DISTRIBUTED LEARNING Ph: 604-903-3333

Fax: 604-903-3334

NVSD44 and WVSD45 Student Course Selection/Enrollment

School Year: 2019-2020

10-Jun-2019 3100-99-58 Page 1 of 3

IMPORTANT NOTE: Please submit all 3 pages of this form via one of the following: e-mail to dlreg@sd44.ca; fax to 604 903 3334; mail or drop off at 3365 Mahon Avenue, North Vancouver, B.C., V7N 3T7

LEGAL Last Name: LEGAL First Name: LEGAL Middle Name:

USUAL Last Name (Preferred Name): Usual First Name (Preferred Name):

Birthdate (dd-mmm-yyyy):

FemaleMale

PEN # :

Student Information (PLEASE PRINT CLEARLY)

Gender:

Age at Time of Registration:

Preferred:

Current Grade:

Student Email (please print clearly):

International Student Payment Information: International Student Fee: $1000 per course.

Card Number: Expiry Date:

Cardholder Name: Phone Number:

Total Amount Payable:

Visa Cash InteracMastercard

If paying by credit card, please provide the 3 digit number of the reverse of the credit card. CVV:

Choices IEP International Student (See bottom of page 1 for Payment Information)

Preferred Start Month:

MyEdBC Pupil #:

SECTION A:If you are CURRENTLY ENROLLED IN A NVSD44 SECONDARY SCHOOL, please select your school name:

Argyle Handsworth MountainsideCarson Graham Seycove Sutherland Windsor Other

SECTION B:If you are CURRENTLY ENROLLED IN A WEST VANCOUVER SECONDARY SCHOOL, please select your school name:

Sentinel West Vancouver SecondaryRockridge

OR

Please select and complete the applicable section from those shown below:

DISTRIBUTED LEARNING Ph: 604-903-3333

Fax: 604-903-3334

NVSD44 and WVSD45 Student Course Selection/Enrollment

School Year: 2019-2020

10-Jun-2019 3100-99-58 Page 2 of 3

English Studies 12 Anatomy and Physiology 12 Chemistry 12 Physics 12 French 12

20th Centrury World History 12 Law Studies 12 Physical

Geography 12Foundations of Math 12 Pre-Calculus 12

Calculus 12 Photography 12 Active Living 12 Career Life Connections 12

Creative Writing 11 Composition 11 Literary Studies 11 French 11 Marketing & Promotion 11

Chemistry 11 Earth Sciences 11 Life Sciences 11 Physics 11 Science for Citizens 11

Workplace Math 11 Foundations of Math 11 Pre-Calculus 11

GRADE 11

GRADE 12

GRADE 10

English 10 Literary Studies

English 10 Spoken Language English 10 New Media English 10

CompositionEnglish 10 Creative Writing

Career Life Education 10

Carrières Éducation à la vie 10 French 10 Foundations of Math

& Pre-Calculus 10 Workplace Math 10

Physical Health & Education 10 Science 10 Social Studies 10

NOTE: English 10 must complete 2 options in order to fulfill 4 credit requirement

English 8 Math 8 Science 8 Social Studies 8

GRADE 8

English 9 Math 9 Science 9 Social Studies 9

GRADE 9

COURSE SELECTION

** THESE COURSES ARE FOR THE 2019-2020 SCHOOL YEAR **

DISTRIBUTED LEARNING Ph: 604-903-3333

Fax: 604-903-3334

NVSD44 and WVSD45 Student Course Selection/Enrollment

School Year: 2019-2020

10-Jun-2019 3100-99-58 Page 3 of 3

Your signature as a representative of the school of record (home school), verifies that: (Please check all that apply)

Principal/School Counsellor Signature: Date Signed:

School of Record: School Phone:

School Acknowledgement

Commitment to Learning / Declaration:I understand that as a North Vancouver Distributed Learning Student it is my responsibility to:- Understand the policies and procedures of the NVDLS as outlined on the website www.sd44.ca/school/distributed - Ensure that all work submitted is my own and to properly cite any outside sources used - Use the Internet safely by employing appropriate language and web tools when completing my coursework and submitting assignments - Provide accurate and complete information on this form, and - Provide a copy of a current Individualized Education Plan (IEP), if applicable, and - Understand that I have a legal right to cross-enrol between schools and/or BC School Districts

The Applicant hereby authorizes the release of all previous records to the North Vancouver School District (NVSD), and authorizes NVSD to report to schools, school districts, or post-secondary institutions where records exists.

Student Signature: Date Signed:

Parent/Legal Guardian Name:

Principal/School Counsellor Name (PLEASE PRINT):

Parent/Legal Guardian Signature (if under 19):

In order to provide appropriate student support, the North Vancouver School Distributed Learning School requests your permission to obtain and share information regarding your student's academic and social/emotional learning needs between the student's home school (school of record) and NVDLS. It is understood that information regarding assessments, learning needs, Individual Education Plans (IEPs) and any other recommendations for support will be exchanged confidentially between school personnel.

To be completed by the Administrator or Counsellor: Students who are applying for any Grade 8 or 9 DL course must be referred by their Administrator or Grade Counsellor. Referral reason: (why this student is an ideal candidate for online learning, e.g. needs enrichment, advanced placement, is involved in provincial level sports and needs flexiable timetable, or other)

A Permanent Student Record is on file for this student, including proof of identity and residency for both student and parent/legal guardian

A Student Learning/Graduation Plan is on file for this student

This grade placement on this form is accurate and course pre-requisites have been met

This student is not currently taking this (these) course(s) at your school

Parent/Legal Guardian Email: