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REGISTER WITH CHEK ABC
admin
2020-03-09T19:28:45+00:00
REGISTER WITH CHEK ABC
Registered Students
Step 1 of 8 - Welcome
12%
Welcome
You are about to start the registered student 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.
Please include the following with your application. These documents are necessary for the registry process: Your child will not be considered for registered until we receive these documents.
- Student Birth Certificate or Passport
- Immigration documents (if applicable, please include parents work permit and birth certificate/passport)
If you have any questions about completing this form please call us at 250-352-0526 or email
admissions@chekabc.ca
.
Today's Date
*
Date Format: MM slash DD slash YYYY
Parent/Guardian Details
Please enter parent name and contact details.
First Name
*
Last Name
*
Relationship to Student
*
Please Select
Mother
Father
Legal Guardian
Other
Email
*
Primary Phone Number
*
Cell Phone
Landline
*
*
Secondary Phone Number
*
Cell Phone
Landline
No Secondary Phone Number
*
*
Provide your Home Address
*
Street Address
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
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.
Shipping Address same as Home Address
Same as Home Address
*
Street Address
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Student Details
Legal Name
*
Legal First
Legal Last
Middle Name
Middle
Preferred Name
*
Preferred First Name
Preferred Last Name
Register Year and Grade
Please select the school year and grade that you are registering the student in.
School Year
*
Please Select
2020 - 2021
2021 - 2022
Grade
*
Please Select
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Please Provide Student's PEN (if known)
Student PEN (Personal Education Number
Additional Student Information
Student Email Address
Student Phone Number
Date of Birth
*
Date Format: MM slash DD slash YYYY
Gender
*
Please Select
Male
Female
Citizenship
*
Please Select
Canadian
Landed Immigrant
Student Visa
Work Permit
Other
Aboriginal Ancestry
*
Yes
No
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
Student's Previous School
Previous School
*
School Name
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Medical Information
BC Medical Number
*
No Medical Number
I don't have a BC Medical Number
Have you recently applied for a BC Medical Number
*
Yes
No
Provide medical number for previous province
*
Additional Information
Will you be registering a second student?
*
Yes
No
Student Details
Legal Name
*
Legal First
Legal Last
Middle Name
Middle
Preferred Name
*
Preferred First Name
Preferred Last Name
Register Year and Grade
Please select the school year and grade that you are registering the student in.
School Year
*
Please Select
2020 - 2021
2021 - 2022
Grade
*
Please Select
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Please Provide Student's PEN (if known)
Student PEN (Personal Education Number
Additional Student Information
Student Email Address
Student Phone Number
Date of Birth
*
Date Format: MM slash DD slash YYYY
Gender
*
Please Select
Male
Female
Citizenship
*
Please Select
Canadian
Landed Immigrant
Student Visa
Work Permit
Other
Aboriginal Ancestry
*
Yes
No
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
Student's Previous School
Previous School
*
School Name
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Medical Information
BC Medical Number
*
No Medical Number
I don't have a BC Medical Number
Have you recently applied for a BC Medical Number
*
Yes
No
Provide medical number for previous province
*
Additional Information
Will you be registering a third student?
*
Yes
No
Student Details
Legal Name
*
Legal First
Legal Last
Middle Name
Middle
Preferred Name
*
Preferred First Name
Preferred Last Name
Register Year and Grade
Please select the school year and grade that you are registering the student in.
School Year
*
Please Select
2020 - 2021
2021 - 2022
Grade
*
Please Select
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Please Provide Student's PEN (if known)
Student PEN (Personal Education Number
Additional Student Information
Student Email Address
Student Phone Number
Date of Birth
*
Date Format: MM slash DD slash YYYY
Gender
*
Please Select
Male
Female
Citizenship
*
Please Select
Canadian
Landed Immigrant
Student Visa
Work Permit
Other
Aboriginal Ancestry
*
Yes
No
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
Student's Previous School
Previous School
*
School Name
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Medical Information
BC Medical Number
*
No Medical Number
I don't have a BC Medical Number
Have you recently applied for a BC Medical Number
*
Yes
No
Provide medical number for previous province
*
Additional Information
Will you be registering a fourth student?
*
Yes
No
Student Details
Legal Name
*
Legal First
Legal Last
Middle Name
Middle
Preferred Name
*
Preferred First Name
Preferred Last Name
Register Year and Grade
Please select the school year and grade that you are registering the student in.
School Year
*
Please Select
2020 - 2021
2021 - 2022
Grade
*
Please Select
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Please Provide Student's PEN (if known)
Student PEN (Personal Education Number
Additional Student Information
Student Email Address
Student Phone Number
Date of Birth
*
Date Format: MM slash DD slash YYYY
Gender
*
Please Select
Male
Female
Citizenship
*
Please Select
Canadian
Landed Immigrant
Student Visa
Work Permit
Other
Aboriginal Ancestry
*
Yes
No
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
Student's Previous School
Previous School
*
School Name
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Medical Information
BC Medical Number
*
No Medical Number
I don't have a BC Medical Number
Have you recently applied for a BC Medical Number
*
Yes
No
Provide medical number for previous province
*
Additional Information
Will you be registering a fifth student?
*
Yes
No
Student Details
Legal Name
*
Legal First
Legal Last
Middle Name
Middle
Preferred Name
*
Preferred First Name
Preferred Last Name
Register Year and Grade
Please select the school year and grade that you are registering the student in.
School Year
*
Please Select
2020 - 2021
2021 - 2022
Grade
*
Please Select
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Please Provide Student's PEN (if known)
Student PEN (Personal Education Number
Additional Student Information
Student Email Address
Student Phone Number
Date of Birth
*
Date Format: MM slash DD slash YYYY
Gender
*
Male
Female
Citizenship
*
Please Select
Canadian
Landed Immigrant
Student Visa
Work Permit
Other
Aboriginal Ancestry
*
Yes
No
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
Student's Previous School
Previous School
*
School Name
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Medical Information
BC Medical Number
*
No Medical Number
I don't have a BC Medical Number
Have you recently applied for a BC Medical Number
*
Yes
No
Provide medical number for previous province
*
Final Step
Registration will be finalized when:
- All documentation has been received
- Administration has accepted placement
This is the final step in the registration process. Please ensure that you have filled out the information accurately, and submitted all necessary documentation. We will contact you to confirm registration.
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.