Adult Learner CE Course Selection Form 21-22 (2)

Student Information Section

I am an Adult Learner*
YesNo, I will contact my Secondary Counsellor or Administrator

I have graduated from secondary school in my hometown/country*
YesNoI am not sure

Student Legal Last Name*

Student Legal First Name*

Student Legal Middle Name*

Student Preferred First Name

Student Maiden Name OR Previously Used Last Name

Student Date of Birth*

Student Country of Birth*

Student Gender*

Student Preferred Gender

Last Secondary School*

Last year attended high school*

City/Province of high school*

Personal Education Number (PEN), located on your last report card. Complete only if you are aware of this information.

Contact Information

Student Email Address*

Home Address (number & street name)*

City*

Postal Code*

Primary Phone Number*

Emergency Contact Info

This information will be used in case of Emergency. Please complete fields accurately.

Emergency Contact Full Name (first and last)*

Emergency Contact Phone Number*

Supporting Documentation

To complete the registration process, we require the supporting documentation listed here.

• A copy of your primary Identification (e.g. birth certificate, passport, citizenship card, Canada immigration documents).

• Proof of address (BC Driver's License, BC Services Card, mortgage document, municipal tax bill, utility bills).

You can submit these supporting documents by using the following options.

1. Scan and Upload using the upload option below

2. Scan and email the required documents to ce@sd42.ca

3. Submit the required documents directly to the school (by appointment only). Contact us 604-466-6555 Ext. 1 to set up a mutually convenient time to bring in your documents to our location.

Upload Supporting Documentation

Course Selection Information

Don't see the course you want? Head over to our online school and we may offer the online version there! SD42 Online School - Connected Learning Community

We offer morning (9AM-Noon), and evening (6:30-9:30PM) courses.

English

Please select a courseEnglish Studies 12 - Mon + Wed. EVENING

English Language Foundations

For Adults who want to improve their English language reading, writing, and speaking.

Please select a courseEnglish Language Foundations Level 1 – Mon + Wed. MorningEnglish Language Foundations Level 1 – Mon + Wed. EveningEnglish Language Foundations Level 2 – Mon + Wed. MorningEnglish Language Foundations Level 2 – Mon + Wed. EveningEnglish Language Foundations Level 3 – Mon + Wed. MorningEnglish Language Foundations Level 3 – Mon + Wed. EveningEnglish Language Foundations Level 4 – Mon + Wed. MorningEnglish Language Foundations Level 4 – Mon + Wed. EveningEnglish Language Foundations Level 5 – Mon + Wed. MorningEnglish Language Foundations Level 5 – Mon + Wed. EveningEnglish Language Foundations Level 6 – Mon + Wed. MorningEnglish Language Foundations Level 6 – Mon + Wed. EveningEnglish Language Foundations Level 7 – Mon + Wed. MorningEnglish Language Foundations Level 7 – Mon + Wed. Evening

Math

Please select a courseMath 11 Workplace - Tues + Thur EVENINGMath 11 Foundations - Tues + Thur EVENINGMath 11 Pre-Calculus - Tues + Thur EVENINGMath 12 Pre-Calculus - Tues + Thur EVENING

Science

Please select a courseLife Sciences 11- Mon + Wed - EVENINGAnatomy & Physiology 12- Mon + Wed - EVENINGChemistry 11 - Tues + Thur -MORNINGChemistry 12 - Tues+Thur-MORNING

Career Life Education

Please select a courseCareer Life Education - Tues + Thurs - EVENINGCareer Life Connections - Tues + Thurs - EVENING

Disclaimers & Next Steps

Are you an International Student?
YesNo
If you selected "yes", please contact: ce@sd42.ca to arrange payment for the course (CDN$ 900.00 per course)

Agreement

The School Code of Conduct applies to all courses. Academic Honesty is integral to learning. Teachers and Administrators will investigate all concerns regarding plagiarism which may result in a mark of zero or withdrawal from the course. I understand and agree that after becoming active in the course (10 hours of the course attended) I do not qualify for a refund, but can transfer my fee (one time only) to another course.

Yes, I have read, understand and agree to the Agreement including the Refund policy

Acknowledgement

The information you are submitting on this form is being collected under the authority of the School Act and the British Columbia Freedom of Information and Protection of Privacy Act (FIPPA). This information is to be used by School District No. 42 (Maple Ridge – Pitt Meadows) for the purposes of completing course selection for the selected courses, and to allow the school district to communicate with individuals who have expressed interest in the courses. If you have any questions or concerns about the collection, use or disclosure of the personal information collected please email privacy@sd42.ca.

Yes, I hereby acknowledge that I have read, understood and agree to the above and give my consent to the collection use and disclosure of the personal information collected on this form for the above purposes and understand and agree to the Health, Safety and Attendance Expectations.

Next Steps

Once you submit this form, the process is:

1. a confirmation notice is sent to the student email entered on this form indicating that the registration form has been successfully submitted

2. a digital copy of your form is directed to the CE clerical team

3. Students will ONLY be contacted if there is a change to the schedule or if there is a problem with the registration. Please make note of your class start date and time.