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8/3/2019 Chinook Prerrequisite Form
1/2
STUDENTLegal Name
Also known
AddressA
Alberta Stud
Canadian Cit
PROGRA
DirectedThe CBE def
- thossemscho
- studSept
If you are refmeet the aboshowing curand give it to
Counsellor/A
School (or S
Guidance Ph
INFORM
Last
s
t/House #
nt ID #
izen
INFORM
tudentsines Directe
students wsters or 3 ful
ol ornts who are
ember 1st
of terring a studve criteria, plent coursesthe student.
dministrator
hool District
one Number
Please coCode ___Check acc
___CD for___CD for___Large___Other (
Studen-----
(
TION
Street
Legal Do
ATION - T
Students aso have atten
ll years in an
19 years of ahe current scnt to us who
lease attachand marks t
/ignature
if not CBE)
plete if the st___
ommodations
visually impailearning or phrint (20 point)
please specify
tslease call 40ring this forees are duexpect to haviscount Ben
see map on r
PRE
Firs
P
Permanentumentation
be comp
:ded 6CBE high
ge as ofhool year.does nottranscript
o this form
Date
udent has a s
currently incl
redysical disabili) __________
3-777-7200 (and a trans
at time of re your Identifett Campus,everse)
EQUI
WINT
t
ate of Birth
one:Home
CBE ID
esidentRequired -
leted by s
CoConremyourmaxLear
Clas
Cou
Prer
Prer
PleaSIR
Cou
Sch
Gui
ecial needs e
ded in IPP:
y
_____
Option 0) forript of yourgistrationication PhotoRoom 164,
ITEINF
R 2011
Year Mont
City
#
ee Course
hool Cou
current Surrent Studin registereschool and
imum of twoning.
sroom
rse Request
equisite Cou
equisite Fina
se designatas Alterna
nsellor/Admi
ol (or Schoo
ance Phone
ucation code
___Extra Tim___Scribe___Reader___Braille
registration iarks when y
taken at tim519 Richmo
ORMA
Middle
h Day
Cell/Other
InternationalGuide
nsellor or
tudentsnts are thosand in contire interested
courses per
Self-D
d
se
l Mark
e Chinook Le Site.
istrator Sign
l District if no
Number
:
e
nformationou register
of registratind Road SW
ION FO
Gender M
ostal Code
Student
Administr
students wuous attendin taking upemester at
irected
earning Ser
/
ature D
t CBE)
on
RM
/ F
ator
o willance atto ahinook
ices in
te
8/3/2019 Chinook Prerrequisite Form
2/2
Take tthe SoParkin
The Stnumbewill bepermis
e lane to ath StudentLot.
ff Parkingred; vehicleowed unlesion is grant
CHIN
cess
ot is
sed.
OOK LE2519 Ric
Ca
arking is at
25th
St.
RNINGmond Rolgary, AB3E 4M2
the rear of t
Lane
StaffParking
SERVICd SW
e school
Richmond
Sou
South Stude
V
S
Rd. SW
th
nt Parking Lot
BC
Revised NMd/Form/P
ovember 19/10IF Winter 2011