SUMMER REGISTRATION FORM
TCDSB SECONDARY CREDIT COURSES
PERSONAL INFORMATION
SURNAME
EMERGENCY PHONE NUMBER
EMERGENCY CONTAC
T
CREDIT COURSE INFORMATION
TRILLIUM TCDSB STUDENT NUMBER
VISA STUDENT
STUDENT STATUS:
GRADE
STUDENT E-MAIL ADDRESS (TCDSB.CA)
CURRENT DAY SCHOOL
COURSE NAME & CODE
ALTERNATE COURSE NAME & CODE
Students: Please check our website before the start of your
course program for course availability at www.tcdsb.org/continuinged
The TCDSB reserves the right to cancel or relocate a class.
DAY SCHOOL INFORMATION & APPROVAL
COURSE NAME & CODE
ALTERNATE COURSE NAME & CODE
COURSE NAME & CODE
ALTERNATE COURSE NAME & CODE
PREREQUISITE COURSE CODE (IF ANY) FINAL MARK
PREREQUISITE COURSE CODE (IF ANY) FINAL MARK
PREREQUISITE COURSE CODE (IF ANY) FINAL MARK
PREREQUISITE COURSE CODE (IF ANY) FINAL MARK
PREREQUISITE COURSE CODE (IF ANY) FINAL MARK
PREREQUISITE COURSE CODE (IF ANY) FINAL MARK
*For CHV2O - Civics and Citizenship (0.5 credit) & GLC2O - Career Studies (0.5 credit) ONLY: Please indicate that you are registering for:
Both CHV2O & GLC2O in eClass: Session 1
Both CHV2O & GLC2O in eClass: Session 2
Only CHV2O in eClass: Session 1
Only CHV2O in eClass: Session 2
Only GLC2O in eClass: Session 1
Only GLC2O in eClass: Session 2
Please select your course and method of course delivery.
*For upgrading courses, the minimum required mark is 35%
Remote Learning: Session 1: July 5 to July 28, 2021
Remote Learning: New Credit: All day - 8:30 a.m. to 3:30 p.m. Upgrading: AM - 8:30 a.m. to 11:40 a.m. Upgrading: PM - 12:20 p.m. to 3:30 p.m.
eClass: New Credit: Session 1: June 30 to July 30, 2021, Session 2: July 21 to August 20, 2021
Checking the boxes below represents your signature and consent
to fully comply with our TCDSB Acceptable Use Policy &
Code of Behaviour:
Parent/Guardian Signature
(Required if student under 18)
Student Signature
(Required)
DATE
FOR OFFICE USE ONLY:
Yes No
Date Entered on Trillium Companion:
Courses Approved:
Approved by:
SESSION 1
SESSION 2
UPGRADING AM
UPGRADING PM
ALL DAY
REMOTE LEARNING ECLASS
SESSION 1
SESSION 2
UPGRADING AM
UPGRADING PM
ALL DAY
REMOTE LEARNING ECLASS
SESSION 1
SESSION 2
UPGRADING AM
UPGRADING PM
ALL DAY
REMOTE LEARNING ECLASS
FIRST NAME
ADDRESS
CITY
POSTAL CODE
HOME PHONE NUMBER
DATE OF BIRTH (YYYY-MM-DD)
ONTARIO EDUCATION NUMBER (OEN)
ONTARIO RESIDENT
MALE
FEMALE
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