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

Dr. Martin LeBoldus

Catholic High School

Grade 10-12 APPLICATION FORM
Select the school year you are applying for:
Please select the grade that you are registering for:
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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Students can take a maximum of 10 courses. Students can exceed 10 courses when choosing any of the following:

Choral, Band and/or Vocal Jazz, as these courses are scheduled outside of the regular school day.
Select your Pathway
Course Prerequisite
GRADE 10 Compulsory Subjects
Grade 11 Compulsory Subjects
Grade 12 Compulsory Subjects
Students must select at least one course from this block to fulfill the Ministry of Education graduation requirements:
Students must select at least one course from this Social Science block to fulfill the Ministry of Education graduation requirements:
Students must select at least one course from Science block to fulfill the Ministry of Education graduation requirements:
Please choose the courses you wish to take:
GRADE 10 Elective Subjects
GRADE 11 Elective Subjects
GRADE 12 Elective Subjects
(R) = Restricted Classes AP = Advanced Placement **French Immersion Classes
- Personal Graduation (2026) Checklist - English Pathway
- Check off of all the classes you have successfully completed. You need 24 credits to graduate, 5 of which must be at the 30 level.
- Elective Classes:
- List six other 20 or 30 classes you have taken that have not already been used:
- List two other 10, 20 or 30 classes you have taken that have not already been used:
- Please review above to ensure that you have completed 5 credits at the 30 level
- Personal Graduation (2026) Checklist - French Pathway
- Check off of all the classes you have successfully completed.
  
  You need 24 credits to graduate. 12 must be in French (Français 10, 20, 30 are required). 5 must be at the 30 level.
- Compulsory Classes
- Elective Classes:
- List six other 20 or 30 classes you have taken that have not already been used:
- List two other 10, 20 or 30 classes you have taken that have not already been used:
- Please review above to ensure that you have completed 12 credits in French
- Please review above to ensure that you have completed 5 credits at the 30 level
- Personal Graduation (2027 and 2028) Checklist - English
- Check off of all the classes you have successfully completed.
  
  You need 24 credits to graduate, 5 of which must be at the 30 level.
- Compulsory Classes
- Elective Classes:
- List eight other 20 or 30 classes you have taken that have not already been used:
- List two other 10, 20 or 30 classes you have taken that have not already been used:
- Please review above to ensure that you have completed 5 credits at the 30-level.
- Personal Graduation (2027 and 2028) Checklist - French Pathway
- Check off of all the classes you have successfully completed.
  
  You need 24 Credits to gradute. 12 must be in French (Français 10, 20, 30 are required). 5 must be at the 30-level.
- Compulsory Classes
- Elective Classes:
- List five other 20 or 30 classes you have taken that have not already been used:
- List two other 10, 20 or 30 classes you have taken that have not already been used:
- Please review above to ensure that you have completed 12 credits in French
- Please review above to ensure that you have completed 5 credits at the 30-level.
- Dr. Martin LeBoldus 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
- Address
- Please select:
- Number
- Street Address
  
  P.O. Box #
  
  CityProvince
  
  Postal Code
- Home Phone
  Format: (000) 000-0000.
- Student's Cell Phone
  Format: (000) 000-0000.
- 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 definition do you self-declare as an Indigenous person?
- If yes, please indicate:
- Previous School (include address if out of Saskatchewan)
- 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 (EAL) teacher in the past?
- EAL Students - CFR Level (if known)
- Date of Arrival in Canada
  
  MonthDayYear
- 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
  
  First NameLast Name
- Home Phone
  Format: (000) 000-0000.
- Cell Phone
  Format: (000) 000-0000.
- Business Phone
  Format: (000) 000-0000.
- 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 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
- Student's Name
  
  First NameMiddle NameLast Name
- TO BE COMPLETED BY PARENT/GUARDIAN
- For new students
- Parent/Guardian Signature
- Date
  
  MonthDayYear
  Date
- Should be Empty:

Personal Graduation (2026) Checklist - English Pathway

Elective Classes:

Please review above to ensure that you have completed 5 credits at the 30 level

Personal Graduation (2026) Checklist - French Pathway

Compulsory Classes

Elective Classes:

Please review above to ensure that you have completed 12 credits in French

Please review above to ensure that you have completed 5 credits at the 30 level

Personal Graduation (2027 and 2028) Checklist - English

Compulsory Classes

Elective Classes:

Please review above to ensure that you have completed 5 credits at the 30-level.

Personal Graduation (2027 and 2028) Checklist - French Pathway

Compulsory Classes

Elective Classes:

Please review above to ensure that you have completed 12 credits in French

Please review above to ensure that you have completed 5 credits at the 30-level.

HEALTH INFORMATION

PRIMARY CONTACT INFORMATION

ADDITIONAL PRIMARY CONTACT INFORMATION

EMERGENCY CONTACT INFORMATION