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  • Chinook Prerrequisite Form

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    Linda Doyle
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    This document is a registration form for winter semester 2011 at Chinook Learning Services. It requests student information such as name, address, date of birth, gender, student identification numbers, and contact information. It also requests information about the student's program including required and prerequisite courses and marks. For directed students, it requires a counselor or administrator signature. It provides information for concurrent students taking up to two courses per semester. The form requests information for students with special needs education codes and accommodations. It provides registration information including location, fees, and identification photo requirements. A map shows the location and parking details.

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    This document is a registration form for winter semester 2011 at Chinook Learning Services. It requests student information such as name, address, date of birth, gender, student identification numbers, and contact information. It also requests information about the student's program including required and prerequisite courses and marks. For directed students, it requires a counselor or administrator signature. It provides information for concurrent students taking up to two courses per semester. The form requests information for students with special needs education codes and accommodations. It provides registration information including location, fees, and identification photo requirements. A map shows the location and parking details.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
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    6 views2 pages

    Chinook Prerrequisite Form

    Uploaded by

    Linda Doyle
    This document is a registration form for winter semester 2011 at Chinook Learning Services. It requests student information such as name, address, date of birth, gender, student identification numbers, and contact information. It also requests information about the student's program including required and prerequisite courses and marks. For directed students, it requires a counselor or administrator signature. It provides information for concurrent students taking up to two courses per semester. The form requests information for students with special needs education codes and accommodations. It provides registration information including location, fees, and identification photo requirements. A map shows the location and parking details.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
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    of 2

    PRER REQUIS SITE INF FORMAT TION FORM WINTE 2011 ER 1

    STUDENT INFORMA ATION


    Legal Name
    Last Firs st Middle

    Also known as a Address


    Ap pt/House # Street

    Date of Birth D
    Year Mont Day th City

    Gender M / F
    P Postal Code Cell/Other

    Email Alberta Stude ID # ent Canadian Cit tizen

    Ph hone:
    Home

    CBE ID # Permanent Resident R International Student Legal Doc cumentation Required - S Course G See Guide

    PROGRAM INFORMA M ATION - To be completed by sc o chool Counsellor or Administr rator Directed Students S
    The CBE def fines Directed Students as: d - those students wh have attended 6 e ho seme esters or 3 ful years in any CBE high ll y scho or ool - stude ents who are 19 years of age as of a September 1st of the current sc t chool year. If you are refe erring a stude to us who does not ent meet the abo criteria, pl ove lease attach a transcript showing curr rent courses and marks to this form s t and give it to the student. / Counsellor/A Administrator Signature S Date Plea designate Chinook Learning Serv ase e vices in SIRS as Alternat Site. S te / Coun nsellor/Admin nistrator Signa ature Da ate Scho (or Schoo District if no CBE) ool ol ot

    Con ncurrent Students


    Conc current Stude ents are those students wh will e ho rema registered and in contin ain d nuous attenda ance at your school and a interested in taking up to a r are d max imum of two c courses per s semester at C Chinook Lear rning. Clas ssroom Cour Requeste rse ed Prer requisite Cour rse requisite Final Mark Prer Self-Directed

    School (or Sc chool District if not CBE)

    Guidance Ph hone Number

    Guid dance Phone Number

    Please com mplete if the st tudent has a sp pecial needs ed ducation code: Code ____ ____ Check acc commodations currently inclu uded in IPP: ___CD for visually impaired hysical disabilit ty ___CD for learning or ph p ) ___Large print (20 point) ___Other (please specify ___________ ( y) ______

    ___Extra Time e ___Scribe ___Reader ___Braille

    Students
    Please call 40 P 03-777-7200 (Option 0) for registration information ( Bring this form and a transc B m cript of your m marks when y register you Fees are due at time of re F egistration Expect to have your Identif E e fication Photo taken at time of registratio o e on Viscount Benn Campus, Room 164, 2 V nett 2519 Richmond Road SW (s map on reverse) see r

    CHIN NOOK LEA ARNING SERVICE ES


    2519 Rich hmond Roa SW ad Ca algary, AB T3E 4M2 T

    Parking is at the rear of th school P he 25th St.

    Take th lane to ac he ccess the Sou Student uth Parking Lot. g The Sta Parking Lot is aff L numbered; vehicles s will be towed unles t ss permiss sion is grant ted.
    Staff Parking

    Richmond R SW Rd. VB BC

    Lane

    Sout th

    South Student Parking Lot


    Revised November 19/10 Md/Form/P Winter 2011 PIF

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