HAEC REGISTRATION FORM 2022-2023

SECTION 1

Individual Education Plan Information (IEP)
The purpose of the IEP is to help a student who, because of a handicap or difficulties, needs adapted interventions in order to progress optimally in developing the competencies required for success. This is a voluntary disclosure
Do you have an IEP? *

Yes No
If you have a copy of your IEP, please upload it here.

Browse Files

Cancel of
If you do not have a copy of your IEP, what school did you last attend?
What year were you last in school?

SECTION 3

Appropriate Use of Information and Communication Technology Resources User Agreement
The signature of the student (and parent/guardian in the case of a minor) is mandatory before students will be allowed access to any WQSB computer or technology- based resources. The form is required to be signed prior to the student starting at the Centre. A user agreement document will be provided upon your first day at your centre, which will need to be signed. If you are under 18 year of age, a parent or guardian will also be required to sign the technology user agreement form before you begin.

As a user of the Western Quebec School Board’s technology hardware, software, networks and internet access service, I hereby agree to comply with the WQSB Appropriate Use of Information and Communication Technology Resources Policy.
I agree to the terms and conditions noted above in Section 2 *

YES NO
Student Name *

First Name Last Name
Signature *

Clear
Current Date *

Year Month Day
Date

SECTION 4

Publication Consent Form
The Western Quebec School Board, Adult Education and Vocational Training is proud to publicize the accomplishments of our students and staff in newsletters, on the walls of our institutions, in our publicity, in regional papers, on our web site or our Facebook page.

The diffusion of names, student work, photos and videos cannot be done without your authorization in respect of the access of information law for Public Organization and the protection of personal information under the Quebec Civil Code. We would therefore ask that you fill in the form below.

Should you not agree, your rights will be respected.

I AGREE to the publication of: *

	YES	NO
My Name
My Work
My Photo
Any video that I am in

Student Name *

First Name Last Name
Signature *

Clear
Current Date: *

Year Month Day
Date
Parent Signature (for parents of a minor 16-18 years old)

Clear
Current Date:

Year Month Day
Date

SECTION 5

Guiding Principles
At HAEC, our guiding principles lead to healthy relationships, respectful behaviour, and the creation of a positive learning environment.

1.     Respect of oneself, others, and the physical space we share

(respect yourself, courteous and polite toward others, promoting cleanliness, practicing good hygiene, respecting the classroom/centre environment etc.)

2.     Respect of oneself, others, and the digital space we share

(adhering to the technology user agreement, cyber bullying, posting on social media, referencing others)

3.     Share your successes to support others

(share our achievements to promote achievement in others)

4.     Embrace your mistakes and learn from them

(seeing our mistakes as learning moments and a valuable necessary part of learning)

5.     Accepting there are necessary rules to follow

(drug and alcohol policy, smoking policy, attendance policy-reporting absences, Safe Schools Policy*)

6.     Empowered to use your voice toward positive changes in the Adult Education community

(student council, share ideas, see something say something, student rights)

7.     Aspire to a professional behaviour

(on time at start time until break time then return time for class time as per class scheduled time; wear clothes that follow guiding principle 1, 8)

8.     Accept diversity, differences, and inclusivity

(safe spaces for all members of the Adult Education community)
Student Name *

First Name Last Name
I have read and understood the Guiging Principles -Signature *

Clear
Current Date *

Year Month Day
Date

SECTION 6

Safe Schools Policy
The Hull Adult Education Centre believes that every member of its community has the right to learn and work in a safe physical and cyber environment.

The Centre follows the Quebec Education Program guidelines that promote safe learning environments for students.

HAEC does not tolerate any behaviour that jeopardizes the psychological, social, or physical well-being of members of its community.

Inappropriate behaviour, including online, is defined as any repeated direct or indirect behaviour, comment, act, or gesture, whether deliberate or not. This occurs when there is a power imbalance between people which causes distress and injures, hurts, oppresses, intimidates, or ostracizes another.

Violations of the Safe School Policy will be addressed as outlined in the “Complaint Procedure Policy.” Any member of our community who feels their safe space has been violated has a right to and is encouraged to report the incident as outlined in the policy.
Student Name *

First Name Last Name
I have read and understood the Safe Schools Policy *

Clear
Current Date *

Month Day Year
Date

SECTION 7

Student Bill of Rights
As a HAEC Student, I have Rights as well as Responsibilities

HAEC is a learning community committed to providing a safe and civil environment which is respectful of the rights, responsibilities, well-being and dignity of all its members. As a member of this community students can expect to be a part of a respectful, engaging, collaborative, creative and innovative environment

HAEC has established policies and procedures to ensure that all members of the centre community may benefit from the promotion of its core values. The centre upholds and will take reasonable steps to ensure that students, as members of our community, are aware of their rights and responsibilities, as follows:

HAEC Student Rights
1. Every student has a right to pursue their education in an environment that is safe, secure and conducive to learning. Students have a right not to be subjected to harassment, sexual harassment, bullying or discrimination, indignity, injury or violence.
2. Students have the right to free inquiry, expression, belief, political association and assembly, provided they do not interfere with the rights of others, with the effective operation of the HAEC or violate other Centre policies and procedures.
3. Every student has a right to due process and procedural fairness in any investigation of allegedly improper student conduct or alleged violations of policy.
4. Every student has a right to a protection of privacy consistent with HAEC policy and existing privacy legislation.
5. Students have the right to reasonable access to statements of policies, procedures, and guidelines of the HAEC.
6. Students have the right to form and participate in Student Council.
HAEC Student Responsibilities
1. Along with rights come certain responsibilities. Academic and non-academic integrity are inherent in student responsibilities.
2. Students at HAEC are expected to act consistently with the values of the Centre community and to obey local, provincial and federal laws.
3. Every student is responsible for abiding by all HAEC policies.
4. Students are responsible for exercising their freedoms with honesty, integrity, and respect for the principles of justice, equality, and human rights.
5. Every student is responsible for contributing to making the HAEC community safe, respectful, and inclusive. Students must refrain from conduct that threatens or endangers the health, safety, well-being, or dignity of any person.
6. Students are expected to be individually responsible for their actions whether acting individually or in a group. HAEC considers that students have an obligation to make legal and responsible decisions concerning their conduct and to model and convey the centre's expectations of conduct to their peers and staff members.
7. Every student is responsible to resolve academic and personal problems by communicating with the appropriate HAEC staff members.
8. Every student is responsible to keep HAEC informed of their current contact information and any change of name.
9. Every student is responsible to observe and obey all health and safety procedures outlined for classrooms, laboratories and field trips.
10. Students are responsible to become familiar with course outlines, content, evaluation methods, timelines, and academic calendar.
11. Students are responsible for reading emails directed to their HAEC-assigned email, Band account, and for responsible use of technology.
12. Students are responsible to be aware that they have signed a consent waver regarding the use of digital images.
Student Name *

First Name Last Name
I have read and understood my rights and responsibilitie-Signature *

Clear
Current Date *

Month Day Year
Date

SECTION 8

Drug and Alcohol Policy
High standards of professionalism are expected from all students and staff at Western Quebec Adult and Vocational Education Centres. Everyone should arrive at the Centre fully prepared, and in the right frame of mind to learn and facilitate learning.

A student may be suspended for up to 3 months for a first offence of the following:

1. In possession of drugs or alcohol

2. Promoting the use of, or trafficking drugs or alcohol

3. Observed or reported to be using drugs or alcohol on school property

If a student wishes to return to the Centre after a suspension for the above offences, they will be required to submit a written request for a meeting with the Centre Director. The student will also be required to meet with our Drug and Alcohol Counsellor after their return.

A student may also be asked by the Centre Director (or designate) to leave school for a period of time should they be suspected of being under the influence of drugs or alcohol. All efforts will be taken by staff and administration to confidentially assist students with dependence issues who request support.

The following is an excerpt from the Western Quebec School Board Drug and Alcohol Policy:

1. Any students registered in Adult Education found trafficking, under the influence of, or in possession of alcohol and/or illegal drugs will be immediately expelled from school.

2. The school administration will confiscate alcohol/or illegal drugs.

3. Where appropriate, the police will be notified, the student will be identified to them and the police will be given the confiscated goods.

Notwithstanding the above, this Board makes every effort to cooperate with and enlist the support of the Health & Social Services rehabilitation programs and other related community-based organizations designed specifically to address the needs of students who have a recognized drug and alcohol problem and through curriculum-based projects educates its students on the responsibility to self and society.

Furthermore, the Principals of the schools shall continue to take whatever measures they deem appropriate to keep our school alcohol and drug-free, and they shall publicize this statement of the Board’s intentions.
I understand and acknowledge that by checking the box below, I am legally agreeing to all the statements mentioned above in the Drug and Alcohol Policy section 6 *

YES
Student Name *

First Name Last Name
Signature *

Clear
Current Date *

Year Month Day
Date

SECTION 9

Course Selection Information
Course Selection Information

Please read carefully, CHOOSE 1 of the following
In order to complete registration for the 2022-2023 school year you MUST complete course selection. Choose the option that applies to you for your next step. *

I am a returning student, NOT currently enrolled I am a NEW student, NOT currently enrolled
Should be Empty:

	YES	NO
Diseases
Physical Disability
Allergies
Are you taking medication
Any other medical disability

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SECTION 8

SECTION 9

Course Selection Information