NEW Grade 10, 11, 12 Course Registration Please contact our staff if you have questions at NCDES support Personal Information * is a REQUIRED Field to fill out. *Preferred First Name *Preferred Last Name *Legal First Name *Middle Name *Legal Last Name *Date of Birth *Gender FemaleMaleLGBTQIA *Personal Education Number If you aren't sure contact call 250-635-7944 or email us at NCDES support *Email Cell phone Number *Address *City *Postal Code *Aboriginal Status (if applicable) NoYes Emergency Contact Information Emergency Contact Name Relationship Phone number Parent/Guardian Information * Parent/Guardian Name * Relationship *Email Home phone number Work phone number Registration Agreements Please read and check all boxes - if not completed, we will not be able to process your application. *"I declare that I am a resident of British Columbia." Resident of British Columbia. *"I declare that I am not enrolled in another school or that my School of Record: Holds my complete Permanent Student Record including proof of birth and proof of residence. Will update that Permanent Student Record upon receipt of a final mark from North Coast Distance Education School. Is responsible for my graduation plan, of which the courses on this application form a part. Verifies that I am NOT currently taking this course at my school of record." School of Record holds complete Permanent Student Record. *"I understand the following:The school board is responsible for the educational program of the student.The school board is responsible for ensuring that student learning is directed by a member of the College of Teachers.The school board is responsible for assessment and reporting on the student.The Student Learning Plan will meet the Ministerial Orders for the Required Areas of Study and the Graduation Requirements.I am committed to attending meetings and submitting assignments and materials as required by the teacher for assessment and reporting purposes.I am committed to my education program through distributed learning with NCDES and will complete all courses listed on my current Student Learning Plan.I have read and agree to the conditions of the Code of Conduct and Acceptable Use Agreement for Internet Access." Responsibilities of School and Student *"I understand and agree that my progress will be shared with the contacts I will supply below." Progress shared with contacts *"I agree that NCDES will use my email account even if it may transmit personal and confidential information to me through services outside of Canadian jurisdiction." Email permission *"I have read and agree to the school code of conduct" Code of conduct View Code of conduct Identification (I.D.) We require 2 pieces of I.D. in order to process your application. 1 needs to be a BC government issued I.D., and the other a Proof of Residency I.D. Please upload below before submitting application. If you belong to another school as part of the CMSD-82 District, your I.D. can be looked up at the other school you have indicated as 'Current Home School'. Attach I.D. File 1 Attach I.D. File 2 Student Learning Plan All students are required to have a signed learning plan to participate in a distributed learning program. If you would like to discuss your course selection or any part of this learning plan you are invited to phone our office (250-635-7944) and make an appointment with an advisor. You can also make an appointment through email: NCDES support. PROGRAM TYPE: Regular Graduation - Grades 10 to 12 courses Please refer to the Graduation requirements for this type of program: Graduation Requirements This Student Learning Plan is attached to the NCDES registration - the name, DOB, PEN, and address are indicated at the top of the application to verify the student. Educational Information *Grade 101112Adult Anything that affects your schoolwork (job, sports, unique learning style etc) *Individual Education Plan (I.E.P.) NoYes *School of record name (main school) Caledonia SecondaryBear ValleyHazelton SecondaryMount Elizabeth Middle/Sec.ParksideKitimat City HighNorth Coast Distance Education SchoolNot registered in a school at the momentOther If you picked "other", please indicate below Last school attended if not enrolled in another school Course selection *Enrollment Date *Course Please Select HereCourse 1Course 2Course 3 Course #2 NoCourse 1Course 2Course 3 Course #3 NoCourse 1Course 2Course 3 Refer to the Course Outline for your chosen course. This includes: 1. Big Ideas 2. Curricular Competencies and Content 3. Learning Resources 4. Assessment Strategies and Standards of Performance. View course outlines Other current courses - Please indicate the other courses you are currently taking and which school. My signature below indicates that I will discuss, or have already done so, taking the courses through NCDES with my NCDES Counselor and my family to ensure that my online learning is fully supported and my school records are accurate. These course credits that I'm enrolling for with NCDES are part of my graduation plan. *Signature: (Digital signature is okay - typing in your name constitutes a valid signature)