2025-2026 Riffel High School Grade 10-12 Application Form

Michael A. Riffel

Catholic High School

Grade 10 - 12 Application Form
Please refer to Program of Studies linked HERE prior to completing this form.
Select school year you are applying for*
Is this student registering for the Functional Integrated Program for students with intensive needs?*

YesNo
The latest report card MUST be attached to the application*

Cancelof
Compulsory Subjects
GRADE 10

Catholic Studies 10English Language Arts A10 OREnglish Language Arts B10 OREnglish Language Arts B10 Advanced * (R)Financial Literacy 10Mathematics 10 - Foundations and Pre-Calculus ORMathematics 10 - Foundations and Pre-Calculus* (R) AND/ORMathematics 10 - Workplace and ApprenticeshipHistory 10 ORNative Studies 10Science 10
GRADE 11

Catholic Studies 20English Language Arts 20 OREnglish Language Arts 20 Advanced* (R)Mathematics 20 - Workplace & Apprenticeship ORMathematics 20 - Foundations of Mathematics ORMathematics 20 - Foundations of Mathematics Advanced(R) AND/ORMathematics 20 - Pre-Calculus ORMathematics 20 - Pre-Calculus (R)
GRADE 12

Catholic Studies 30English Language Arts A30 ANDEnglish Language Arts B30 OREnglish Language Arts A30(R) Advanced ANDEnglish Language Arts B30 Advanced(R)Native Studies 30: Canadian Studies ORSocial Studies 30: Canadian Studies
Elective Subjects
GRADE 10

Accounting 10Arts Education 10 Musical TheatreBand 10 (both semesters) (twice/week)Choral 10 (both semesters) (twice/week)Communication Media 10Drama 10Instrumental Jazz 10 (auditions) (both semesters)Music 10Photographics 10PAA Survey B10: Applied Technology (Industrial Arts)Visual Art 10Wellness 10Vocal Jazz 10 (both semesters) (twice/week)
GRADE 11

Accounting 20Arts Education 20 (both semesters) That's PossibleBand 20 (both semesters) (twice/week)Choral 20 (both semesters) (twice/week)Communication Media 20Creative Writing 20Drama 20Emergency Services 20/30 (2 credits)Financial Literacy 20High Performance Physical Education 20 (before school - all year)History 20Instrumental Jazz 20 (auditions) (both semesters)Life Transitions 20Media Studies 20Music 20Photography 20Physical Education 20Psychology 20Psychology 20/30 AP (A) (R) (2 credits)PAA Survey B20: Applied Technology (Industrial Arts)Studio Art 20L (R)Sports Medicine 20Visual Art 20Vocal Jazz 20 (both semesters) (twice/week)
GRADE 12

Accounting 30Arts Education 30 (both semesters) That's PossibleBand 30 (both semesters) (twice/week)Calculus 30 ORCalculus 30 (AP)/Integral Calculus 30 (both semesters) (2 credits) (R)Choral 30 (both semesters) (twice/week)Communication Media 30Drama 30Entrepreneurship 30Financial Literacy 30Food Studies 30High Performance Physical Education 30 (before school - all year)Instrumental Jazz 30 (auditions) (both semesters)Law 30Mathematics 30 - Workplace & ApprenticeshipMathematics 30 - Foundations of MathematicsMathematics 30 - Pre-Calculus ORMathematics 30 - Pre-Calculus Advanced *(R)Music 30Physical Education 30Psychology 30PAA Survey B30: Applied Technology (Industrial Arts)Studio Art 30L (AP) & Visual Art 30 (AP)(R) (2credits)Visual Art 30Vocal Jazz 30 (both semesters) (twice/week)
Must select one from this block (may be taken in grades 10, 11 or 12)

Computer Science 20Environmental Science ** 20Health Science 20Physical Science 20**Biology 30Chemistry 30Computer Science 30Earth Science 30Physics 30
(R) - Restricted Entry AP - Advanced Placement *Pathway Leading to AP

** Course is also available through RCS Learning Online. Visit www.rcsd.ca/learningonling for more information.
Michael A. Riffel Catholic High School

Grade 11-12 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*
Address:
Please select:*
Number*
Street Address

P.O. Box #

CityProvince

Postal Code
Home Phone
Student's Cell Phone
Previous School (include address if out of Saskatchewan)
Property Tax Support:

Home OwnerRenterOther
If home owner, please indicate property tax support

SeparatePublicSplit
LEARNING RESOURCE. Has your child had assistance through a learning resource teacher in the past?

YesNo
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
If yes, please indicate:

First Nations (Registered/Treaty/Status)First Nations (Non-Registered/Non-Status)MétisInuit
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 (last country of residence0

CanadaOther
Student's Citizenship

CanadaOther
First Language Spoken at Home

EnglishFrenchOther
Second Language Spoken at Home

EnglishFrenchOther
Student Resident Type

RefugeePermanent ResidentTemporary ResidentStudent/Visitor Visa
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 assistance from 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
PRIMARY CONTACT INFORMATION
Title
Name

First NameLast Name
Lives with student
Relationship

FatherMotherStepfatherStepmotherGrandparentGuardian
Home Phone (if different than student)
Work Phone
Cell Phone
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
Cell Phone
Home Phone (if different than student)
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
Cell Phone
Business Phone
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
Student's Name

First NameMiddle NameLast Name
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

Clear
Date

MonthDayYear
Date
Should be Empty:

PRIMARY CONTACT INFORMATION

ADDITIONAL PRIMARY CONTACT INFORMATION

EMERGENCY CONTACT INFORMATION