page 2 of 4
To avoid delays, please
complete a separate form for each student
include a copy of the birth certicate for children who are:
a) entering grade primary (children must be ve-years-of-age on or before December 31 for grade primary)
b) new to the provincial education system
ensure program information is complete
sign and date the “Parent/Guardian Declaration” on page 1 of this form
if applicable, attach a signed and dated “Correspondence Study Program Enrollment Form” for approval by
the Regional Education Ocer
submit your application by mail, e-mail, or fax:
• mail: Regional Education Services
Department of Education and Early Childhood Development
2021 Brunswick Street
Halifax, Nova Scotia
• e-mail: email@example.com
• fax: 902-428-3187
Note: A progress report must be submitted to Regional Education Services (by mail, e-mail, or fax) at the end of June.
The Program Your Child Will Follow
Please choose from options (a), (b), or (c) below and complete the “Description of Program” on pages 3 and 4.
(a) Is the program commercially available? yes no
If yes, please ll in the title, level, and publisher of the program below.
(b) Will the program be based on the Nova Scotia Learning Outcomes Framework? yes no
(c) Will the program you provide be developed by you? yes no
Will the student be registering for Nova Scotia correspondence courses (available for grades 10–12)? yes no
If yes, please list course(s) and grade(s) in the box below. If the student is under 16 years of age, a completed copy of
the Correspondence Study Program Enrollment Form must be attached to this registration form for approval.
Note: Correspondence Study Program courses and prices can be found at: csp.ednet.ns.ca. The enrollment
form can be found at: csp.ednet.ns.ca/enrolment.shtml.