grade 10, 11 and 12 must be submitted along with a photocopy of high school diploma when completed)Name of High School* Address of High School*Post Secondary Study InstitutionPost Secondary Study Institute Program and Date Attended Diploma/ DegreeDegreeDiplomaAdditional InformationDo you have a physical or learning condition for which you will require special services?* Yes No (if YES, please specify. Please include any relevant documentation.)DocumentsI understand that I must submit the following documents for my application to be considered.* High School Transcript and High School Diploma or GED equivalent Writing Sample (instuctions/details will be emailed to you) Vulnerable Sector and Child Abuse Registry checks First Aid Certification Verification Letter from FHCC Agency Applications will not be considered until all documents have been received. Photos of documents will not be accepted. Please scan or upload the documents to an email in PDF format.Application InformationAlternate Admission: Students under an alternate admission policy, and without a high school diploma or GED, are considered Mature Students. Contact Jane Norman College Student Services for more information. Disclaimer: It is the responsibility of each applicant to ensure that all supporting documents are submitted with their application. Documents submitted become the property of the College and will not be returned. Only those applications that are received with all required information will be reviewed. Notification of acceptance is normally issued within several weeks. Disclaimer: Not all applicants may be accepted. Individual acceptance may depend on Agency capacity to support students.Privacy Statement: Jane Norman College is committed to collecting, using, and disclosing personal information responsibly and only to the extent necessary for the services we provide. Jane Norman College is open and transparent in its handling of personal information. The Privacy Statement of Jane Norman College in its entirety is available upon request or refer to the Policy Section or in the Jane Norman College Student Manual at www.janenorman.ca. Declaration: Please read the following before submitting the application. By submitting this application form, I certify that the application information is complete and that I have been informed that should my application be accepted, I will be required to submit final transcripts and confirmation of high school completion along with copies of current Child Abuse Registry, Criminal Record and Vulnerable Sector checks. These are all mandatory documents that will be required and reviewed in order to receive an official acceptance. The submission of any false statements or documents will result in immediate and permanent cancellation of admission or registration to the Jane Norman College. Provincial Registration: Jane Norman College is a registered private career College with the Nova Scotia Department of Labour and Advanced Education.CAPTCHA Δ