Miller Grade 9 High School Application Form

Miller Comprehensive

Catholic High School

Grade 9 APPLICATION FORM
Select the school year you are applying for:
Did this student attend Regina Catholic Schools in grade 8?
The latest report card MUST be attached to the application

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GRADE 9 PROGRAM

In grade 9, students register for a full year of classes. Classes are divided into two semesters.
English Program
Is this student registering for the:
OR
Is this student registering for:
Elective Subjects - Select ONE of
The compulsory subjects for grade 9 students are:
- English Language Arts A9 OR English Language Arts A91 (R) OR English Language Arts A98 (R)
- English Language Arts B9 OR English Language Arts B91 (R) OR English Language Arts B98 (R)
- Social Studies 9 OR Social Studies 91 (R) OR Social Studies 98 (R)
- Science 9 OR Science 91 (R) OR Science 98 (R)
- Arts Education 9
- Catholic Studies 9
- Physical Education/Health 9
- Mathematics 9 (both semesters) OR Math 91 (both semesters) (R) OR Math 98 (R) (both semesters)
(R) - Restricted Entry

Course Codes Numbers:

9 - Regular Program

91 - Adjusted Outcomes within the Regular Program

98 - Alternative Education
French Immersion Program
FRENCH PROGRAM
All Grade 9 students must take:
- English Language Arts 9 (both semesters)
- Mathématiques (both semesters)
- Sciences Sociales 9
- Sciences Naturelles 9
- Arts Education 9
- Études catholiques 9
- Français 9
- Phys. Ed./Health 9
There are no elective options for French Immersion students in Grade 9
Physical Education Uniform - SHORTS
Physical Education Uniform - SHIRTS
* All clothing is in adult sizes
All Students
All students may enrol in choral and/or vocal jazz (choral required) and/or band
Band Experience
Number of Years
Instrument
Miller Comprehensive Catholic High School

Grade 9 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
Previous School (include address if out of Saskatchewan)
Student's Cell Phone
Format: (000) 000-0000.
Address
Please Select
Number
Street Address

P.O. Box #

CityProvince

Postal Code
Home 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 definition 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
Student's 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?
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?
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

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
Parent/Guardian's Signature
Date

MonthDayYear
Should be Empty:

GRADE 9 PROGRAM

English Program

French Immersion Program

All Students

HEALTH INFORMATION

PRIMARY CONTACT INFORMATION

ADDITIONAL PRIMARY CONTACT INFORMATION

EMERGENCY CONTACT INFORMATION