MONARCHPARK COLLEGIATE

APPLICATIONTOATTEND

StudentSurname

FirstName(pleaseprint)

Home/CellNumber

INTERVIEWDATE: _TIME:

Ifyoucannotmakethisappointment,pleasecalltheschoolat(416)393-0190presszero.Failureto cancelcanresultinnon- acceptance.

The followingdocumentsmustbe brought to theschool with the registration form and the course selectionsheet for admission to Monarch ParkCollegiate. Please note thatif any documentation is missing,you may notbe registered.

TDSB Student Registration Form

 Acompleted Vice Principal’s Recommendation from the last school attended.

Monarch ParkCollegiateQuestionnaire

AttendanceProfile:can be obtained from current school’s Attendance Office

MostRecentReport CardAND Ontario Student Transcript ORCreditCounselling

Summary:this can be obtained from current school’sStudent Services Office

OptionalAttendance Form: required for all out-of-districtstudents.Mustbesigned by your in- districtsecondary school principal.

Birthdate Verification: (ONE of the following)

Birth Certificate (if borninCanada),Passport,Immigration Papers,CanadianCitizenship

Card (if born outside Canada)

Proof ofAddress: (TWO of thefollowing - copiesmust be originals & not from online sources)

Driver’s License orOwnership, UtilityBill or Phone Billfor residence(not cellularor business),Current Lease or Deed,Tax Bill, BankStatement

Health Card NumberANDup to date ImmunizationRecord

NewStudents to Canada:

Requiredto provide assessment documents from theGreenwoodReception Centre

MUST provide Citizenship& Immigration Canada documentation

Registration& Student ActivityFee:Cost is $55.00.PAYMENTMAYBEREQUIRED ATTHE TIME OF REGISTRATION.Payment must be madeby cash orcertified payment; payable to Monarch Park Collegiate.

STUDENTSUNDER18MUSTBEACCOMPANIEDBYAPARENT/GUARDIAN

Guardianshiprequirements:(OperationalProcedurePR.518BUS)

Therequirementforlegalguardianshipisnecessarytoensurethatimportantschooldecisionsaffectingtheacademic,social, psychologicalandphysicalwell-beingofastudentunder18 years,is lookedafterbyacaregiverwhoisrecognizedbyOntario law.

Childrenwhoareunder18yearsandarenotlivingwitha parentarerequiredtoshowproofof legalguardianshipobtained fromanOntarioCourt.

Occasionally,atthetimeofschoolregistration,astudentunder18yearsmayberesidingwithanadultwhoisneitherhis/her parentnorlegalguardian,asaresultoffamilydisruption.ThePrincipalhasthediscretiontoallowsuchastudenttoregisterin theschoolwhilelegal guardianshiparrangementsarebeingmade,andtomonitortheprogressofthosearrangementsuntil completion.Theprincipalmayreferexceptionalcasestothesuperintendentofschoolsfordecision.

Note:FalsifyinginformationonthisformwillresultinyourretirementfromMonarchParkCollegiate.Admissionto MonarchParkCollegiateisconsideredtobeconditionalpendingreceiptandreviewofthestudent’srecordsfromthe previousschool.

FOR OFFICEUSE ONLY

Approved / Date: / V.P.Signature:
NotApproved / Reason:

MONARCH PARK COLLEGIATE

QUESTIONNAIRE

ThankyouforapplyingatMonarchParkCollegiate.

Pleasecompletethefollowingquestionnaire.

1. DoyouhaveanIndividualEducationPlan(IEP)?

YES☐NO☐

2. Haveyoubeensuspendedfromschoolduringthepastyear?

YES☐NO☐Ifyes,pleaseexplain:

3. Areyoucurrentlybeingconsideredforexpulsionbyaschoolboard?

YES☐NO☐Ifyes,pleaseexplain:

4. Areyoucurrentlyunderexpulsionfromanyschoolboard?

YES☐NO☐Ifyes,pleaseexplain:

5. Haveyoueverbeensuspendedfromschoolforaviolentact?

YES☐NO☐Ifyes,pleaseexplain:

6. Doyouhaveanyallergiesorhealthconditionsthatweshouldknowaboutforyoursafety: YES ☐ NO ☐ Ifyes,pleaseexplain:

SignatureofApplicantSignatureofParent/Guardian(ifunder18)

The information collected on this formwill beprotected under the “Municipal Freedomof

Informationand Protection of Privacy Act”.

VICE PRINCIPAL’S RECOMMENDATION

(To becompleted bystudent’sVicePrincipal)

STUDENT NAME:

SCHOOLNAME:

TELEPHONE:

REASONFOR CHANGEOF SCHOOL:

Check the appropriatebox:

1.ACHIEVEMENT

2. ATTENDANCE

3. BEHAVIOUR

4. PROGRAMME NEEDS

acceptableacceptable acceptable 

Special Ed. 

unacceptableunacceptableunacceptable 

ESL/ELD 

5. GENERAL COMMENTS:

RequiredAttachments:

Last ReportCard

Credit Counseling Summary

Full Printout of attendance from beginning of the school year

Note:

1. The information you haveprovided is collected under thelegal authority of Section265(d) of the

EducationActR.S.O. 1990, and may be used for administrative purposes related toschool programs

andrecords and for determining eligibility for attendance. Principal.

Questionsshould be directed to the

2. Transferring schools couldaffect your eligibility to participate insports.

3. Falsifying information on this form will result in yourretirement from Monarch Park Collegiate.

Admission toMonarch Park Collegiate is consideredto be conditionalpending receipt and review of the student’srecords fromtheirpreviousschool.

IfthisstudentisacceptedtoMonarchParkCollegiatewouldyou“Release”thestudentfromyour

Trilliumdatabase sothat he/shemaybe registeredat Monarch ParkCollegiate?

YesNo

ItISrecommended /Itis NOT recommendedthat this studentbe considered for admission to

MonarchPark Collegiate.

VicePrincipal’sName(PleasePrint)

VicePrincipal’sSignature

Date

DirectPhone# Extension

OpOptionalAttendanceForm

Applicationfora SecondaryProgramata SchoolOutsidetheResidentArea

545B

Page1

(IncludesGrade9programatIntermediateSchools)Date:

NameofRequestedSecondarySchool: Homeor SendingSchool: / RequestedStartDate:
For Grade: / NumberofCreditspresentlyearned:
Doesa siblingpresentlyattendtherequestedschool?YES / NO
IfYES:NameofSibling _

*Parentspleasenote:Transportationisnotprovidedfor OptionalAttendanceStudents

Applicant’sInformation:

Student’s

Surname: _ GivenNames:

Birthdate: _(DD/MM/YY)

Student’sAddress: Apt.# PostalCode:

Telephone:

PresentGrade/Class: StudentSchoolI.D.Number:_

IstheapplicantunderOptionalAttendanceatthepresentschool? Yes/ NoMaleFemale

Parent/Guardian Information:

Parent/Guardian’sName:_BusinessPhoneNumber: _

ApplicantWith Child: Child CareInformation(Notapplicabletoall applicants)

IftheApplicant’schildreceivesDayCare,pleaseindicate:

NameofDayCare: _Telephoneof DayCare: AddressofDayCare: _

SecondaryProgramApplications:

PleaselistalloftheSecondarySchoolsandProgramsyouhaveappliedforunderOptionalAttendance.

Specialized Programs/ Schools / RegularPrograms/Schools
1. / 1.
2. / 2.

Signatures:

Conditionsonthereverseofthisformhavebeenreadandagreedto:

Parent/Guardian Signature:

StudentSignature (18yearsof ageorolder):

CurrentSchoolPrincipal (or Designate)Signature:

Date:

ForOfficeUseOnly:

RequestedSchool’sDecision:AcceptedNotAccepted*SignatureofRequestedSchoolPrincipal:

Distribution:1copy:ToParent/Guardianwhendecisionismade

1copy:ToTDSB HomeorSendingSchool

STUDENTREGISTRATIONFORM

StudentName: SchoolName:

(Schoolinwhichthestudentisregistering)

StudentOEN(OntarioEducationNumber):

To becompletedforALLstudents:
CountryofCitizenship: ProvinceofBirth:
(Ifbornin Canada)
LanguagesSpoken(ifotherthanEnglish):
1) First LanguageDSpokenatHomeD
2) First LanguageDSpokenatHomeD
EDUCATIONAL BACKGROUND
Hasthestudent everbeenregisteredataschoolwithintheTorontoDistrict SchoolBoard?YesD No D IfYes,providethe nameofthe school: Last gradeattended IfNo,providethenameoftheschoolmostrecentlyattended:
SchoolAddressSchoolPhone: - -
SchoolFaxNumber: - -
SchoolE-mail:NameoftheSchoolBoard:
HasthestudentpreviouslyreceivedSpecialEducationSupport?YesDNo D
Typeofprogram(ifknown):
Isthe studentcurrentlyundersuspensionfromanyschoolorboard?YesDNo D
Isthe studentcurrentlyunderexpulsionfromanyschoolorboard?YesDNo D
FORSECONDARYSCHOOLUSEONLY: / ProofofLiteracyTestResultReceived:YesDNoD TranscriptAttached:YesDNoD FirstEnteredONTSec.Schoolsafter Grade9: YesD NoD CohortYear: (schoolyear)
PreviousCommunityServiceHourscompletedoutsideTorontoDistrictSchoolBoard:hours
Grade10 LiteracyTestsuccessfullycompleted(Pleaseprovideproofofresults)YesDNo D
MEDICALINFORMATION / ProofofImmunizationRecordShownYesDNoD
HealthCardNo. (VersionNo.)(optionalbutrecommended)
MedicalConditions:
If yourchildhasmedicalneedsorconditionsofwhichthe schoolshouldbeaware,pleasedescribethecondition(s)below:
LifeThreatening
YesDNo D
YesDNo D
SIBLINGINFORMATION:(ifthe studenthasbrothersorsistersin thisschool,pleaseindicate)
Last NameFirstName
1)
2)
ABORIGINAL STUDENTSELF-IDENTIFICATION:
Allparents/guardiansof Aboriginalstudents,andstudentswheretheyare18 yearsofageor older,havetherightto voluntarilyself-identify.
PleasecheckthemostappropriateboxtoindicateAboriginalIdentity (if applicable).Pleaseselectoneboxonly.
DFirstNationAncestry(Statusor non-Status)DAboriginalpersonfromoutsideCanada
DMetisAncestryDInuitAncestryDOther(pleasespecify):

PARENTSORLEGALGUARDIANINFORMATIONONLY

IfParentsare separatedordivorcedtheymustprovidetheschoolwithinformationaboutthecustody/accessarrangements withrespectto theirchild,as pertheOntarioStudentRecordGuidelines.

DocumentationReceived:YesDNo DNotApplicableD

Contactpriorityshouldbebasedon whomtocallinthecaseofanemergencyand/orschoolclosure

Note:Ife-mailaddressisprovided,theschoolmayuseit forcontactpurposes.

1)LastName

FirstName

(Pleasecheckallapplicableboxes.)MaleDFemaleD

Legaldocuments(custodyorder)arerequiredin orderforus toprocessa changeto ourrecords.

Relationship:

DMother

DFather

DFosterParent

DAccessto Child

DNo Access

DGuardian

DCustody

DLives withStudent

DReceivesMail

DAccessto Records

DSpeaksSchoolLanguage

DLegalGuardian

(Circlebelow,1=high,4=low)

ForEmergency:Priority1234ForSchoolClosure:Priority1234

HomeNo. - -

Listed:YesDNo D

BusinessNo. - - ext.

CellNo. - -

E-mailAddress*

DConsentforemailsfora commercialnature** (Initial)[ifyoudonot consent,pleaseleaveblank]

HomeMailingAddress(completeifdifferentfromstudent)

Number

Street

Apt.No.

UnitNo.

SuiteNo.

City/Town

Province

PostalCode

2)LastName

FirstName

(Pleasecheckallapplicableboxes.)MaleDFemaleD

Legaldocuments(custodyorder)arerequiredin orderforus toprocessa changeto ourrecords.

Relationship:

DMother

DFather

DFosterParent

DAccessto Child

DNo Access

DGuardian

DCustody

DLives withStudent

DReceivesMail

DAccessto Records

DSpeaksSchoolLanguage

DLegalGuardian

(Circlebelow,1=high,4=low)

ForEmergency:Priority1234ForSchoolClosure:Priority1234

HomePhone - -

Listed:YesDNo D

BusinessNo. - - ext.

CellNo. - -

E-mailAddress*

DConsentforemailsfora commercialnature** (Initial)[ifyoudonot consent,pleaseleaveblank]

HomeMailingAddress(completeifdifferentfromstudent)

Number

Street

Apt.No.

UnitNo.

SuiteNo.

City/Town

Province

PostalCode

EMERGENCY CONTACTINFORMATION

Ifaparent/guardiancannotbecontacted usethefollowingemergencycontact:

1)LastName

FirstName

MaleDFemaleDRelationshiptostudent:

(Circlebelow,1=high,4=low)

ForEmergency:Priority1234ForSchoolClosure:Priority1234

HomePhone - -

CellNo. - -

BusinessNo. - - ext.

2)LastName

FirstName

MaleDFemaleDRelationshiptostudent/comment:

(Circlebelow,1=high,4=low)

ForEmergency:Priority1234ForSchoolClosure:Priority1234

HomePhone - -

CellNo. - -

BusinessNo. - - ext.

ADDITIONALSTUDENTINFORMATION:(ifrequiredforschool)

ForFunding Purposes

FeesRequiredif:(Approved byTDSBAdmissionsOffice)

DStudentisa non-residentpupilon a StudyPermit.

DStudentisaVisitortoCanada

DFeesarepaidbytheGovernmentofCanada

DFeesarepaidbyaNativeEducationAuthority

Ifuncertain,pleaseconsultor referparent/guardiantothe TorontoDistrictSchoolBoardAdmissionOffice,5050YongeStreet,Toronto, Ontario,M2N5M8,or call(416)395-8120.

Allinformationprovidedaboveiscorrectandtrue.Alladmissionsareconditionalpendingreceiptofrequireddocumentation.

Date: / /

SignatureofParent/LegalGuardian

yyyym md d

Personalinformationon thisformis collectedundertheauthorityoftheEducationAct,R.S.O.1990,c.E.2andtheMunicipalFreedomof InformationandProtectionofPrivacyAct,R.S.O.,1990,c.M.56,andwillbeusedbySchoolAdministrationinthecreationofthe EmergencyCallingNetworkandforschoolregistrationpurposes.TheOntarioHealthCardnumberwillbeshared withlocalpublichealth authorities.Allpersonalinformationcollectedon thisform willbestoredontheOfficeIndexCard.Thisinformationisupdatedannually. QuestionsaboutthiscollectionshouldbedirectedtotheF.O.I.Coordinatorat the TorontoDistrictSchoolBoard,5050YongeStreet, Toronto,Ontario,M2N5M8,Tel.(416)397-3288.

*Emailaddresswillbeusedtoprovideinformationsuchasstudentprogressandinformationnights.

**Emailaddresswillalsobeusedtoprovideinformationofa commercialnature.Canada’snewAnti-SpamLegislation(CASL)took effect on July1,2014.CASLprohibitsthesendingofanytypeofelectronicmessagethatis commercialin natureunlesstherecipienthas providedconsentfirst.Asaresult,TorontoDistrictSchoolBoard requiresyourconsenttosendyouemailswhichcontainadvertisingor promotionsregardingschoolfundraisers,lunchprograms,fieldtrips,thesaleof yearbooks,purchasingofstudentphotos,books,promor dancetickets,athleticeventswith an entryfeeor similareventsandoffers.