Chinook Prerrequisite Form

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  • 8/3/2019 Chinook Prerrequisite Form

    1/2

    STUDENTLegal Name

    Also known

    AddressA

    Email

    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

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    ate of Birth

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    esidentRequired -

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    Option 0) forript of yourgistrationication PhotoRoom 164,

    ITEINF

    R 2011

    Year Mont

    City

    #

    ee Course

    hool Cou

    current Surrent Studin registereschool and

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    equisite Cou

    equisite Fina

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    ___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

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    Student

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    students wuous attendin taking upemester at

    irected

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  • 8/3/2019 Chinook Prerrequisite Form

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    Take tthe SoParkin

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    ff Parkingred; vehicleowed unlesion is grant

    CHIN

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    arking is at

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    South Stude

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    BC

    Revised NMd/Form/P

    ovember 19/10IF Winter 2011