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CHOICES DL – SD70 (Pacific Rim)

Eighth Avenue Learning Centre

2941 8th Avenue, Port Alberni, BC V9Y 2K5

Phone: 250-723-3744

Welcome to CHOICES DL

This form is used to complete the CHOICES student intake and learning plan and to submit required registration documentation.

Before completing this form: Please complete the CHOICES online registration through our website, look for the enrollment link, First Step.

Please complete all required sections of this form. You will be asked to provide information about the student's educational plan, course selections, learning goals and supports, and to upload the required registration documents.

Please have the following documents ready to upload:

• Proof of the student's identity/date of birth

• Proof of residence within School District 70 (Pacific Rim)

If you are completing this form on a phone, you may use clear photographs of the required documents.

Please enter the student's information.
AdultMinor
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First Student's Name
First Name*
Middle Name
Last Name*
First Student's Date of Birth*
Date of Birth
Information
Grade*
Program / Enrolment Type*
Primary Learning Location*
First Student's Signature*
Parent or Guardian's Email Address
Email*
Confirm Email*
Registration Documents
Required Registration Documents Please upload ONE clear photo showing both of the following documents side by side: 1. Proof of Student Identity / Age – a document showing the student's legal name and date of birth. 2. Current Proof of Residence – a document showing the student or parent/guardian's name and current residential address. Returning CHOICES students: If we already have the student's proof of identity/age on file, you only need to upload current proof of residence. Please make sure all required information is clearly visible and readable in the photo. *
  
Valid file types: JPG, GIF, PNG, and PDF
CHOICES Learning Plan & Goals

Communication & Participation Expectations

Students are expected to maintain regular communication with their CHOICES teacher(s) and actively participate in their learning. Students should communicate with their teacher(s) at least once every two weeks through assignment submission, email, phone, in-person contact, or another method agreed upon with their teacher. Students are also expected to work toward established course completion and mark cut-off dates.

I understand and agree to the CHOICES communication and participation expectations described above.
I agree.
What is one academic goal you would like to achieve this school year? *
What can CHOICES staff do to help you be successful this school year?
SD70 Student Technology Use Agreement

Access to Internet-Based Resources (Web or Cloud Storage)

School District 70 (Pacific Rim) provides students with access to internet-based resources for educational purposes. This may include a District email account, Microsoft Office 365 for Education, and online file storage used for educational communication and school work.

Student information required to create and operate these services may be provided to the service provider for the purpose of providing the student's District account and related educational services.

Cloud Services / Office 365 Consent *
I consent to the student's use of SD70 internet-based and cloud services, including Microsoft Office 365 for Education, and acknowledge the conditions described above.

SD70 Student Technology Use Agreement

School District 70 (Pacific Rim) provides students with access to computers, networks, internet services, wireless networks and other technology resources for educational purposes.

Students are expected to:

  • Use District technology responsibly, ethically and for appropriate educational purposes.
  • Respect the privacy and security of others.
  • Keep passwords and account information secure.
  • Not access, change or interfere with another person's accounts, files or data.
  • Not use District technology for inappropriate or unlawful activities, including cyberbullying, harassment, hacking or distributing harmful software.
  • Follow District expectations when using personal devices on District networks.
  • Respect copyright and intellectual property rights.
  • Follow staff directions and all District rules and procedures related to technology use.

Inappropriate use may result in restricted or removed access to District technology resources and other appropriate consequences.

This agreement summarizes the expectations of School District 70 (Pacific Rim) Administrative Procedure 5019 – Technology Acceptable Use.

I have read and agree to the SD70 Student Technology Use Agreement. *
I agree to the policy.

For students under 18 years of age, a parent or legal guardian must complete and sign this section. By signing, the parent or guardian confirms that the information provided in this CHOICES DL Student Intake & Learning Plan is accurate and acknowledges the learning and communication expectations described in this form.Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.



By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Middle Name
Last Name*
Relationship*
Phone*
Parent or Guardian's Date of Birth*
Date of Birth
Information
Grade*
Program / Enrolment Type*
Primary Learning Location*
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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