RAEC Registration 2024-2025

1

Are you currently living in Manitoba* This field is required.

YESNO

2

Full Legal Name* This field is required.Your full legal name as listed on your birth certificate or Canadian government issued documents.

First Name

Middle Name(s)

Last Name

3

Legal Name used in school* This field is required.If your name has changed since you last attended school at any level, provide your previous name.

First Name

Middle Name(s)

Last Name

4

Name Used/Preferred Name* This field is required.Please enter the name you would like us to use

5

Gender* This field is required.

6

Pronouns Used* This field is required.Please select the pronouns you would like us to use for you

7

Email* This field is required.Please tell us your email address. You will receive confirmation of your registration at this email address.

example@example.com

8

Phone Number* This field is required.Please tell us a phone number that you can be reached at.

Please enter a valid phone number.

9

Preferred method of contact* This field is required.How would you like us to contact you to communicate about registration and courses?

10

Birthdate* This field is required.

Date

11

Residential Address* This field is required.Please share your home address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

12

Have you ever been a registered student in Border Land School Division?* This field is required.

YESNO

13

In which BLSD school were you registered?* This field is required.

14

In which Manitoba school division do you currently reside?* This field is required.

15

Are you currently registered at another Adult Learning Center?* This field is required.

YESNO

16

Which Adult Learning Centre are you currently registered at?* This field is required.

17

Mailing Address* This field is required.Please share your mailing address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

18

Please provide identifying document* This field is required. Options: MB Driver's License OR a combination of one government issued photo ID (Status Card, MB Identification Card, Passport) AND one proof of residential address (ie: MB Health Card, MB Hydro Bill, Lease Agreement etc.)

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Select files to upload

Max. file size: 10.6MB

19

How did you hear about us?* This field is required.Check all that apply

Google

Advertising

Friends/Family

University

Social Media (Facebook, Instagram, etc.)

Other

20

Emergency Contact* This field is required.Please provide contact information for who we should contact in case of an emergency.

First and Last Name of Emergency Contact

Emergency Contact Phone Number

Relationship

21

Were you a RAEC student in the previous school year?Did you register in the 2023/2024 school year?

YESNO

22

Did you attend a Manitoba Adult Literacy Program in the previous school year?Did you attend a MALP in 2023/2024?

YESNO

23

Do you have a Canadian High School Diploma?* This field is required.Are you a high school graduate?

YESNO

24

In which Canadian province was your diploma obtained in?* This field is required.

25

What year was your high school diploma obtained? * This field is required.Tell us the year of your high school graduation.

26

Do you have a high school diploma from a country other than Canada?* This field is required.

YESNO

27

In what Country was your diploma obtained?Please tell us the country that you obtained your high school diploma in.

28

What year was your Non-Canadian high school diploma obtained?* This field is required.Please tell us the year of your high school graduation.

29

Please upload a copy of your high school transcript You can obtain a copy of your transcript from the last high school that you attended. If you completed credits in Manitoba, you can obtain a copy of your transcript from Manitoba Student Records. This information is essential for academic planning and will be required before beginning coursework.

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Select files to upload

Max. file size: 10.6MB

30

How many years since you last attended school?* This field is required.Select the option that best reflects how many years ago you last attended school?

31

What grade level have you completed?* This field is required.Tell us the highest grade level that you have completed.

less than grade 8

grade 8 or 9

grade 10 or 11

grade 12 graduate

GED

32

Are you a Canadian Immigrant?* This field is required.

YESNO

33

Did you immigrate to Canada within the past 5 years* This field is required.

YESNO

34

Is English your first language?* This field is required.Is English the language you first learned from infancy?

YESNO

35

Language and Literacy Information* This field is required.

Primary Language Spoken:

Secondary Language Spoken:

36

Upload Canadian Language Benchmark document AND/OR Canadian Literacy Stages document* This field is required.

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Select files to upload

Max. file size: 10.6MB

37

Citizenship* This field is required.Select the option that reflects your citizenship.

38

Please upload immigration status documents.* This field is required.Temporary Residency, Permanent Residency, Work Permit, Study Permit etc.

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Select files to upload

Max. file size: 10.6MB

39

Refugee Status* This field is required.Select the option that reflects your Canadian refugee status.

40

Citizenship Documentation Information* This field is required.

Citizenship document expiry (if applicable):

Country of origin:

Date of Immigration:

41

Have you enrolled in a Canadian Public School since arriving in Canada?* This field is required.

YESNO

42

Are you of Indigenous descent?* This field is required.

Yes, I am First Nations

Yes, I am Inuit

Yes, I am Métis

Yes, I am uncertain of my ancestry

No

First language learned was an Indigenous language

44

Are you a single parent of children under the age of 6?* This field is required.

YESNO

45

Employment Status* This field is required.Choose the option that best reflects your current employment status.

46

Biography* This field is required.Please write a short biography introducing yourself and telling us a little bit about your life story. Include why you are coming back to school, courses you wish to take, and any potential goals you have for the future. Please note that some courses are full (as noted on our website). Please indicate in this section if you would like to be added to the waitlist. Openings will become available throughout the year, and the waitlist will be determined by date of registration.

47

By which date do you need to have your course(s) completed?This particularly applies for students upgrading for a university or college program.

Date

48

Signature* This field is required.I certify that the information I have provided is accurate and true to the best of my knowledge

Clear