25/26 O'Neill High School Grade 10-12 Application Form

Archbishop M.C. O'Neill

Catholic High School

GRADE 10-12 APPLICATION FORM
Select school year you are applying for:
The latest report card MUST be attached to the application.

Cancelof
Personal Graduation Checklist
English Program
Check off all the classes you have successfully completed. You need 24 credits to graduate, 5 of which must be at the 30 level.
List three other 10, 20 or 30 classes you've taken that have not already been used.
1.
2.
3.
List five other 20 or 30 classes you've taken that have not already been used.
1.
2.
3.
4.
5.
Personal Graduation Checklist
French Program
Check off/list of all the classes you have succerssfully completed. You need 24 credits to graduate, 5 of which must be at the 30 level and 12 in French.
List three other 10, 20 or 30 classes you've taken that have not already been used.
1.
2.
3.
List four other 20 or 30 classes you've taken that have not already been used.
1.
2.
3.
4.
GRADE 10
**A current Grade 9 student or a current Grade 10 student NOT successful in completing the requirements of a particular grade 9 course MUST see a counsellor to discuss an academic plan.
LEARNING RESOURCE. Has your child had assistance through a learning resource teacher in the past?
Has your child had assistance from an English as an Additional Language (EAL) teacher in the past?
Grade 10 - Compulsory Subjects
Select one of the following:
BAND/CHORAL

Students may take both band and choral in any given year.
Grade 10 Elective Subjects
(R) - Restricted Entry ** - French Immersion Classes AD - Advanced AP - Advanced Placement
GRADE 11
Compulsory Subjects
Select a minimum of one of the following English Language Arts:
Select a minimum of one of the following English Language Arts:
Students must select at least one of the following courses

(May be taken in grade 10, 11 or 12)
Students must select at least one course from this block that is different from one already chosen.

(May be taken in grade 10, 11 or 12)
Grade 11 - Elective Subjects
GRADE 12
Compulsory Subjects
Select a minimum of one of the following English Language Arts:
Elective Subjects Grade 12
(R) - Restricted Entry ** - French Immersion Classes AD - Advanced AP - Advanced Placement
Students must select at least one of the following courses (May be taken in grade 10, 11 or 12)
Students must select at lease one course from this block that is different from one already chosen. (May be taken in grade 10, 11, or 12)
Archbishop M.C. O'Neill Catholic High School

Grade 10-12 REGISTRATION INFORMATION
Legal First Name
(as it appears on Birth Certificate)
Legal Middle Name
(as it appears on Birth Certificate)
Legal Last Name
(as it appears on Birth Certificate)
Name Used

First NameLast Name
Gender
Date of Birth
MM/DD/YY
Grade
Home Phone
Format: (000) 000-0000.
Student's Cell Phone
Format: (000) 000-0000.
Address
Please select:
Number
Street Address

P.O. Box #

CityProvince

Postal Code
Previous School (include address if out of Saskatchewan)
Property Tax Support:

Other
If home owner, please indicate property tax support
Indigenous Self Declaration (voluntary):

An Indigenous person in Canada is a First Nations, a Métis or an Inuit person. First Nations “Registered Status” refers to an individual recognized by the Canadian federal government as being registered under the Indian Act. First Nations “Non-Status” refers to a First Nations person who is not registered under the Indian Act.
Based on the above information do you self-declare as an Indigenous person?
Heritage Information

The following information is collected for the Ministry of Education and disclosure is protected under The Local Authority Freedom of Information and Protection of Privacy Act, and all employees of Regina Catholic Schools must adhere to Administrative Application 5400.
Student's Country of Birth

Other
Student's Country of Origin

Other
Student's Citizenship

Other
First Language Spoken at Home

Other
Second Language Spoken at Home

Other
Student Resident Type
Is one or more parent a Canadian Citizen?
Regina Catholic Schools personnel will contact you to discuss further documentation needed
Is one or more parent a Permanent Resident?
Regina Catholic Schools personnel will contact you to discuss further documentation needed
Date of Arrival in Canada

MonthDayYear
Has your child had the support of an English as an Additional Language (EAL) teacher in the past?
EAL Students - CFR Level
Parent/Guardian 1 Religion/Spirituality
Parent/Guardian 2 Religion/Spirituality
Student Religion/Spirituality
Parish
Is the student baptized Catholic?
HEALTH INFORMATION
Medical Notes
PRIMARY CONTACT INFORMATION
Title
Name

First NameLast Name
Lives with student
Relationship
Work Phone
Format: (000) 000-0000.
Cell Phone
Format: (000) 000-0000.
Home Phone (if different than student)
Format: (000) 000-0000.
Address (if different than student)

Street Address

Street Address Line 2

City Province

Postal Code
Mail to
Email
example@example.com
ADDITIONAL PRIMARY CONTACT INFORMATION
Title
Name

First NameLast Name
Lives with student
Relationship
Work Phone
Format: (000) 000-0000.
Cell Phone
Format: (000) 000-0000.
Home Phone (if different than student)
Format: (000) 000-0000.
Address (if different than student)

Street Address

Street Address Line 2

CityProvince

Postal Code
Mail to
Email
example@example.com
EMERGENCY CONTACT

In the event the school cannot get in touch with a primary contact. (NOTE: This contact information is for someone other than the parents/guardians identified above).
Emergency Contact

First NameLast Name
Home Phone
Format: (000) 000-0000.
Cell Phone
Format: (000) 000-0000.
Business Phone
Format: (000) 000-0000.
Emergency Contact Address

Street Address

Street Address Line 2

CityProvince

Postal Code
Sibling 1
Attends this school
Sibling 2
Attends this school
Sibling 3
Attends this school
Sibling 4
Attends this school
TO BE COMPLETED BY PARENT/GUARDIAN
For new students
Parent/Guardian Signature
Date

MonthDayYear
Date
Should be Empty:

Personal Graduation Checklist

English Program

Personal Graduation Checklist

French Program

HEALTH INFORMATION

PRIMARY CONTACT INFORMATION

ADDITIONAL PRIMARY CONTACT INFORMATION

EMERGENCY CONTACT