Central Technical School 725 Bathurst Street, Toronto, Ontario M5S 2R5 Telephone: (416) Fax: (416)

Transcription

1 Central echnical School 725 Bathurst Street, oronto, ntario M5S 2R5 elephone: (416) Fax: (416) APPLCA AED Please bring your complete Application Package to the Attendance ffice Room 266. f approved, the Student Services ffice will contact you by phone with your date and time for your registration and course selection appointment. ame: elephone: ( ) BE CMPLEED BY AEDACE FFCE SAFF: Received By: Received Date: he following documents must be included with your application (as applicable): [1]CRED CUSELLG SUMMARY from last school or RASCRP, if Summary is not available. [2] Your most recent REPR CARD from the last school attended. [3] A completed VCE-PRCPAL S RECMMEDA from the last school attended. [4] AEDACE PRFLE from the last school attended. [5] APPLCA FR PAL AEDACE. [6] AGE & RESDECY VERFCA (1 PECE): Birth Certificate, Baptismal Record, Canadian Passport/Citizenship Card, Record of Landing, Refugee Claimant Form, Confirmation of Permanent Residence, Permanent Resident Card, DSB School Admission Letter, Consideration of Eligibility, Acknowledgement of Refugee Claim. [7] PRF F ADDRESS (2 PECES): Current Lease or Deed, Current Utility Bill, Current Property ax Bill, Current Motor Vehicle wnership & nsurance, riginal nterim Property ax Bill, Health Card, Current Bank Statement, riginal Credit Card Statement (personal information on document may be blocked out), Recent correspondence from a government agency, Most recent original ncome ax Assessment (personal information on document may be blocked out), Recent correspondence from a Municipal, Federal and Provincial Government Agency. [8] HEALH CARD UMBER and doctor s name and phone number. [9] VERFCA F GUARDASHP [if under 18 and not living with a parent]. [10] Assessment from EWCMER RECEP CEER or DCUMEA FRM HE DSB VSA FFCE. [11] Verification of Documentation for PUPL ELGBLY FR ESL FUDG FRM (completed at the school). [12] Verification of acceptance into ADUL AR, SPECALZED AR or YAP. [13] CURRE PH Will be taken at time of application. [14] Bring a PARE or LEGAL GUARDA if under 18 years of age to your Student Services Appointment if application is approved. SUDE QUESARE 1. n what Province did you start Grade 9? 2. Have you been suspended from school during the last year? o Yes (f yes, please explain). 3. Have you EVER been suspended from school for a violent act? o Yes (f yes, please explain). 4. Are you currently being considered for expulsion by a school board? o Yes (f yes, please explain). 5. Are you currently under expulsion from any school board? o Yes (f yes, please explain). FR FFCE USE LY Approved Date: V.P. Signature: ot Approved Reason: oronto District School Board Central echnical School Registration Form Pg. 1 of 4 Revised 2014

2 VCE PRCPAL S RECMMEDA (o be completed by student s Vice Principal) SCHL AME: ELEPHE: REAS FR CHAGE F SCHL: Check the appropriate box: 1. ACHEVEME acceptable unacceptable 2. AEDACE acceptable unacceptable 3. BEHAVUR acceptable unacceptable 4. PRGRAMME EEDS Special Ed. ESL/ELD 5. GEERAL CMMES: Required Attachments: Last Report Card Full printout of Attendance from beginning of school year. E: 1) he information you have provided is collected under the legal authority of Section 265(d) of the Education Act R.S , and may be used for administrative purposes related to school programs and records and for determining eligibility for attendance. Questions should be directed to the Principal. 2) ransferring schools could affect your eligibility to participate in sports. 3) Falsifying information on this form will result in your retirement from Central echnical School. Admission to Central echnical School is considered to be conditional pending receipt and review of the student s records from their previous school. f this student is accepted to Central echnical School would you Release the student from your rillium database so that he/she may be registered at Central echnical School? Yes o t S recommended / is recommended that this student be considered for admission to Central echnical School. / Date Please Print Vice Principal s ame Vice Principal s Signature Direct Phone o: Extension o:

3 Student Application- Secondary School ame: (FFCE USE LY) rillium Student o ntario Education o. : Admit Date / / Grade rack Homeroom: Program: Y Y Y Y MH. D D Admit Code Beginner From his Board From ther School Board From Care/reat/Corr Facility From utside Canada From Province utside of ntario From Private School in ntario From ative Ed. Auth. School Returning from Exchange Returning after non-attendance ranscript Attached Most Recent Report Card Adult: Yes o Verified by: Legal Last ame Legal First ame Legal Middle ame S U D E F R M A ote: Legal ame must be shown on legal document (i.e. birth certificate, passport, etc.) and will appear on all school fficial Records. Preferred Last ame Preferred First ame Female Date of Birth Sibling(s): (f different from Legal ame) (f different from Legal ame) Male Does the student have any / / brother(s) or sister(s) in school? Y Y Y Y MH. D D Yes o Home Address: Home Phone umber: ( ) Listed : Yes o Street o. and ame Apt. # ther Phone umber: ( ) ype: City Postal Code Proof of Residency Verification Document Shown: 1) 2) Does the student have Life-threatening allergies ( e.g. Anaphylaxis): Yes o s Epi- Pen Required? Yes o Medical Alert nformation or Disability: Health Card or Private nsurance Policy umber (ptional) s this student currently under suspension from any School or Board? Yes o s this student currently under expulsion from any School or Board? Yes o Program: Previous School Attended: Has student previously received Special Education support? Yes o Previous School Board: ype of Program (if known): Has the student completed the Literacy est? Yes o Has the student completed community Service Hours? Yes o ffice Use nly - For Funding Purposes Fees Required f: (Approved by DSB Admissions ffice) Student/Parent is on Study Permit Student/Parent is a Visitor to Canada Fees paid by the Government of Canada Fees are paid by a ative Education Authority f uncertain, please consult or refer parent/guardian to the DSB Admissions ffice at 5050 Yonge St. Main Floor (416) /9618 English as Second Language Funding Purposes Language f student is not born in Canada, First Language of indicate Country Student : Arrival Date in Canada / / Y Y Y Y MH. D D Second Language Verification Document shown: Spoken at Home: Province of Birth and Arrival Date: ffice Use nly Proof of mmunization Record Shown Yes o oronto District School Board Rev: 2012/01

4 Primary Contacts (Mother/Father/Legal Guardian) Parent/Legal Guardian Parent/Legal Guardian Mr./Mrs./Ms.(Please circle one) Mr./Mrs./Ms.(Please circle one) ame: ame: Last ame First ame Last ame First ame Relationship to Student: Relationship to Student: (Please check one) Mother Father Legal Guardian (Please check one) Mother Father Legal Guardian C A C F R M A Home Phone umber: ( ) Home Phone umber: ( ) Area Code Listed Area Code Listed Business Phone umber: ( ) Business Phone umber: ( ) Area Code Ext. Area Code Ext. Cell Phone umber: ( ) Cell Phone umber: ( ) Area Code Area Code E Mail Address: E Mail Address: Address: Address: (f parent/guardian doesn t live with student) (f parent/guardian doesn t live with student) Access to Student: Yes o Access to Student: Yes o n Emergency, contact this person: 1 st 2 nd 3 rd n Emergency, contact this person: 1 st 2 nd 3 rd For Early Closure, contact this person: 1 st 2 nd 3 rd For Early Closure, contact this person: 1 st 2 nd 3 rd Guardian Receives Mail Guardian Receives Mail Custody Access to Records Custody Access to Records Lives with Student Speaks English Lives with Student Speaks English Emergency Contact Male Female ther Contact Male Female ame: ame: Last ame First ame Last ame First ame Home Phone umber: ( ) Home Phone umber: ( ) Area Code Listed Area Code Listed Business Phone umber:( ) ther Phone umber ( ) Area Code Ext. Area Code Cell Phone umber: ( ) Relationship to Student Area Code Relationship to Student Voluntary First ation, Métis and nuit Self-dentification. All parents/guardians of Aboriginal students, and students where they are 18 years of age or older, have the right to voluntarily self-identify. Please check the most appropriate box to indicate Aboriginal identity (if applicable). Please select one box only. First ation (Status or non-status) Métis nuit Aboriginal person from outside Canada ther (please specify) All information provided above is correct and true. All admissions are conditional pending receipt of required documentation. Date: / /.. Signature of Parent/Legal Guardian Y Y Y Y MH. D D Personal information on this form is collected under the authority of the Education Act, R.S , c.e.2 and the Municipal Freedom of nformation and Protection of Privacy Act, R.S.., 1990, c.m.56, and will be used by School Administration in the creation of the Emergency Calling etwork. he ntario Health Card number will be shared with local public health authorities. All personal information collected on this form will be stored on the ffice ndex Card. his information is updated annually. Questions about this collection should be directed to the F... Coordinator at the oronto District School Board, 5050 Yonge Street, oronto, ntario, M2 5M8. el: (416) oronto District School Board Rev: 2012/01

5 ptional Attendance: Application for a Secondary Program at a School utside the Resident Area (includes Grade 9 program at ntermediate schools) 545B Rev. May 2013 Page 1 Date: Student s ame Birthdate: M F (Surname) (Given ames) DD MM YY Student s Address: Street Apt. # Postal Code elephone Parent s/guardian s ame: Business Phone o.: Student s D umber from Home or Sending School Present Grade: Present/Previous School: Requested School: in Grade Commencing: umber of Credits Earned: Does a sibling attend the requested school? Yes ame of Sibling o Applicant s child will receive day care (if applicable) at: Address: elephone: What regular schools have you applied for under ptional Attendance? What specialized school programs have you applied for? s applicant attending feeder school under ptional Attendance? Yes o ther Reason/ Further Explanation Conditions on the reverse of this form have been read and agreed to: Signature of Parent/Guardian: Signature of Student (18 years of age or older): For ffice Use nly: 1. Signature of Current School Principal (or designate): Date: (#1 to be completed before #2) 2. Decision: Accepted ot Accepted Signature of Requested School Principal: Date: Parents please note: ransportation is not provided for ptional Attendance students. G02(R:\Secretariat\Staff\G02\03\P\FRMS\545B.doc)sec.1530 Distribution: 1 copy: to parent/guardian when decision is made 1 copy: to DSB Home or Sending School

6 545B Rev. May 2013 Page 2 Please ote the Following: 1) Priority of placement in the requested school will be based on a lottery if applications exceed the space available at the requested school. 2) f admitted, a student is expected to continue at the requested school until graduation. MPRA DAES FR HE SCHL YEAR BEGG SEPEMBER 2013 (a) Applications must be received by Friday, 31 January (b) A lottery, if necessary, will be held the first week in February (c) (d) (e) Parents/guardians or students 18 years of age or older will be informed of acceptance or non-acceptance prior to Friday, 14 February Parents/guardians or students 18 years of age or older must confirm the offer of admission by completing a course selection sheet by Friday, 28 February o student will be admitted into a junior high level for grade 9 and at all secondary grade levels through optional attendance after Friday, 28 February 2014 unless the student does not have a timetable at another school. ote: t is the parent/guardian s responsibility to deliver this application to the school or schools of choice. otice of Collection n accordance with Section 29(2) of the Municipal Freedom of nformation and Protection of Privacy Act 1989, this is to advise you that the information you have provided is collected under the legal authority of the Education Act, R.S , Chapter 314, as amended, its regulations and memoranda, and Sections 117, 118 and 119 of the Municipality of Metropolitan oronto Act, R.S , Chapter 314, as amended, and may be used as necessary in the normal operation of the Board of Education and its constituent parts. nformation would be released only under proper authorization. G02(R:\Secretariat\Staff\G02\03\P\FRMS\545B.doc)sec.1530