North Coast Distance Education

STUDENT REGISTRATION AND ENROLLMENT

Please contact us at (250) 635-7944 if you have any trouble and we will gladly help you with the on-line registration process

If you have already enrolled with us in the past, please reuse your old account. If you can no longer access your old account, contact us at (250) 635-7944 and we will help you regain access. Creating a duplicate account could delay your course completion.

= required fields

Unless otherwise instructed, leave fields which do not apply to you as blank instead of filling with N/A or similar.

Anywhere you see the icon, you can place your mouse pointer over it and get further instructions.

Anywhere you see the icon, you can place your mouse pointer over it and get information about a possible error in your application.

Full Name:

Usual Last Name

First Name

Middle Name

Other Names:

Legal Last Name

Maiden Name

Other Name

Agreements:

I have read and agree to the school code of conduct:http://www.ncdes.ca/includes/Code of Conduct.pdf

I declare that I am a resident of British Columbia.

I declare that I am not enrolled in another school or that my School of Record:Holds my complete Permanent Student Record including proof of birth and proof of residence.Will update that Permanent Student Record upon receipt of a final mark from North Coast Distance Education School.Is responsible for my graduation plan, of which the courses on this application form a part.Verifies that I am NOT currently taking this course at my school of record.

I understand the following:The school board is responsible for the educational program of the student.The school board is responsible for ensuring that student learning is directed by a member of the College of Teachers.The school board is responsible for assessment and reporting on the student.The Student Learning Plan will meet the Ministerial Orders for the Required Areas of Study and the Graduation Requirements.I am committed to attending meetings and submitting assignments and materials as required by the teacher for assessment and reporting purposes.I am committed to my education program through distributed learning with NCDES and will complete all courses listed on my current Student Learning Plan.I have read and agree to the conditions of the Code of Conduct and Acceptable Use Agreement for Internet Access.

I understand and agree that my progress will be shared with the contacts I will supply below.

I agree that NCDES will use my email account even if it may transmit personal and confidential information to me through services outside of Canadian jurisdiction.

Student Information

Birthdate:

Designation:

Gender:

Phone:

Home eg. 250-222-2500

Other

Email:

Email Address:

Confirm Email Address:

Mailing Address:

Street

City

Postal code(V1V 2L3)

House Address (if different from above address):

Street

City

Contacts:

School Contact Email Address:

Email:
Name:
Phone:
Relationship:

Parent/Guardian Email Address:

Email:
Name:
Phone:
Relationship:

Special Needs:

Medical Alerts (allergies,conditions):

Aboriginal Status (if applicable)

Are you an Indigenous student?

Current School Information:

What school are you currently enrolled in?	provincial education number
Name of Counsellor or Administrator	Current Grade:

Course Selection:

Select From this List:

Selected Courses

Target starting date

Target ending date

Preferred contact Time

Do you have a computer with broadband internet

Have you enrolled in distance education before?

I agree to the student work and likeness release form as detailed at http://ncdes.ca/includes/release.pdf

Upon successful completion of this registration and your Course Plan (not required for some students), you will get an email confirming your request. If you have not received this email in 15 minutes, please check your junk mail folder and if it is not there then contact NCDES to resolve the issue. Be sure to submit your first assignment as soon as possible to activate your registration.

Click here for map:

North Coast Distance Education

3120 Highway 16 East

Terrace, BC, V8G 4N8

Phone (250) 635-7944

Tollfree (800) 663-3865

Checklist:

Student Information