PLAR for Mature Students Status Sheet

Student Name: / D.O.B.: / Gender: / M F

Telephone #: # of yrs. out of school: OEN#

o I am at least 18 years of age (on or before December 31st of the current school year.)

o I have been out of school for a period of at least one year

o  I have fewer than 26 credits

o  I am from another province -- Province or Country of last school attended:

I understand that I may be eligible for grade 9/10 prior learning assessment credits and/or am eligible to write math, English, science, history and/or geography assessments to earn Prior Learning Assessment credits. Please evaluate my attached transcript and notify me of the results.

Signature: Date: Date of Entry to HS:

Grade 9/10 Credits prior to mature student status: / # of Compulsories
(Maximum 14 at Gr. 9/10 Level)
Grade 9 / Grade 10 / Eligible to write assessment* / Date Asses. Written & P/F / # of EQVs
granted
English
Math
Science
Geography / History / His
Geo
Other Compulsory Courses
Elective Courses
Literacy Diploma Requirement Completed ** / Yes No / # of 9/10 PLE credits
granted / Total number of grade 9/10 credits
Community Service Hours Completed / Yes No / Total / Com.
*If you are eligible to write grade 9/10 assessments, please check with reception for the next period of scheduled assessments.
**Also check for date of next OSSLT, if not completed.
Applicant Declaration for 11/12 Equivalency Assessment: I wish to have my education and/or training credentials and related documentation assessed through the PLAR equivalency process. I believe that my credentials and related documentation provide evidence of my prior learning and demonstrate that I have met the curriculum expectations for each of the following courses in the Ontario curriculum.
Date
Granted / Course Grade/
Level / Course Title / Course Code / Discipline

I am aware that my credentials and documentation will be evaluated against the expectations outlined in the appropriate curriculum policy document(s). I am also aware that a maximum of 10 credits may be granted through the challenge and equivalency processes (combined) for courses in Grades 11 and 12.

Signature of Student: Date:

Signature of principal: Date: