REGIOPOLIS-NOTRE DAME CATHOLIC HIGH SCHOOL - GRADE NINE Elementary School ___________________________________ Date: _____________ I.D. # ______________________ OEN # ______________________ Name: ________________________________ ________________________ ______ Sex M F Surname Given Name Initial Circle one __________ _______________________________________________ ______________________________ ________________ Apt# Street # & Name City & Province Postal Code _________________ ___________________ _______________ ________________________ Home Phone # Date of Birth: (D /M / Y) Parish: Home Email Address: Was the student born in ONTARIO Yes___ No ___ If No. indicate province of birth _________________ Was the student born OUTSIDE OF CANADA Yes___ No ___ If Yes. indicate country of birth _________________ First Language: _______________________ Transportation (If applicable) Yes No th Up to June 30 it will be returned to your current school & new secondary school. After June 30th it will be returned to your new secondary school ONLY with your transportation information on it. PARENT/GUARDIAN INFORMATION st Name of 1 Parent/Guardian Name of 2nd Parent /Guardian Email:_________________________________ Email:________________________________ ___________________________________ _________________________________ ___________________________________ _________________________________ Address if not the same as students’ Address if not the same as students’ Phone (Hm) _________________________ Phone (Hm) _________________________ Number (Wk) _________________________ Number (Wk) _________________________ Living With: Both Parents____ Parents Alternate ____ Mother Only ___ Father Only ___ Other (Specify)__________ Siblings attending RND Yes __ No ___ Parents Signature: ___________________________________ EMERGENCY Contact Name: _____________________________________ Phone: ________________________ Doctor’s Name & Number: ____________________________Health Card #: ___________________ Medic Alert or Disabilities: _____________________________________________________________ Verification of Information by Feeder School Principal I verify that the above-named student is currently in Grade 8 and eligible to proceed to Grade 9 in September 2009. This student has been identified with a learning exceptionality (IPRC) and has an Individual Education Plan (IEP). Yes No This student has NOT been identified with a learning exceptionality (IPRC) but has an Individual Education Plan (IEP). Yes No Signature of Principal or Designate of Feeder School: ____________________________________ _________________________ ____________________________________ Date: Signature of RND Principal REGIOPOLIS-NOTRE DAME CATHOLIC HIGH SCHOOL GRADE 9 OPTION SHEET Choose one: French Immersion French Extended Regular Name: _____________________________ _____________________________ ____________________ Surname Given Name Elementary School . Academic courses: Emphasize theoretical, abstract applications. Incorporate practical applications, as appropriate. University prep Applied courses: Emphasize practical, concrete applications. Incorporate theoretical applications, as appropriate College prep Open courses: One set of expectations. Appropriate for all students Locally Developed:Essential skill upgrade. IB Preparation: Students wishing to graduate from high school with an IB Diploma begin their preparation by taking the following IB preparation courses in grade nine: English, French, Mathematics and It is also recommended that students include 1 of Art or Music and Phys Ed. in grade 9. The annual fee for this program is $300.00. Students will choose compulsory courses in grade 9 at the Academic, Applied or Locally Developed level Each Grade 9 student shall take the following courses as part of their Grade 9 Program: English Mathematics Science Geography of Canada French Religion Please choose the appropriate level for each of the following courses. Academic Applied Locally Developed IB Preparation English: ENG1D1 ENG1P1 ENG1L1 ENG1DB French: FSF FIF FEF 1D1 FSF1P1 FSF FIF FEF 1DB Science: SNC1D1 SNC1P1 SNC1L1 SNC2DB Geography: CGC 1D1 1DI 1DE CGC1P1 Mathematics: MPM1D1 MFM1P1 MAT1L1 MPM1DB Religion: HRE 1O1 1OI 1OE Students will choose two (2) of the following Open Elective Courses: Healthy Active Living Education PPl10F/M Visual Arts AVI 1O1 Food & Nutrition HFN1O1 Music AMU1O1 Computer Applications BTT1O1 Construction Technology TCJ1O1 I agree with course Selection Yes No ________________________________ Signature of Grade 8 Teacher: My son/daughter has been identified with a learning exceptionality (IPRC) Yes No _____________________________ ____________________________ _____________ Student Signature Parent/Guardian signature Date: REGIOPOLIS-NOTRE DAME CATHOLIC HIGH SCHOOL 130 Russell Street, Kingston, Ontario, K7K 2E9 * 613-545-1902 * fax: 613-548-4024 Student Services (613) 545-1907 * Fax: (613) 650-5486 Attendance (613) 545-1906 Email: firstname.lastname@example.org * Website: www.alcdsb.on.ca/schools/regi or www.reginotredame.ca Mr. Wayne Hill Ms. Kathy Cunningham, Vice-Principal Principal Ms Wendy Galant Vice-Principal Parents and Student Applicants from Non-Feeder Schools: Thank you for considering Regiopolis-Notre Dame Catholic High School as your secondary school destination for the 2009-2010 school year. We are very proud of our staff, facility and the variety and quality of our programs. I am confident that you will have a rewarding and productive experience at RND. It is important to note that we are a Catholic school with a mission to teach in a Catholic and Christian context and to assist students to develop in their faith. Students of other denominations are welcome; however, it is very important that they appreciate, accept and actively participate in this mission. If you are choosing Regiopolis-Notre Dame you are also choosing to be a part of our faith journey. RND is a popular destination for students, and as a result, we are not able to accommodate all students in the program of their choice. In order to consider your application in a timely fashion we need a complete school registration package including: A course selection sheet School registration form Direction of School Taxes form In addition you must submit the following information prior to your application being considered: The most recent Individual Education Plan if the applicant is an IPRC student Copy of the applicant’s most recent report card Baptismal certificate (if Roman Catholic) Birth certificate The information that we have requested is vital to us if we are to develop an appropriate timetable for all new students for next year. The sooner that we receive this information, the more likely we can confirm your placement prior to the end of May. The deadline for submission of completed application packages is February 27, 2009. Please accept our best wishes for a successful conclusion to your elementary studies, and once again thank you for considering RND. Sincerely, Wayne Hill Principal _______________________________________________________________________________________ Algonquin & Lakeshore Catholic District School Board – 151 Dairy Avenue, Napanee, ON K7R 4B2 * (613) 354-2255 Grade 9 Documents Required for RND RND Registration Form must be signed by elementary school Principal Option Sheet Catholic Baptismal Birth Certificate RND UNIFORM POLICY STUDENT INFORMATION --------------------------------------------------------- GIRLS Kilt $85. 00 Slacks $39. 95 Blouse (long sleeve monogrammed) $34. 95 Blouse (short sleeve monogrammed) $34. 95 Fleece Vest $49. 95 Cardigan $49. 95 V Neck Sweater $45. 00 V Neck Vest $40. 00 Tights (navy, black, green, or dark gray) $15.00 RND Monogram $ 3. 00 BOYS Dress Shirt (long sleeve monogrammed) $29. 95 Dress Shirt (short sleeve monogrammed) $29. 95 Pants $39. 95 Tie $15. 00 Fleece Vest $49. 95 Cardigan $49. 95 V Neck Sweater $45. 00 V Neck Vest $40. 00 RND Monogram $ 3. 00 Notes: All acceptable uniform slacks and pants must bear the McCarthy tag. All kilts must be no more than 8 cm (3 inches) above the knee. The Halpern’s store located in our Pop Shop will be open Mondays and Wednesdays from 8:30 to 3:00. They can be contacted directly at 546-9307.