Riffel Grade 9 High School Application Form

Michael A. Riffel

Catholic High School

Grade 9 APPLICATION FORM
Select school year you are applying for:
Did this student attend Regina Catholic Schools in grade 8
Previous School:
Is this student registering for the Functional Integrated Program for students with intensive needs?
The latest report card MUST be attached to the application

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GRADE 9

Grade 9 operates on the semester system. Students will register for a full year of classes. These classes will be divided and timetabled into the two semesters
English Language Arts 9 (both semesters)

Mathematics 9 (both semesters)
- Social Studies 9
- Science 9
- Arts Education 9
- Catholic Studies 9
- Phys. Ed. Health 9
Elective Subjects - Select three of these. Students will be placed in ONE of their choices:

Elective Subjects - Students will be placed in ONE of their choices.

Rows	First Choice	Second Choice	Third Choice	Fourth Choice
PAA Survey 9 (Career Studies/Computer Technology)
PAA Survey 9 (Career Studies/Foods)
PAA Survey 9 (Career Studies/Industrial Arts)
PAA Survey 9 (Career Studies/Interior Design)

All Students
All students may enrol in choral and/or band and/or vocal jazz in addition to other subjects they are taking.
Band Experience
Number of Years
Instrument
Physical Education Uniform
Physical Education Uniform - SHORTS
Physical Education Uniform - SHIRTS
*These are adult sizes
ADDITIONAL INFORMATION
Has your child had support from a Learning Resource teacher in the past?
Comments:
Regina Roman Catholic Separate School Division No. 81

Michael A. Riffel Catholic High School

Grade 9 REGISTRATION INFORMATION
Legal First Name
As per Birth Certificate
Legal Middle Name
As per Birth Certificate
Legal Last Name
As per Birth Certificate
Name Used

First NameLast Name
Gender
Date of Birth
Grade Level
Please select
Number
Street Address

P.O. Box #

CityProvince

Postal / Code
Home Phone
Format: (000) 000-0000.
Previous School (include address if out of Saskatchewan)
Student's Cell Phone
Format: (000) 000-0000.
Property Tax Support:
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?
If yes, please indicate:
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 (last country of residence)

Other
Student's Citizenship

Other
First Language Spoken at Home

Other
Second Language Spoken at Home

Other
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
Has your child had the support of an English as an Additional Language teacher in the past?
In what grade(s) was EAL support provided
EAL Students - CFR Level
Parent/Guardian 1 Religion/Spirituality
Parent/Guardian 2 Religion/Spirituality
Student Religion/Spirituality
Parish
Is the student baptized Catholic?
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
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 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
Sibling 2
Attends this school
Sibling 3
Attends this school
Sibling 4
Attends this school
TO BE COMPLETED BY PARENT/GUARDIAN
Student's Name

First NameLast Name
Parent/Guardian's Signature
Date

MonthDayYear
Should be Empty:

GRADE 9

All Students

*These are adult sizes

PRIMARY CONTACT INFORMATION

ADDITIONAL PRIMARY CONTACT INFORMATION

EMERGENCY CONTACT INFORMATION