10 – 12 RE-ENROLLMENT Form Page

10 – 12 RE- ENROLLMENT

10 - 12 Re-Enrollment Form - 2025-2026

"*" indicates required fields

Step 1 of 13 - Introduction

Welcome!

You are about to start the 10 - 12 re-enrollment form for CHEK ABC's distributed learning program. We will guide you through this process step by step. If you need to navigate back and forth between pages on the form please be sure to use the "previous" and "next" buttons at the bottom of the pages so that any information entered remains saved.

If you have any questions about completing this form please call us at 250-352-0526 ext.222 or email admissions@chekabc.ca.

Today's Date*

MM slash DD slash YYYY

Parent/Guardian Details

Please enter parent name and contact details.

First Name*

Last Name*

Relationship to Student*

Email*

Primary Phone Number*

Cell Phone

Landline

Please enter cell phone number*

Please enter landline phone number*

Secondary Phone Number*

Cell Phone

Landline

No Secondary Phone Number

Please enter cell phone number*

Please enter landline phone number*

Is The Student Currently Living With Both Parents?

Yes

Provide Details Of Second Parent

First Name

Last Name

Relationship to Student

Primary Contact Number

Residency

Do you plan to travel outside of BC for 6 weeks or longer during the school year?*

Yes

If yes, please describe.*

Please complete the Ordinarily Resident form and submit it with your other documents.

Provide Your Home Address

Street Address City Province Postal Code

Provide Your Mailing Address

Shipping Address - Please provide the address where school resources such as textbooks and report cards should be mailed to.

The same as Home Address

Street Address City State / Province / Region ZIP / Postal Code

Society Membership

Would you like to become a member of the Nelson Christian School Society?*

Yes

Thank you for your willingness to support Nelson Christian School Society and to further Christian education across BC! There is a $25.00 fee to become a member of the Nelson Christian School Society. Unless you indicate differently, this will be deducted from your family's school based funds. The Society Constitution and Bylaws are attached for your late night reading enjoyment!

Student Details

Legal Name*

Legal First Legal Last

Middle Name

Middle

Preferred Name*

Preferred First Name Preferred Last Name

Enrollment Year & Grade

Please select the school year and grade that you are enrolling the student in.

School Year*

Grade*

Additional Student Information

Student Email Address

Student Phone Number

Date Of Birth*

MM slash DD slash YYYY

Gender*

Citizenship*

Aboriginal Ancestry*

Yes

Please Select

Inuit

Metis

Non-Status

Status – Off Reserve

Status - On Reserve

Status Card #

Band of Origin

Status Card #

Band of Origin

Band of Residence

Emergency Contact Person (other than parent)

Name Email Address Phone Relationship to student

Additional Info

Will you be re-enrolling a second student?*

Yes

Student Details

Legal Name*

Legal First Legal Last

Middle Name

Middle

Preferred Name*

Preferred First Name Preferred Last Name

Enrollment Year & Grade

Please select the school year and grade that you are enrolling the student in.

School Year*

Grade*

Additional Student Information

Student Email Address

Student Phone Number

Date Of Birth*

MM slash DD slash YYYY

Gender*

Citizenship*

Aboriginal Ancestry*

Yes

Please Select

Inuit

Metis

Non-Status

Status - Off Reserve

Status - On Reserve

Status Card #

Band of Origin

Status Card #

Band of Origin

Band of Residence

Additional Info

Will you be re-enrolling a third student?*

Yes

Student Details

Legal Name*

Legal First Legal Last

Middle Name

Middle

Preferred Name*

Preferred First Name Preferred Last Name

Enrollment Year & Grade

Please select the school year and grade that you are enrolling the student in.

School Year*

Grade*

Additional Student Information

Student Email Address

Student Phone Number

Date Of Birth*

MM slash DD slash YYYY

Gender*

Citizenship*

Aboriginal Ancestry*

Yes

Please Select

Inuit

Metis

Non-Status

Status - Off Reserve

Status - On Reserve

Status Card #

Band of Origin

Status Card #

Band of Origin

Band of Residence

Additional Info

Will you be re-enrolling a fourth student?*

Yes

Student Details

Legal Name*

Legal First Legal Last

Middle Name

Middle

Preferred Name*

Preferred First Name Preferred Last Name

Enrollment Year & Grade

Please select the school year and grade that you are enrolling the student in.

School Year*

Grade*

Additional Student Information

Student Email Address

Student Phone Number

Date Of Birth*

MM slash DD slash YYYY

Gender*

Citizenship*

Aboriginal Ancestry*

Yes

Please Select

Inuit

Metis

Non-Status

Status - Off Reserve

Status - On Reserve

Status Card #

Band of Origin

Status Card #

Band of Origin

Band of Residence

Additional Info

Will you be re-enrolling a fifth student?*

Yes

Student Details

Legal Name*

Legal First Legal Last

Middle Name

Middle

Preferred Name*

Preferred First Name Preferred Last Name

Enrollment Year & Grade

Please select the school year and grade that you are enrolling the student in.

School Year*

Grade*

Additional Student Information

Student Email Address

Student Phone Number

Date Of Birth*

MM slash DD slash YYYY

Gender*

Citizenship*

Aboriginal Ancestry*

Yes

Please Select

Inuit

Metis

Non-Status

Status - Off Reserve

Status - On Reserve

Status Card #

Band of Origin

Status Card #

Band of Origin

Band of Residence

Parental Permission

I permit my child's name and photo to be used in school publications (ie. school newsletters), both electronic and paper.*

Yes

I permit my child to be included in any media coverage of a school event.*

Yes

Agreement

I/We are willing to support the school, the decisions of the Principal and the regulations passed by the school board.*

Yes

Please type your full legal name to the above statement. In this instance, typed names suffice as a handwritten signature.*

Course Engagement Contract

At CHEK ABC , it is expected that students will actively engage in all aspects of their online courses. This may include, but is not limited to, the following. Each section must be read through and please check off each box when you have done so. The form must also be dated and signed at the bottom.

Ownership of Learning:*

We believe that students should take ownership of their learning and we promote student autonomy and independence. Students will:
- Become familiar with course content, expectations and assessment procedures.
- Initiate contact with teachers if help is needed.
- Use appropriate technology to interact with the teacher, and use feedback and consultation to develop and refine knowledge, skills, and attitudes.
- Submit their own work (see Plagiarism below).
- Research answers to questions and problems, and provide a bibliography or works cited list to show evidence of research.
- Participate and actively engage in all available learning activities in all units (reading texts, watching videos, doing practice questions, creating study notes when applicable, etc).
- Complete ALL assignments (except with special approved exemption from the teacher), online quizzes and supervised assessment in detail.
- Set personal goals in the Core Competency areas as required.
- Commit to working on the course consistently and submit assignments in a timely manner. The minimum is one assignment per month. If a student does not submit any work for an entire reporting period, the teacher may withdraw the student from the course and he or she cannot re-enroll in that course until the next semester.
- Students will return resources to CHEK ABC when student completes and/or withdrawals from a course.

I have read through, and agree to uphold the Ownership of Learning statements.

The Role of the Teacher:*

We believe that teachers should empower students and promote independent research, evaluation, self-development, autonomy and life-long learning. Teachers will:
- Mark assignments and provide prompt and constructive feedback within a week.
- Be aware of individual student differences when designing courses and make adaptations as necessary.
- Be available to students for:

- questions of clarification.
- minor further instruction.*

*Note: If the student struggles with learning in an online environment, teachers will provide a list of potential tutors.
- Respond to students’ questions and/or concerns within 24 hours in most cases.
- Provide links to other resources outside of the Moodle platform to help students if requested or deemed necessary.

I have read through, and agree to uphold the Role of the Teacher statements.

The Role of the Parent:*

We believe that parents are critical to the success of their student in an online environment and have an impact in promoting the students’ independence and self-development. Parents will:
-Provide the environment, technology, materials, and guidance for a successful study environment.
-Help their children develop a school work schedule that gives them ample time to complete their coursework.
-Provide an email contact to the teacher and expect emails informing them about student progress.
-Support the policies of CHEK ABC, including the activation and withdrawal policies.
-Direct any concerns about their student first to the teacher (as soon as possible) and secondly to administration.

I have read through, and agree to uphold the Role of the Parent statements.

Activation Procedures:*

- Students must activate each course within 45 days of the planned start date for each course.
- Students must complete ALL activation assignments to be considered fully enrolled in a course.
- Students will be given ONE calendar year in which to complete their course(s) once they have activated it. If they do not complete their course(s) within that year, they will have a choice to 1) Withdraw from the course(s) and have to start over from the beginning, take the course(s) with another school or, 2) apply for an extension and pay a $150 tuition that is used to compensate the teacher to continue with the student for up to THREE months after the one-year activation anniversary date. After the extension, if the student still has not completed the course, he/she will be withdrawn from the course(s) and have to start over from the beginning or take the course(s) elsewhere.

I have read through, and agree to uphold the Activation Procedures statements.

Withdrawal Policy:*

In some circumstances, students may need to withdraw from a course, or be withdrawn by the teacher if the student is not actively engaged. There are three scenarios here:

1) If a student does not submit work samples in an activated course for an entire reporting period, the teacher may withdraw the student. The student will be charged a $50 withdrawal fee and have to wait until the next term before enrolling in that course again.
2) If a student does not activate a course within 45 days of the anticipated start date, the student will be withdrawn and there will be a course withdrawal fee of $50 to pay for the teacher's time and administration costs.
3) Sometimes a student has to withdraw because of unforeseen circumstances. These situations will be judged on a case by case basis.

Similarly, if a student does not adhere to this contract in any way, the CHEK ABC Administration has the right to withdraw a student from a course. Students and parents will be notified in advance of the decision.

I have read through, and agree to uphold the Withdrawal Policy statements.

Communication Expectations:*

- Communicate frequently (at least once a week) with their teachers through his or her @chekabc.ca email, Moodle, Parent Square, phone call or work sample submission.
- Use the @chekabc.ca email exclusively to communicate with teachers.
- If applicable, advocate for their own learning needs as outlined in their IEP.
- Notify teachers if the student is unavailable for more than a week.

I have read through, and agree to uphold the Communication Expectation statements.

Technology Skills:*

- Work with the teachers to find viable ways to submit coursework in a format that is acceptable to both the student and the teacher.
- Have access to a printer and scanner for work sample submission.
- Use the Internet and all online course materials appropriately and in accordance with CHEK ABC standards and computer use policy

I have read through, and agree to uphold the Technology Skills statements.

Plagiarism:*

It is expected that all student work submitted is free pf plagiarism or cheating. Both are serious offences and result in a grade of "0" on the assignment/test. The student record will reflect the cheating has occured. A review is conducted with the teacher and principal to determine disciplinary action and may include withdrawal from the course (without refund), having to start the course again, not being allowed to enroll in another course, and/or additional assignments or replacement work assigned.

We consider plagiarism ad cheating to include (but not limited to) the following:

- Copying directly from a text, word-for-word
- Using an attractive phrase or sentence without giving reference to the author
- Using text downloaded from the Internet
- Paraphrasing the words of a text very closely
- Borrowing statistics from another source or person
- Copying from the essays or the notes of another student
- Downloading or copying pictures/photos/diagrams without listing courses
- Accessing previous tests or work from previous students in the same course
- Bringing in cheat sheets or answers to a test or supervised exam
- Having answers concealed on an electronic device during a test or supervised exam
- Texting or communicating during a test or supervised exam
- Looking at tests ahead of time
- Using the textbook during a test
- Copying or working with another student during a test

I have read through, and agree to uphold the Plagiarism statements.

Supervised Testing:*

Supervised Exams are used in any academic course to ensure authenticity of student work. Students are advised of the exam sessions held several times throughout the year and may be required to write at least one per CORE subject. Teachers may request more, as needed. The CHEK ABC office arranges for local exam centres and advises students of the dates, times, and locations. Supervised Exam results account for at least 10% of a student's final grade.

I have read through, and agree to uphold the Supervised Testing statements.

Provincial Assessments:*

Students are required to write three provincial assessments throughout their high school years. The administrators at CHEK ABC do their best to make arrangements for these exams in locations that are the most convenient for the families. If a student commits to writing a provincial assessment, but then does not attend, the family will incur the cost of paying for the invigilation (exceptions include family emergencies, illness and other such unforeseen circumstances).

I have read through, and agree to uphold the Provincial Assessments statements.

I have read through the policies outlined above and agree to the Course Engagement Contract.*

Please type your full legal name to the above statement. In this instance, typed names suffice as a handwritten signature.

Student Signature*

Student Signature

Covenant

Family Covenant*

At CHEK ABC we believe that a successful home education occurs in partnership between home and school. We want to come along side families in a supportive way as they work towards the academic, personal, and discipleship goals of their child(ren). It is vital that parents play an important role in this partnership. The Family Covenant is an agreement that parents will join us in this process.

Please read the statements below and indicate your commitment to CHEK ABC and the schooling at home program.

1. I fully understand that I am making a commitment to educate my child(ren) at CHEK ABC

2. I will positively represent the school in my community

3. I am committed to supporting the policies of CHEK ABC

4. I will support the teachers and the administration of CHEK ABC

5. Should any concerns arise, I will direct them to the teacher as soon as possible

6. I am committed to academic integrity and will always ensure that my child(ren) complete their own work and write quizzes and tests without assistance of any kind

I have read through each of the above statements and commit to upholding them so long as my family is a part of CHEK ABC.

Please type your full legal name to the above statement. In this instance, typed names suffice as a handwritten signature.*

Tuition/Fees

Please select

Tution/$85

Payment Option

Credit Card

e-Transfer: email accounting@chekabc.ca password: school

Please indicate on e-Transfer students name and program for which fee is for.

If you selected e-transfer as the payment option. 'Please indicate on transfer students name and program for which fee is for.'

full amount

Once you have entered your credit card information, you must select the NEXT button to complete the final steps of the form.

Tution/$85 Quantity

Price: $ 85.00 CAD

Quantity

Total

Credit Card

Card Details

Cardholder Name

Final Step

Enrollment will be finalized when:

- Administration has accepted placement

- Tuition has been paid

This is the final step in the online re-enrollment process. Please ensure that you have filled out the information accurately, and submitted all necessary documentation. We will contact you to confirm re-enrollment.

If you are not able to upload any documents at this time you can email a copy of them to admissions@chekabc.ca or fax them to us at (250) 352-0546.

Phone

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