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Admission Form CSFY
Admission form
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*
» indique les champs nécessaires
School
*
École Émilie-Tremblay
CSSC Mercier
Programme de français à Dawson
Please indicate the grade level for which you are requesting admission
*
Kindergarten 4 y/o
Kindergarten 5 y/o
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
Please indicate the grade level for which you are requesting admission.
*
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
Please indicate the grade level for which you are requesting admission.
*
Kindergarten 4 y/o
Kindergarten 5 y/o
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
STUDENT
Complete legal first name
*
Complete legal last name
*
Date of birth
*
MM slash DD slash YYYY
Sex at birth
*
F
M
Other
Please specify
Address
*
Line 1
Line 2
City
Territory/Province
Postal code
Place of birth and citizenship
*
PARENT /GUARDIAN 1
Name
*
First
Last
Phone number
*
Cell phone
Email address
*
PARENT /GUARDIAN 2
Name
First
Last
Phone number
Cell phone
Email address
LANGUAGES
Please check and specify
Dominant language at home
*
French
English
Other
Other dominant language at home
*
Spoken language(s) of the child
*
French
English
Other
Spoken language(s) of the child (other)
*
Spoken language(s) at home
*
French
English
Other
Spoken language(s) at home (other)
*
Spoken language(s) of the parent/guardian 1
*
French
English
Other
Spoken language(s) of the parent/guardian 1 (other)
*
Mother tongue of the parent/guardian 1
*
French
English
Other
Please specify
*
Spoken language(s) of the parent/guardian 2
French
English
Other
Spoken language(s) of the parent/guardian 2 (other)
*
Mother tongue of the parent/guardian 2
French
English
Other
Please specify
Information to establish the admission category
Please check only one of the 7 categories below. If you are unsure, please contact École Émilie-Tremblay at 667-8150 or CSSC Mercier at 334-5651.
Right to admission: A parent who comes under one of the three categories specified in section 23 and whose child has the right to be admitted to a French-language instruction program:
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Category 1 “First language”: A Canadian parent whose first language learned and still understood is French.
Category 2 “Primary School Instruction”: A Canadian parent who received part of his or her primary school instruction in Canada in French as a first language. This does not include French immersion.
Category 3 “Family Continuity”: A parent whose child is receiving or has received his or her primary or secondary school instruction in French as a first language in Canada.
We, the parents, are not right-holders and do not fit into any of the above categories. We would like our child to receive an admission permission, in accordance with section 23 of the Charter and the authority delegated to the CSFY by the Minister of Education.
If this applies to you, check this box to see the other categories.
Admission permission: Refers to a parent who comes under one of the following 4 categories and whose child may be admitted in accordance with the policy 3.1-Admissions and in accordance with section 23 of the Charter and the authority delegated by the Minister of Education to the CSFY.
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Category 4 “French-speaking Immigrant”: A parent who is not a Canadian citizen but, if he or she were a Canadian citizen, would be a rights holder.
Category 5 “Francophone Ancestry”: A Canadian parent of French-Canadian ancestry. This is limited to the child’s grandparents.
Category 6 “Anglophone”: A Canadian parent who speaks French fluently but does not qualify under any other category and who has chosen to integrate into, and establish authentic ties with, the French-speaking community. The child must be able to function in French before being admitted.
Category 7 “Non-French- nor English-speaking Immigrant”: A parent who is not a Canadian citizen and speaks neither French nor English.
Signatures
I declare that the information provided on this form is accurate:
Signature - Parent/guardian 1
*
Signature - Parent/guardian 2
