ARCHBISHOP ROMERO CATHOLIC SECONDARY SCHOOL
Registration/Course Selection
2015/2016
 JEAN VANIER ADVANTAGE MISSISSAUGA ADULT EDUCATION PROGRAM
2495 Credit Valley Rd., Mississauga, ON, L5M 4G8 Telephone (905) 412-1000
 JEAN VANIER ADVANTAGE BRAMPTON ADULT EDUCATION PROGRAM
2 County Court Blvd. Unit 175, Brampton, ON, L6W 3W8 Telephone (905) 595-3644
Course Selection Information
Last Name: _________________First Name:________________ Preferred Name:__________________
Gender Identification: M F
Date of Birth:_______________ Start Date:_________________
Address: ______________________________________________________________ Apt #:__________
Phone #1: cell  home  __________________ Phone #2: cell  home  ___________________
Last School Attended:_______________________________________
Literacy Requirement Status (OSSLT): Successful 
IEP: Y ___ N ___
Unsuccessful 
Not Attempted 
O.E.N. # : ___________________________ Student ID #: ________________________________
This form must accompany the Registration Verification Form
Course Selections for 2015-2016
(Please refer to course offerings on Page 2)
Block 1
Block 2
Block 3
Block 4
Sept 8-Nov 6
Nov 13-Jan 25
Feb 4-Apr 13
Apr 20- June 17
Period 1
Period 1
Period 1
Period 1
Period 2
Period 2
Period 2
Period 2
Counsellor
Notes
*Credit recovery availability will vary. E-Learning is also available for Block 1 or Block 3 starts only.
Dual Credit is only available in Block 4
Attendance is critical in a 9-week program. Students are expected to attend daily.
Students may be withdrawn from a course after 3 absences.
Courses may not be dropped after the 20th class without full transcript disclosure.
The above selection represent the courses in which I wish to enrol for the 2015/2016 year. I have reviewed the course
selections indicated above and agree with these choices, subject to availability.
______________________________________________
Adult Student Signature
___________________________
Date
MUNICIPAL FREEDOM OF INFORMATION & PROTECTION OF PRIVACY ACT, 1989: Personal information on this form is collected under the legal authority of the Education Act,
R.S.O. 1980, c 129 and Health Cards & Numbers Control Act, 1991. This information will be used for the purposes of course selection and determination and educational plan
development. Questions regarding this collection of personal information should be directed to K. Fenwick, Principal, 2495 Credit Valley Rd., Miss ON. L5M 4G8 (905)412-1000.
THE DUFFERIN-PEEL ROMAN CATHOLIC SEPARATE SCHOOL BOARD
NETWORK USER APPLICATION AND AGREEMENT
Name of Student:
To be completed on first registration at Archbishop Romero CSS
The Dufferin-Peel Roman Catholic Separate School Board policy supports the use of the local and wide area networks for electronic communication and the Board
believes this to be an integral part of the school curriculum.
In addition to the school’s Code of Student Behaviour and Discipline and to outline in some detail the responsibilities of the school and The Dufferin-Peel Roman
Catholic Separate School Board, students using the school network are required to adhere to the following rules:
1.
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3.
4.
5.
6.
7.
8.
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10.
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15.
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18.
These are the “Rules of Conduct” for Electronic Networks in the Dufferin-Peel RCSS Board schools, including Internet access.
The school reserves the right to change the rules at any time without notifying users. (Changes to rules will be posted.)
The school reserves the right to remove network access from any user who breaks these rules.
The school does NOT warrant that the functions will meet any specific requirements the student may have; nor that it will be error free or uninterrupted; nor
shall it be liable for any indirect, incidental, or consequent damages (including lost data, information or profits sustained or incurred in connection with the
use of , operation of, or inability to use the system. The student maintains responsibility for meeting all personal deadlines regardless of network
availability.
The student is responsible for his/her actions while using the computer.
The student will not assist others in breaking these rules or be a party to others breaking these rules.
The student must not intentionally seek information, browse, obtain copies, modify files, or passwords belonging to others, whether at the school or
elsewhere, unless specifically authorized to do so by those individuals.
Consistent with Item # 7, the student will refrain from using or introducing to the school computer environment, whether network or stand-alone, files,
programs, or disks known to contain viruses. In this spirit, the student will also regularly check his/her files and disks for viruses and endeavor to keep the
computing system virus free.
The student must not try to obtain system privileges to which he/she is not entitled.
The student will not share his/her login password with others, nor attempt to learn or use logins and passwords which are not his/her own.
The student must not exploit any gaps in security and, furthermore, must report these gaps immediately to his/her teacher.
The student must not seek or send images, sounds, or messages which might be considered inappropriate, obscene, abusive, offensive, harassing, illegal, or
counsel to illegal activities.
A student who receives or encounters any of the materials indicated in item # 12 which makes him/her feel uncomfortable, should report it to his/her teacher
immediately.
The student is responsible for determining the copyright status of any program(s) or data used, and for respecting intellectual property rights and the laws
which govern them.
It is the student’s responsibility to back-up, save, and maintain any of his/her information.
The student must abide by all federal, provincial, and local laws.
The school reserves the right to review, edit or remove any material stored on Board computer/network facilities.
The school will be the arbiter of what constitutes a violation of this Agreement.
I acknowledge that I have received and will abide by the Network User Application and Agreement and that this Agreement remains in effect for the
duration of the student’s tenure in this school system.
Print Student Name
Signature of Parent/Guardian
Date
IMAGE RELEASE FORM
I understand that photographs, written work, video and audio recording, may be used, edited and released to newspapers, radio, television and internet providers.
I hereby release the Dufferin-Peel Catholic District School Board and its employees and assignees from all claims resulting from the use, editing and release of
any photograph, written work, video and audio recording with respect to events/ activities at this school.
Adult Student Signature
Date
Freedom of Information
As an adult student you must, in writing, indicate the person with whom the school may communicate about you. Check all boxes that apply .
I, the undersigned, give permission to the staff of Archbishop Romero CSS to communicate with:
 Mother  Father  Both Parents  Neither Regarding:  Academic Progress
Student’s Signature _____________________________________________
 Attendance
 Open Communication
Date _____________________________________________