Legal Name * Required First Last Preferred Name Gender * Required Male Female Another Gender Identity Date of Birth (yyyy/mm/dd) - must be yyyy/mm/dd format * Required YYYY slash MM slash DD Is the student a: * Required Canadian Citizen Permanent Resident Refugee If you have an Aboriginal status, identify ancestry please (optional):N/AInuitMétisNon-StatusFirst NationStatus First NationOntario Education Number (OEN) * Required Has the student taken a dual credit in the past? * Required Yes No If you selected "Yes" please indicate Cambrian student ID # Fall Semester 2023 - 1st Choice Dual CreditNo SelectionCollege Prep – GCC4TConcurrent Disorders, Mental Health & Addictions PHA4TEarly Childhood Education – TOQ4TPersonal Finance – MBA4TCorrections – Top-up class - HCB4TDigital Photography – AFI4TFundamentals of Drawing – Top-up class – AFD4TInternet of Things Programming and Logic – Top-up class - IBK4TApplied Technology – TAP4TElectrical for Trades and Tech – TNC4TMillwright – Level 1 Apprenticeship – TRC4YEarly Childhood Education – for Kenjgewin Teg and MSS students only – TOQ4TIndigenous Perspectives on Care – for Kenjgewin Teg and MSS students only – NBD4TFall Semester 2023 - 2nd Choice Dual CreditNo SelectionCollege Prep – GCC4TConcurrent Disorders, Mental Health & Addictions PHA4TEarly Childhood Education – TOQ4TPersonal Finance – MBA4TCorrections – Top-up class - HCB4TDigital Photography – AFI4TFundamentals of Drawing – Top-up class – AFD4TInternet of Things Programming and Logic – Top-up class - IBK4TApplied Technology – TAP4TElectrical for Trades and Tech – TNC4TMillwright – Level 1 Apprenticeship – TRC4YEarly Childhood Education – for Kenjgewin Teg and MSS students only – TOQ4TIndigenous Perspectives on Care – for Kenjgewin Teg and MSS students only – NBD4T The student would like to do both fall dual credits identified above. Winter Semester 2024 - 1st Choice Dual CreditNo SelectionCross Cultural Understanding – HHC4TPsychology of Evil – HBF4TIndigenous Perspectives on Care – NBD4TIntroduction to Health Sciences Careers – PHJ4TIntroduction to Business Management – BBA4TGame Design Theory – IBA4TMultimedia – TQC4TBusiness Professionalism – Top-up class - BCH4THospitality and Tourism – Top-up class – TFA4TCommercial Vehicle & Heavy Equipment – Level 1 Apprenticeship – TTO4YGeneral Carpenter – Level 1 Apprenticeship – TSA4YMetal Fabricator (Fitter) and Welder – Level 1 Apprenticeship – TLA4YIndigenous Peoples Today – Espanola High School only – NAA4TPersonal Finance – for Espanola High School students only – MBA4TWelding Trades Practice – for Kenjgewin Teg and MSS students only – TLL4TCarpentry 1 – for Kenjgewin Teg and MSS students only – TSE4TWinter Semester 2024 - 2nd Choice Dual CreditNo SelectionCross Cultural Understanding – HHC4TPsychology of Evil – HBF4TIndigenous Perspectives on Care – NBD4TIntroduction to Health Sciences Careers – PHJ4TIntroduction to Business Management – BBA4TGame Design Theory – IBA4TMultimedia – TQC4TBusiness Professionalism – Top-up class - BCH4THospitality and Tourism – Top-up class – TFA4TCommercial Vehicle & Heavy Equipment – Level 1 Apprenticeship – TTO4YGeneral Carpenter – Level 1 Apprenticeship – TSA4YMetal Fabricator (Fitter) and Welder – Level 1 Apprenticeship – TLA4YIndigenous Peoples Today – Espanola High School only – NAA4TPersonal Finance – for Espanola High School students only – MBA4TWelding Trades Practice – for Kenjgewin Teg and MSS students only – TLL4TCarpentry 1 – for Kenjgewin Teg and MSS students only – TSE4T The student would like to do both winter dual credits identified above. Street Address * Required City * Required Province * RequiredOntarioQuebecNova ScotiaNew BrunswickManitobaBritish ColumbiaPrince Edward IslandSaskatchewanAlbertaNewfoundland and LabradorPostal Code * Required Phone Number * RequiredStudent Email * Required Secondary School Currently Attending * Required Has this student ever been identified with behavioural concerns? * Required Yes No Does this student have a current Individual Education Plan (IEP)? * Required Yes No Indicate the number of secondary school credits accumulated at time of dual credit start date: (You may need to estimate this number based on courses the student is currently taking and the possibility of success.) * Required Does this student have Grade 10 or 11 English at the applied or academic level? * Required Yes No Does this student have Grade 10 or 11 math at the applied or academic level? * Required Yes No Please indicate how many years this student has been enrolled in secondary school (including the current year): Is this student eligible to graduate in the year of application? * Required Yes No Will this student earn his/her OSSD in the year of application? Yes No Would this student be considered disengaged or not reaching their full academic potential? See selection criteria below. * Required Yes No Has this student previously dropped out and returned to secondary school? * Required Yes No Would this student be the first in his/her family to attend a postsecondary program? Yes No Is the student enrolled in OYAP or SHSM at home school? * Required Yes No If yes, please check all that apply OYAP SHSM OYAP Area of Focus (If applicable) SHSM Area of Focus (If applicable) Suitability to Program - Please indicate how the student’s suitability was determined. (Please check all that apply.) Student application Review of OSR/credit counselling summaries Recommendations of teachers Discussion with school team of best fit between interests, strengths, and needs of the student and the range of options available. Acceptance into a related SHSM program Disengaged - Please indicate below any evidence of the student being disengaged and/or not reaching full academic potential. (Please check all that apply.) * Required Numerous absences Has already dropped out or is at risk of dropping out Out of school but reluctant to return to secondary school for non-academic reasons Lack of involvement/engagement in school or community activities Sees little connection between secondary school program and preferred future Lacks confidence in ability to succeed Unsure of pathway beyond secondary school In need of career clarification Not applicable Not Reaching Full Academic Potential (Please check all that apply) * Required Under-credited: off-track to graduate in 4/5 years Over age for grade level Was making progress but progress has slowed or halted Marks in courses declining Not applicable Please indicate the student’s potential to succeed evidence. (Please check all that apply.) Completed most, if not all compulsory credits (e.g. senior English, senior math) or eligible for SWAC program, which will allow student to meet these requirements Graduation within reach in one year (e.g. 22 or more credits) Issues that were previously preventing success have been/are being addressed Interest in/commitment to/readiness for this program Motivated to improve skills and work habits Some evidence of independent learning skills Appropriate maturity level For “retrieved” student, progress in course/program semester one will enable starting a dual credit program semester two School Board student belongs toRainbow District School BoardSudbury Catholic District School BoardFederally funded Kenjgewin TegFor Level 1 apprenticeship program(s). (Please check all that apply.) Strong interest in the specific trade Related work or volunteer experience Success in cooperative education program OYAP student registered as an apprentice Application completed by Title Your Email * Required