Admission Form

School*

Please indicate the grade level for which you are requesting admission*

Please indicate the grade level for which you are requesting admission.*

STUDENT

Complete legal first name*

Complete legal last name*

Date of birth*

Sex at birth*

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:*

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.

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.*

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

csfy.ca

Commission scolaire francophone du Yukon