Adult Learning In-Person Courses Adult Learner In-Person Course Selection Form 2024 - 2025 "*" indicates required fields Student Information SectionPlease complete this form only once so as not to delay your registration. Multiple courses can be registered on one form.I am an adult learner* Yes, I am no longer attending high school No, I will complete the High School Learner Form I am a graduate* Yes No Student Legal Last Name* Student Legal First Name* Student Legal Middle Name Student Preferred First Name Student Maiden Name OR Previously Used Last Name Student Date of Birth (Month/Day/Year)* MM slash DD slash YYYY Student Country of Birth* Student Gender* Male Female Student Preferred Gender Last Secondary School* Last Year Attended High School* City/Province of High School* Personal Education Number (PEN), located on your last report card.Complete only if you are aware of this information. Contact Information SectionStudent Email Address* Enter Email Confirm Email HOME Address* Number and Street Name City Postal Code Primary Phone Number*Emergency Contact InformationThis information will be used in case of Emergency. Please complete fields accurately.Emergency Contact Full Name (first and last)* Emergency Contact Phone Number*Supporting DocumentationTo complete the registration process, we require the supporting documentation listed here. A copy of your primary Identification (e.g. birth certificate, passport, citizenship card, Canada immigration documents). Proof of address (BC Driver's License, BC Services Card, mortgage document, municipal tax bill, utility bills). You can submit these supporting documents by using the following options. Scan and Upload using the upload option below Scan and email the required documents to ce@sd42.ca Submit the required documents directly to the school (by appointment only). Contact us 604-466-6555 Ext. 1 to set up a mutually convenient time to bring in your documents to our location.Upload Supporting Documentation Drop files here or Select files Max. file size: 250 MB, Max. files: 4. Course Selection InformationDon't see the course you want? Head over to our online school and we may offer the online version there! SD42 Online School - Connected Learning Community We offer morning (9AM-Noon), and evening (6:30-9:30PM) courses.Tuition Fees I have not graduated I have graduated from secondary school English[Select...]Composition 10 & Literary Studies 10 - Mon + Wed - 6:30pm - 9:30pmLiterary Studies 11 - Tue + Thur - 6:30pm - 9:30pmEnglish Studies 12 - Mon + Wed - 9am - 12pmEnglish Studies 12 - Tue + Thur - 6:30pm - 9:30pmEnglish Language FoundationsFor Adults who want to improve their English language reading, writing, and speaking.[Select...]Level 1 - Mon + Wed - 9:00am - 12:00pmLevel 1 - Mon + Wed - 6:30pm - 9:30pmLevel 1 - Tue + Thur - 6:30pm - 9:30pmLevel 2 - Mon + Wed - 9:00am - 12:00pmLevel 2 - Mon + Wed - 6:30pm - 9:30pmLevel 2 - Tue + Thur - 6:30pm - 9:30pmLevel 3 - Mon + Wed - 9:00am - 12:00pmLevel 3 - Mon + Wed - 6:30pm - 9:30pmLevel 3 - Tue + Thur - 6:30pm - 9:30pmLevel 4 - Mon + Wed - 9:00am - 12:00pmLevel 4 - Mon + Wed - 6:30pm - 9:30pmLevel 4 - Tue + Thur - 6:30pm - 9:30pmLevel 5 - Mon + Wed - 6:30pm - 9:30pmLevel 5 - Tue + Thur - 6:30pm - 9:30pmLevel 6 - Mon + Wed - 6:30pm - 9:30pmLevel 6 - Tue + Thur - 6:30pm - 9:30pmLevel 7 - Mon + Wed - 6:30pm - 9:30pmLevel 7 - Tue + Thur - 6:30pm - 9:30pmMath[Select...]Math 11 Pre-Calculus - Mon + Wed - 6:30pm - 9:30pmMath 12 Pre-Calculus - Mon + Wed - 6:30pm - 9:30pmWorkplace Math 11 - Tue + Thur - 6:30pm - 9:30pmFoundations of Math 11 -Tue + Thur - 6:30pm - 9:30pmScience[Select...]Life Science 11 - Mon + Wed - 9am - 12pmAnatomy & Physiology 12 - Mon + Wed - 9am - 12pmLife Science 11 - Mon + Wed - 6:30pm - 9:30pmAnatomy & Physiology 12 - Mon + Wed - 6:30pm - 9:30pmChemistry 11 - Tue + Thur - 9am - 12pmChemistry 12 - Tue + Thur - 9am - 12pmPhysics 11 - Tue + Thur - 6:30pm - 9:30pmDisclaimers and Next StepsAre you an International Student?* Yes No If you selected "yes", please contact: ce@sd42.ca to arrange payment for the course (CDN $1100.00 per course)Agreement*The School Code of Conduct applies to all courses. Academic Honesty is integral to learning. Teachers and Administrators will investigate all concerns regarding plagiarism which may result in a mark of zero or withdrawal from the course. I understand and agree that after becoming active in the course (10 hours of the course attended) I do not qualify for a refund, but can transfer my fee (one time only) to another course. Yes, I have read, understand and agree to the Agreement including the Refund policy.Acknowledgement*The information you are submitting on this form is being collected under the authority of the School Act and the British Columbia Freedom of Information and Protection of Privacy Act (FIPPA). This information is to be used by School District No. 42 (Maple Ridge – Pitt Meadows) for the purposes of completing course selection for the selected courses, and to allow the school district to communicate with individuals who have expressed interest in the courses. If you have any questions or concerns about the collection, use or disclosure of the personal information collected please email privacy@sd42.ca. Yes, I hereby acknowledge that I have read, understood and agree to the above and give my consent to the collection use and disclosure of the personal information collected on this form for the above purposes and understand and agree to the Health, Safety and Attendance Expectations.Next Steps Once you submit this form, the process is: a confirmation notice is sent to the student email entered on this form indicating that the registration form has been successfully submitted a digital copy of your form is directed to the CE clerical team Students will ONLY be contacted if there is a change to the schedule or if there is a problem with the registration. Please make note of your class start date and time.
