Step 1

STUDENT INFORMATION

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Start Date

First Name

Middle Name

Last Name

Date of Birth

Phone

Email

Gender

Male

Female

Address

Address Line 1

Address Line 2

City

Postal Code

Provinces

- Select -AB|AlbertaBC|British ColumbiaMB|ManitobaNB|New BrunswickNL|Newfoundland and LabradorNS|Nova ScotiaON|OntarioPE|Prince Edward IslandQC|QuebecSK|SaskatchewanNT|Northwest TerritoriesNU|NunavutYT|Yukon

Step 2

BACKGROUND INFORMATION

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Checkbox Field

First Nation/Registered/Treaty/Status

First Nations/Non-Registered/Non-Status

Other

Affiliated First Nation

- Select -1) Ahtahkakoop First Nation 2) Beardy's and Okemasis First Nation 3) Big Island Lake Cree Nation 4) Big River First Nation 5) Birch Narrows First Nation 6) Black Lake First Nation 7) Buffalo River Dene Nation 8) Canoe Lake Cree First Nation 9) Carry The Kettle First Nation 10) Clearwater River Dene First Nation 11) Cote First Nation 12) Cowessess First Nation 13) Cumberland House Cree Nation 14) Day Star First Nation 15) English River First Nation 16) Fishing Lake First Nation 17) Flying Dust First Nation 18) Fond du Lac First Nation 19) Gordon First Nation 20) Hatchet Lake First Nation 21) Island Lake First Nation 22) James Smith First Nation 23) Kahkewistahaw First Nation 24) Kawacatoose First Nation 25) Keeseekoose First Nation 26)Kinistin Saulteaux Nation 27) Lac La Ronge First Nation 28) Little Black Bear First Nation 29) Little Pine First Nation 30) Lucky Man First Nation 31) Makwa Sahgaiehcan First Nation 32) Mistawasis First Nation 33) Montreal Lake First Nation34) Moosomin First Nation 35) Lean Man First Nation 36) Muscowpetung First Nation 37) Muskeg Lake First Nation 38) Muskoday First Nation 39) Muskowekwan First Nation 40) Nekaneet First Nation 41) Ocean Man First Nation 42) Ochapowace First Nation 43) Okanese First Nation44) One Arrow First Nation 45) Onion Lake First Nation46) Pasqua First Nation 47) Peepeekisis First Nation 48) Pelican Lake First Nation 49) Peter Ballantyne Cree Nation 50) Pheasant Rump Nakota First Nation 51) Piapot First Nation 52) Poundmaker First Nation 53) Red Earth First Nation54) Red Pheasant First Nation 55) Sakimay First Nations 56) Saulteaux First Nation57) Shoal Lake Cree Nation 58) Standing Buffalo First Nation 59) Star Blanket First Nation 60) Sturgeon Lake First Nation 61) Sweetgrass First Nation 62) The Key First Nation 63) Thunderchild First Nation 64) Wahpeton Dakota Nation 65) Waterhen Lake First Nation 66) White Bear First Nation 67) Whitecap Dakota First Nation 68) Witchekan Lake First Nation 69) Wood Mountain First Nation 70) Yellow Quill First Nation

Status number

First Language spoken at home

Second Language

Step 3

EDUCATIONAL INFORMATION

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Current Grade

Last School Attended

Address of last School Attended

Address Line 1

Address Line 2

City

Province

Postal Code

Country

AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelauBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Martin (Dutch part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSan MarinoSão Tomé and PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaSamoaYemenZambiaZimbabwe

Select Course

- Select -Grade 4 - ELAGrade 4 - MathematicsGrade 4 - ScienceGrade 4 - Social StudiesGrade 5 - ELAGrade 5 - MathematicsGrade 5 - ScienceGrade 5 - Social StudiesGrade 6 - ELAGrade 6 - MathematicsGrade 6 - ScienceGrade 6 - Social StudiesGrade 7 - English Language Arts 7Grade 7 - Mathematics 7Grade 7 - Science 7​Grade 7 - Social Studies 7Grade 8 - English Language Arts 8Grade 8 - Mathematics 8Grade 8 - Science 8Grade 8 - Social Studies 8Grade 9 - Mathematics 90​Grade 9 - English Language Arts A90Grade 9 - English Language Arts B90Grade 9 - Science 90​Grade 9 - Social Studies 90Grade 10 - English Language Arts A10Grade 10 - Foundations of Mathematics and Pre-Calculus 10Grade 10 - Indigenous Studies 10Grade 10 - Science 10​Grade 11 - English Language Arts 20​Grade 11 - Foundations of Mathematics 20​Grade 11 - Indigenous Studies 20Grade 11 - Physical Science 20Grade 11 - Pre-Calculus 20Grade 12 - Biology 30​Grade 12 - Calculus 30​Grade 12 - English Language Arts A30​Grade 12 - English Language Arts B30​Grade 12 - Foundations of Mathematics 30​Grade 12 - Indigenous Studies 30Grade 12 - Pre-Calculus 30​

Step 4

PARENT/GUARDIAN INFORMATION 1

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Parent/Guardian 1 (First Name)

(Last Name)

Parent/Guardian Company

Parent/Guardian - Phone/Mobile

Parent/Guardian Email

Address of Parent/Guardian 1

Address Line 1

Address Line 2

City

Province

Postal Code

Country

AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelauBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Martin (Dutch part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSan MarinoSão Tomé and PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaSamoaYemenZambiaZimbabwe

Parent/Guardian Role

- Select -ParentFamily MemberGuardian

Step 5

PARENT/GUARDIAN INFORMATION 2

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Parent/Guardian 2 (First Name)

(Last Name)

Parent/Guardian Company

Parent/Guardian - Phone/Mobile

Parent/Guardian Email

Address of Parent/Guardian 2

Address Line 1

Address Line 2

City

Provinces

Postal Code

Country

AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelauBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Martin (Dutch part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSan MarinoSão Tomé and PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaSamoaYemenZambiaZimbabwe

Parent/Guardian Role

- Select -ParentFamily MemberGuardian

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