Online Application Form

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SIDES Online Application for Secondary Students

Welcome to our Online Registration Form. This form is divided up into various sections. Please take the time needed to complete this form and press the check button at the very end of this page when you are finished. This form contains the following sections.

Student Information	Parent/Guardian Information	Student History

Education History	Student Learning Plan	Information and Finish

Student Information

PEN:		SIRS Number:
Legal Last Name:*		Legal First Name:*
Legal Middle Name:*		<- Please enter your entire middle name(s)
Usual Last Name:		Usual First Name:
If your Last Name has changed, please enter previous last name:
Gender:*	Male Female	Place of Birth:
Birth Date: *
Important Note: Please use email accounts from providers like Shaw, Telus, Gmail, Pacific Coast Net, Island Net, etc... SIDES strongly discourages applicants to use email accounts from free providers like Hotmail, Excite, Yahoo, zdnetmail, Rocketmail, etc...
Email Address:*		Confirm Email:*
Phone Number:*
Do you have Microsoft Office?		Yes No
Shipping Address:*
	Address:
	City:
	Postal Code:
	Country:	Canada
Home Address:
	Address:
	City:
	Postal Code:
	Country:

Parent/Guardian Information

NOTE: Please continue to Student History if you are 18 Years of age or Older and do not require parental approval.

Parent/Guardian 1
First Name: *		Last Name: *
Email Address: *
Address and phone number if different:
Address:		Phone Number:
City:

Parent/Guardian 2
First Name:		Last Name:
Email Address:
Address and phone number if different from first guardian:
Address:		Phone Number:
City:

Student History

Are you enrolled in another school?	Yes	No
Is English your Primary language?	Yes	No
Please indicate your Canadian Citizenship status:
Canadian Citizen Landed Immigrant Foreign/International Student
Are you of Native Ancestry? (Status Indian, Non-status Indian, Metis)	Yes	No
Band Name:

Education History

Name of Current or Previous School*
Address: *
Grade: *
Have you enrolled at SIDES before?
Have you graduated?		Yes No
Do you have an IEP (Individualized Education Plan)? *		Yes No

Student Learning Plan

A. Where am I now? *

School Full-time
Working Full-time
Working Part-time

B. My short-term educational goals are (check all that apply):

Complete High School
Continue with SIDES long term
Complete only the current grade or slp Courses
Gain entrance to a post-secondary institution

How many hours per day do you plan to spend on course work with SIDES?

What grade are you entering at SIDES this year? *

C. Long-term Goals:

Future career (if known):

Institution planning to attend (if applicable) - post secondary:

Program of Studies:

D. Personal Strengths and Concerns *

Areas of Strengths (Courses you enjoy, activities you do, etc)

Areas of Concern (subjects that are difficult, health, work, etc)

E. Summary of courses planned or enrolled in for this year

I prefer to do my courses online
I prefer to do my courses on paper

Please click here for a list of available courses, applicable fees, text deposits and prescribed learning outcomes

1^st Semester:
In which SIDES courses are you planning to enroll? *
Online Paper Online Paper	Online Paper Online Paper
2^nd Semester:
Online Paper Online Paper	Online Paper Online Paper
Are you taking courses at another school? *	Yes No
If yes, please enter the name of that school:
What Courses are you taking there? 1^st Semester:

2^nd Semester:

F. Why are you enrolling at SIDES? *

Information and Finish

Information for All Students and Parents

The completion (indicated by pressing the "Submit" button at the bottom of this page) of this form indicates that the information is accurate and complete and that the Applicant understands that no materials will be forwarded until the deposit (where applicable) is paid; that fees paid cannot normally be refunded or transferred; that only part of a course is sent out at a time; and that enrollment remains valid for one year. By signing this form the Applicant agrees that textbooks (when the student is eligible to receive them on loan) and/or videos and/or computers and/or diskettes will be kept in good condition and returned when the Applicant completes or discontinues the course(s). If the materials are not returned in good condition, then the Applicant will forthwith pay the replacement cost thereof or will forfeit the deposit. Textbooks must be returned within eight weeks of course completion, or withdrawal from SIDES or an invoice for the full replacement value will be issued for any textbooks not returned, minus any deposit on file.

I understand that if the student is inactive, he/she may be withdrawn from the course. I understand that the student is not officially active if assignments are not regularly submitted for each course.

Prescribed Learning Outcomes

I have read and understood the prescribed learning outcomes and course description for each course for which I am registered. These courses are part of my graduation plan.

Acceptable Use Policy

This policy is currently avaliable in the following formats : HTML - DOC - PDF

Users who violate this policy may be denied access to South Island Distance Education School computing resources and may be subject to disciplinary actions and or criminal and civil penalties. Violations will normally be handled through SIDES disciplinary procedures applicable to the relevant user and may include referring suspected violations of applicable and or regional law to appropriate law enforcement agencies. In addition SIDES may immediately suspend or block access to an account, prior to the initiation or completion of such procedures, when it appears necessary to do so in order to protect the integrity, security or functionality of SIDES or other computing resources or to protect the school from liability.

I have read the Acceptable Use Policy and agree to follow the guidelines established by South Island Distance Education School.

Authorization to Share Information

The information on this form is collected under the authority of the School Act, Sections 13 and 70. The information will be used for programming and planning purposes and when required, may be provided to health services, social services or other support services as outlined in Section 79(2) of the School Act. The information collected on this form will be protected under the Freedom of Information and Protection of Privacy Act. Questions about the collection and use of this information should be directed to the principal of your school.

I hereby authorize the release of all previous records to the South Island Distance Education School, and I authorize South Island Distance School to report to schools, school districts, the BC Ministry of Education, and post-secondary institutions where records exists.

Statement of Commitment

As a parent/guardian, I make a formal commitment to support my child in completing his/her educational plan with South Island Distance Education School.

I, the student, make a formal commitment to complete my education with South Island Distance Education School to the best of my abilities.

Statement of Compliance

I verify that all of the provided information is accurate and complete.

Additional Notes:

Click the Check to submit your application to SIDES.

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