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Sir Allan MacNab, OSSLT Preparation Course - Student Application Form
This information is collected under the Municipal Freedom of Information and Protection of Privacy Act.
Please note that all Secondary School students are eligible to attend with the understanding that they are preparing to write the OSSLT in the Spring of 2017
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* Indicates required question
Student's Last Name
*
Your answer
Student's First Name
*
Your answer
Student's Middle Name
Your answer
Gender
*
Choose
Male
Female
Date of Birth
*
MM
/
DD
/
YYYY
Primary Telephone #
*
Your answer
Alternate Telephone #
Your answer
Present School
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Your answer
Current Grade
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Grade 9
Grade 10
Grade 11
Grade 12
Parent/Guardian Last Name
*
Your answer
Parent/Guardian First Name
*
Your answer
Parent's e-mail address
*
Your answer
Parent Guardian Daytime Telephone #
*
Your answer
Does the student suffer from allergies or any other medical concerns?
*
Choose
Yes
No
List any allergies such as food, insect stings, drugs, exercise, heat etc. Clearly explain symptoms and reactions.
*
If your child has no allergies enter "Not Applicable"
Your answer
Does the student have an Epi Pen?
*
Choose
Yes
No
Does the student have an asthma inhaler?
*
Choose
Yes
No
Is the student self medicating?
*
Choose
Yes
No
If there are any other medications that your child is taking that the Teacher should be aware of, please provide details.
*
If your child isn't taking any medications, please enter "Not Applicable".
Your answer
By entering my initials and clicking submit, I confirm that I am authorized to register this student for CCE's Literacy and Numeracy Programs.
*
Your answer
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