2024-25 Miller High School Grade 10-12 Application Form

Miller Comprehensive

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*

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Compulsory Subjects
GRADE 10

Catholic Studies 10Études catholiques 10 **English Language Arts A10 OREnglish Language Arts A10 (*) (R) OREnglish Language Arts A11 (modified) (R) OREnglish Language Arts B10 OREnglish Language Arts B10 (*) (R) OREnglish Language Arts B11 (modified) (R) 9Français 10 **Math Workplace & Apprenticeship 10 AND/ORMath Foundations & Pre-Calculus 10 ORMath Foundations & Pre-Calculus 10(*) ORFondements/Pré-calcul Mathématiques 10 ( **)Mathematics 11 (modified) (R)History 10 ORNative Studies 10Social Studies 11 (modified)(R) ORHistoire 10**Science 10 ORScience 11 (modified) (R)Sciences Naturelles 10 **Financial Literacy 10Litteratié Financiere 10**
GRADE 11

Catholic Studies 20Études catholiques 20 **English Language Arts 20 OREnglish Language Arts 20 (*) (R) OREnglish Language Arts 21 (modified) (R)Français 20 **Math Workplace & Apprenticeship 20 ORMath Foundations 20 ORMathématiques 20 Fondements **Pre-Calculus 20 ORPre-Calculus 20 (*) ORPré-calcul 20 **Mathematics 21 (modified) (R)
GRADE 12

Catholic Studies 30Études Catholiques 30 **English Language Arts 30 OREnglish Language Arts A30 (AP) (R) OREnglish Language Arts A31 (modified) (R)Français 30 **English Language Arts B30 OREnglish Language Arts B30 (AP) (R) OREnglish Language Arts B31 (modified) (R)Social Studies 30: Canadian Studies ORNative Studies 30: Canadian Studies ORSocial Studies 31 (modified) (R)Science Sociale 30**
Students must select at least one course from this science block to fulfill Ministry of Education graduation requirements

Computer Science 20Environmental Science 20Environmental Science 21 (modified) (R)Health Science 20Physical Science 20Biology 30Chemistry 30Earth Science 30Physics 30Computer Science 30Computer Science 30 (AP) (R)
Students must select from at least one course from this social sciences block to fulfill Ministry of Education graduation requirements

History 20 ORHistoire 20 **Native Studies 20Psychology 20 ¨¨Law 30Psychology 30Psychology 20 (R) & Psychology 30 (AP) (R) (2 credits)
Students must select at least one course from this block to fulfill graduation requirements

Wellness 10Physical Education 20 (Sport Performance)Physical Education 20 (Active for Life)Physical Education 30 (Sport Performance)Physical Education 30 (Active For Life)
Elective Subjects
Grade 10

Accounting 10Band 10 (two semesters) (twice/week)Choral 10 (two semesters) (twice/week)Commercial Cooking 10Communication Media 10Construction and Carpentry 10Drama 10Esthetics and Hairstyling 10French 10Instrumental Jazz 10 (two semesters) (once/week)Mechanical Automotive Studies 10Music 10Photography 10Visual Art 10Vocal Jazz 10 (two semesters) (twice/week)Welding 10
Grade 11

Accounting 20Band 20 (two semesters) (twice/week)Choral 20 (two semesters) (twice/week)Commercial Cooking 20Communication Media 20Construction and Carpentry 20Creative Writing 20Drama 20Esthetics & Hairstyling 20Financial Literacy 20Instrumental Jazz 20 (two semesters) (once/week)Mechanical Automotive A20Mechanical Automotive B20Media Studies 20Music 20Photography 20Sports Medicine 20Visual Art 20Vocal Jazz 20 (two semesters) (twice/week)Welding 20
Grade 12

Accounting 30Advanced Baking 30Band 30 (two semesters) (twice/week)Calculus 30 ORAP Calculus 30/ Integral Calculus 30 (two semesters) (2 credits) (R)Choral 30 (two semesters) (twice/week)Commercial Cooking 30Communication Media 30Construction and Carpentry 30Drama 30Entrepreneurship 30Esthetics & Hairstyling 30Instrumental Jazz 30 (two semesters) (once/week)Math Foundations 30Mathématiques 30 Fondements **Workplace & Apprenticeship 30Mechanical Automotive A30Music 30Pre-Calculus 30 ORPre-Calculus 30 (*)Pré-calcul 30 **Visual Art 30Vocal Jazz 30 (two semesters) (twice/week)Welding A30
* Pathway to Advanced Placement ** French Immersion (R) Restricted Classes

(AP Advanced Placement)
Miller Comprehensive 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 Level*
Home Phone *
Format: (000) 000-0000.
Student's Cell Phone
Format: (000) 000-0000.
Address
Please select:*
Number*
Address*

Street Address

P.O. Box #

City Province

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

Home OwnerRenterOther
If home owner, please indicate property tax support*

SeparatePublicSplit
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?*

YesNo
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*

CanadaOther
Student's Country of Origin*

CanadaOther
Student's Citizenship*

CanadaOther
First Language Spoken at Home*

EnglishFrenchOther
Second Language Spoken at Home*

EnglishFrenchOther
Student Resident Type*

RefugeePermanent ResidentTemporary ResidentStudent/Visitor VisaCanadian Citizen (NA)
Is one or more parent a Canadian Citizen?*

YesNo
Regina Catholic Schools personnel will contact you to discuss further documentation needed
Is one or more parent a Permanent Resident?*

YesNo
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?

YesNo
EAL Students - CFR Level
Parent/Guardian 1 Religion/Spirituality*
Parent/Guardian 2 Religion/Spirituality*
Student Religion/Spirituality*
Parish
Is the student baptized Catholic?*

YesNo
HEALTH INFORMATION
Medical Notes
PRIMARY CONTACT INFORMATION
Title*
Name*

First NameLast Name
Lives with student
Relationship*

FatherMotherStepfatherStepmotherGrandparentGuardian
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

YesNo
Email*
example@example.com
ADDITIONAL PRIMARY CONTACT INFORMATION
Title
Name

First NameLast Name
Lives with student
Relationship

FatherMotherStepfatherStepmotherGrandparentGuardian
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

YesNo
Email
example@example.com
EMERGENCY CONTACT INFORMATION

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

YesNo
Sibling 2
Attends this school

YesNo
Sibling 3
Attends this school

YesNo
Sibling 4
Attends this school

YesNo
TO BE COMPLETED BY PARENT/GUARDIAN*

I agree to the course selections made by this student
For new students*

I grant permission to release all educational records and information from previous schools
Parent/Guardian Signature*
Date*

MonthDayYear
Date
Should be Empty:

Compulsory Subjects

Elective Subjects

HEALTH INFORMATION

PRIMARY CONTACT INFORMATION

ADDITIONAL PRIMARY CONTACT INFORMATION

EMERGENCY CONTACT INFORMATION