KEC Gr 9 Application Form - Retsd.mb.ca

REGISTRATION—KILDONAN-EAST COLLEGIATE2. LAST name:_____________________FIRST name:_____________________Mr. Mrs. Ms. Relationship: ___________Address: Same as above Other:__________________________________________________Postal code: ___________Employer: _______________________________________ Work phone: _____ - _____ - ______ Ext.:___________________Home phone: _____ - _____ - ______ Unlisted? Yes No Cellphone: _____ - _____ - ______ Email:_________________Legal guardian? Yes No Can pick up student? Yes No Has custody of student? Yes No Contact by paper? Yes No Contact electronically? Yes No Send additional report card? Yes No This contact is restricted? Yes No Phone number to call in case of emergency: _____ - _____ - ______3. LAST name:_____________________FIRST name:_____________________Mr. Mrs. Ms. Relationship: ___________Address: Same as above Other:__________________________________________________Postal code: ___________Employer: _______________________________________ Work phone: _____ - _____ - ______ Ext.:___________________Home phone: _____ - _____ - ______ Unlisted? Yes No Cellphone: _____ - _____ - ______ Email:_________________Legal guardian? Yes No Can pick up student? Yes No Has custody of student? Yes No Contact by paper? Yes No Contact electronically? Yes No Send additional report card? Yes No This contact is restricted? Yes No Phone number to call in case of emergency: _____ - _____ - ______4. LAST name:_____________________FIRST name:_____________________Mr. Mrs. Ms. Relationship: ___________Address: Same as above Other:__________________________________________________Postal code: ___________Employer: _______________________________________ Work phone: _____ - _____ - ______ Ext.:__________________Home phone: _____ - _____ - ______ Unlisted? Yes No Cellphone: _____ - _____ - ______ Email:_________________Legal guardian? Yes No Can pick up student? Yes No Has custody of student? Yes No Contact by paper? Yes No Contact electronically? Yes No Send additional report card? Yes No This contact is restricted? Yes No Phone number to call in case of emergency: _____ - _____ - ______SignaturesThe following signatures verify that the above information is true and accurate. Upon transfer/withdrawal of the student,the pupil file will be forwarded to the next school of attendance.Parent/guardian:________________________________________or student:________________________________________Date:__________________________________________________Page 2 of 4 | Tyler SIS 12/2012

REGISTRATION—KILDONAN-EAST COLLEGIATESupport ServicesPlease indicate if the student has utilized any of the following servicesOFFICE: If any items have been checked off,forward to the school principal. Resource Reading Psychiatry Social work Physiotherapy Child in care School counsellor Psychology Speech & language Occupational therapy Outside agency Other ____________________________________________If any services above are checked (), please complete details below.Name of agency/support service:___________________________________ Contact person:___________________________Address:_______________________________________________________________ Phone: _______ - _______ - _________Briefly describe the reason for service: _______________________________________________________________________________________________________________________________________________________________________________Name of agency/support service:___________________________________ Contact person:___________________________Address:_______________________________________________________________ Phone: _______ - _______ - _________Briefly describe the reason for service: _______________________________________________________________________________________________________________________________________________________________________________The support services information is being collected so appropriate educational services may be provided for yourson/daughter. This information will only be shared with appropriate individuals. This information is protected by TheFreedom of Information and Protection of Privacy Act. Questions should be directed to the school principal.Page 4 of 4 | Tyler SIS 12/2012

Kildonan-East Collegiate2013-2014 Grade 9 Registration FormName:Please print clearlyCurrent School:Compulsory Course Selection: All Grade 9 students entering Kildonan-East Collegiate will be enrolled in PhysicalEducation 10F, Science 10F, Canada in the Contemporary World 10F (Social Studies) and English 10F.Students must choose one of the following Math courses. Acceptance into Advanced Math will be based onentrance criteria, as outlined in the KEC Information Handbook.COMPULSORY COURSESMATHEMATICS⃞ M10F Mathematics 10F ⃞ M10FPA/M20SIPA Mathematics 10F/Introduction toApplied & Pre-CalculusMathematics 20S (AdvancedPlacement)☑ S10FScience 10F☑ CCW10FCanada in the Contemporary World 10F☑ PEH10FPhysical Education/Health Education 10F☑ E10FEnglish Language Arts 10FOPTION COURSE SELECTION3 additional credits are required for Grade 9. The following courses are available. Number 5 options in order ofpriority (number 1 being your first choice). You will be timetabled for 3 of the 5 options.THE ARTSELECTRICAL⃞ ART10G⃞ DRA11G1Art 10GArts: Drama 11G⃞ TE10GE&EElectricity/Electronics Technology10GAUTO BODY / AUTO TECHNOLOGY⃞ AB15SBR/PM15SIAT Intro to Auto Body Repair 15S/Intro to Automotive Technology15SFRENCH⃞ F10GFrench 10GCAREER DEVELOPMENT⃞ LWE10SCARPENTRY⃞ BS10SICCOMPUTERLife/Work Exploration 10S⃞ IC115F/1C215F Applying Info & Communication 1 15F/Applying Info & Communication 2 15F⃞ VOC10SLIIntroduction to Carpentry 10SIntroduction to L.I. Tech 10S(Video Game Development/Animation)GRAPHIC ARTS / PHOTOGRAPHY⃞ GR15SI/PH15SI Intro to Advertising Art 15S/Intro toPhotography 15SMUSIC⃞ MUB10G⃞ MUC10G⃞ MUG10G⃞ MUJ10G⃞ MUV10GMusic: Band 10GMusic: Choral 10GMusic: Guitar 10GJazz Band 10GVocal Jazz 10GCULINARY ARTSPASTRY ARTS⃞ FS10SECAExploration of the Culinary Arts⃞ VOC10SHS Introduction to H.S. 10SSignatures: (Verifying that the above information is true and correct).Student: ________________________________________ Counsellor: __________________________________________Date of Application: ______________________________Parent e-mail ________________________________________NOTE: Students who are new to the Division must attach proof of measles immunization.

EducationAboriginal Identity Declaration2013-2014 EIS Data CollectionAboriginal Identity Declaration is intended to establish statistical data that will support efforts of ManitobaEducation and school divisions to plan and improve programs in a way that is responsive to Aboriginallearners.I, , (name of parent/guardian, please print clearly):Am submitting my child’s Aboriginal Identity Declaration for the first time.Am making changes to my child’s Aboriginal Identity Declaration.Already submitted my child’s Aboriginal Identity Declaration and have no further changesto make at this time.My child is Aboriginal (please select only one of the following):First NationMétisInuitUncertain of ancestryPlease select, if applicable, up to two of the following languages spoken:Anishinaabe (Ojibway/Saulteaux)Ininew / Ininiw (Cree)Dene (Sayisi)DakotaOji-CreeMichifInuktitutOther (please indicate if not on the list above)Providing this personal information is voluntary and optional. It is being collected in compliancewith section 36(1)(b) of The Freedom of Information and Protection of Privacy Act as it isnecessary for and relates directly to the activity of Manitoba to plan and improve programs andthe activity of the School Division to deliver programs in manner stated above.For more information about Aboriginal Identity Declaration, please contact:Aboriginal Education DirectorateMurdo Scribe Centre510 Selkirk AvenueTelephone: 204-945-7886Toll Free: 1-800-282-8069 ext. 7886Fax: 204-948-2010Email: aedinfo@gov.mb.caOr visit the website at: http://www.edu.gov.mb.ca/aed/abidentity.htmlStudent Name (please print)Parent/Guardian SignaturePLEASE COMPLETE AND RETURN THIS FORM TO YOUR CHILD’S SCHOOL OFFICE.

KILDONAN - EAST COLLEGIATE845 Concordia Avenue • Winnipeg, MB R2K 2M6 • Telephone (204) 667-2960 • Fax (204) 667-1203 • www.kec.retsd.mb.caDear Parent/Guardian,The purpose of this letter is to inform you about some of the out-of-school activities or eventsin the local school community in which your child will participate during the course of thisyear. Your signature at the bottom of this form confirms that you are aware of theinformation provided in this letter.The River East Transcona School Division and the staff of Kildonan-East Collegiaterecognize that valuable and unique learning can take place outside of the school building.We are therefore encouraged to make use of the total resources of the local community tomeet curriculum goals.During the course of the school year, student groups will engage in activities within the localcommunity that take them out of the school building. These activities may include but are notlimited to activities and events such as fitness walking and winter activities in PhysicalEducation Classes.The risk of injury exists in all student activity. However, due to the very nature of someactivities, the risk of injury may increase. The safety and well being of students is a primeconcern and every effort is made to minimize the foreseeable risks inherent in any activity.While participating in school activities, which take them into the community, it is expectedthat students will conduct themselves appropriately during all aspects of schooling.If, for some reason, your child cannot or ought not participate in activities of this nature,please let us know.In signing this form I acknowledge receipt of this letter and the information provided therein.Parental Informed Consent:Student’s Name (please print):Teacher Advisor:Parent/Guardian SignatureDatePrincipal:D. PosthumusVice-Principals:R. HadathD. KupiakD. Martineau

KDDB-E1Parent Permission FormMedia Coverage, Copyright PermissionFrom time to time during the school year, the media and/or River East Transcona SchoolDivision may be covering school or divisional events. On occasion, while covering theseevents, students are interviewed and/or still or moving images of them are taken for use bythe media or River East Transcona School Division, for example for use in divisionalpublications or videos, on websites (division, school, teacher websites) or on River EastTranscona School Division’s Facebook page and/or Twitter site.Student Identification on WebsitesPlease be assured that on River East Transcona School Division websites (division,school, teacher websites, Division’s Facebook page and/or Twitter site), your child inkindergarten to Grade 8, and their work will be identified by first name only. It is theschool division’s practice not to include the name of a student in kindergarten to Grade8 with their image on River East Transcona School Division websites.Your child in Grade 9 to 12 and their work may be identified by their full name, and theirfull name may be included with their image, on River East Transcona School Divisionwebsites (division, school, teacher websites, Division’s Facebook page and/or Twittersite). For example, students on a sports team, in the cast of a drama or a musicalensemble, on a student council or committee, may be identified by their full name, withor without their image.Student Copyright PermissionA student’s work is copyrighted to that student. Permission must be granted by thestudent, and their parent/guardian if they are a minor, to have their work published bythe media or River East Transcona School Division, for example in divisionalpublications or videos, or on websites (division, school, teacher websites, Division’sFacebook page and/or Twitter site).Exhibit KDDB-E1 – Media Coverage, Copyright Permission FormPage 1 of 2

KDDB-E1Please check the appropriate box and sign below:I give permission for my child to be:Interviewed for publication by:School and divisional staff or students (fundraising,newsletters, websites) Yes No Media (newspaper, radio, TV) Yes No Photographed or to appear on video for publication by:School and divisional staff or students (fundraising,newsletters, websites) Yes No Media (newspaper, radio, TV) Yes No River East Transcona School Division’s Facebook pageand/or Twitter site Yes No. Copyright:I give permission for my child’s work to be published by themedia or the division. Yes No Please note:Parents who indicate “no” on any of the permission items identified in the exhibit need todiscuss this decision with their son/daughter, and indicate to the child what actions must betaken in these situations._______________________Student Name_______________________ _______________________ ________________Parent NameParent Signature or StudentSignature if 18 years of age orolder_______________________ _______________________ ________________School Name Homeroom Teacher/Advisor GradeThis form will be applicable until the student transfers to another school or parentsindicate a change in the permissions.Effective Date: June 1, 2004 PolicyAmended Date:June 17, 2008;December 16, 2008;March 15, 2011; January 17,Regulation2012Board Motion(s):373/04; 221/08; 392/08; 70/11;9/12ExhibitLegal/Cross Reference:XXXDateExhibit KDDB-E1 – Media Coverage, Copyright Permission FormPage 2 of 2

IJND-E1Computer Use Permission FormFor Students in Kindergarten to Grade 12We are pleased to offer students of River East Transcona School Division access to thedivisional computer network for electronic mail and Internet. To gain access to email andInternet, all students under the age of 18 must obtain parental permission and must signand return this form to the school. Students 18 years and over may sign their own forms.(1) Internet SafeguardsAccess to email and the Internet will enable students to explore thousands oflibraries, databases and bulletin boards while communicating with Internet usersthroughout the world.On a global network, it is impossible to restrict access to controversial materials. Itis the shared responsibility of the student, parent, teacher and administrator toensure that access to networks and computers provided by the school system is notabused.Some material accessible via the Internet might contain items that are illegal,defamatory, inaccurate or potentially offensive to some people. The River EastTranscona School Division uses an Internet filtering system to minimizeaccess to inappropriate websites (e.g.: pornography). In addition, all studentemail messages are sent through a content filter, which scans for obscene orthreatening language. While we do everything we can to prevent such access, it isnot possible to guarantee that students will not accidentally or purposely findinappropriate material. We believe that the benefits to students from access to theInternet, in the form of information resources and opportunities for collaboration,exceed any disadvantages. But ultimately, parents and guardians of minors areresponsible for setting and conveying the standards that their children should followwhen using media and information sources. To that end, River East TransconaSchool Division supports and respects each family’s decision whether or not toapprove computer access.(2) Division Internet and Email RulesStudents are responsible for good behaviour on school computer networks just asthey are in a classroom or a school hallway. Communications on the network areoften public in nature. General school rules for behaviour and communicationsapply.The network is provided for students to conduct research and communicate withothers. Access to network services is given to students who agree to act in aconsiderate and responsible manner. Parent permission is required. Access is aprivilege – not a right. Access entails responsibility.Individual users of the divisional computer networks are responsible for theirbehaviour and communications over those networks. It is presumed that users willcomply with divisional standards and will honour the agreements they have signed.Exhibit IJND-E1 – Computer Use Form Kindergarten to Grade 12 Page 1 of 3

Network storage areas may be treated like school lockers. Network administratorsmay review files and communications to maintain system integrity and ensure thatusers are using the system responsibly. Users should not expect that files stored ondivisional servers or workstations would always be private. As outlined in boardpolicy, the following are not permitted:(a)(b)(c)(d)(e)(f)(g)(h)(i)(j)(k)sending or displaying offensive material;sending or displaying violent or pornographic material;using obscene language;using information and communication technology to harass, insult or attackothers (cyber-bullying);damaging computers, computer systems or computer networks;accessing, uploading, downloading or distributing material that the school hasdetermined objectionable;violating copyright laws;using another’s password;trespassing in another’s folders, work or files;intentionally wasting any resources or introducing a virus or any destructivedata into the network;employing the network for commercial purposes.Violations of this policy may result in a loss of access, other disciplinary measures,legal action or a demand for financial reimbursement.A copy of the complete policy (IJND – Computer Technology Use) is available at theschool upon request or at www.retsd.mb.ca.Exhibit IJND-E1 – Computer Use Permission Form Kindergarten to Grade 12 Page 2 of 3

Computer Use PermissionParent Permission SectionAs a parent or legal guardian of the minor student signing below, I give permission for myson/daughter to have access to:World Wide Web (Filtered Internet Access) Yes No Yes No Individual email(Filtered access and for students in grades 3 to 12 only)Please note:Parents who indicate “no” on any of the above points need to discuss this decision withtheir son/daughter.Parental Responsibility:I understand that any violation of use policies could result in loss of access, personalpayment of costs incurred and possible prosecution.Please Initial:I understand that the use of the Internet as part of an educational program is a privilege,not a right, and inappropriate use will result in cancellations of those privileges.Please Initial:___________________Student Name___________________________________ ________________________ _____________Parent NameParent Signature or StudentDateSignature if 18 years of ageor older.___________________ ________________________ _____________School Name Homeroom Teacher/Advisor GradeStudent Responsibility and Commitment (Students in Grades 3 to 12, please sign.)As a user of the River East Transcona School Division computer network, I hereby agree to comply with thedivisional computer technology use policy, communicating over the network in a responsible fashion whilehonouring all relevant laws and restrictions.Student NameStudent SignatureThis form will be applicable until the student enters Grade 3, transfers to anotherschool, or parents indicate a change in permissions.Effective Date: June 1, 2004 PolicyAmended Date:June 20, 2006; June 17, 2008March 15, 2011RegulationBoard Motion(s): 372/04; 326/04; 221/08; 70/11 Exhibit XXXLegal/Cross Reference:Exhibit IJND-E1 – Computer Use Permission Form Kindergarten to Grade 12 Page 3 of 3

CONSENT FOR EXCHANGE OF INFORMATIONI,(Parent/Guardian’s name)(Address)give consent for the River East Transcona School Division to receive and/or give information about(Postal Code)(Child’s full name)(Child’s birth date)Information may concern this child’s speech, language, intellectual, emotional and social developmentand educational, psychiatric, hearing or health needs.Information may be exchanged in written or spoken form.This Information may be received from and/or given to:(Name/Agency)(Address)(Postal Code)The Information will be used for(Purpose)Information received by the division will be kept in a confidential file and be seen only by those people working onbehalf of this child.It is my choice to give consent. I understand that I may withdraw this consent at any time by notifying the divisionin writing.Signature of parent/guardianDateWitnessDateTelephone Consent: This consent form was discussed with the parent/guardian who verbally consented toexchange of information.Name: (please print)Signature:Date:gc Jan29.09[Forms]Document No.