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NEW TO Calgary Board of Education Please complete and ensure all documents inside this package are signed: Checklist Page Viewed a recorded information session Completed and Submitted the Information Session Questionaire Demographic & Course Selection Academic Honesty Agreement Digital Citizenship Agreement PE Memorandum of Understanding Consent to Publish Student Work Individual Program Plan – Information for Parents CBE registration Form Identification for student (birth certificate, passport, permanent resident card etc. Any other legal documents (i.e. custody order, guardianship) Report Card – Most Recent When emailing please include all documents as one complete PDF file. The Application Process: Attend an information session (dates found on cbelearn.ca) Email to Jeanette Vandrunen ([email protected]) this entire application package (as directedabove), including a copy of the students most recent report card as well as student identification as stated above. Please use the subject line: "STUDENTLASTNAME new to CBE application" when returning by email. Jeanette will connect with you if any documents or signatures are missing Once we have all the information needed, you will be sent a link to book an appointment with Lisa Stuart, Learning Leader for the Elementary and Jr. High programs.Both the parent/guardian and student will need to be in attendance at this online meeting. To prepare for the online appointment: Parent/Guardian(s) and students must attend the online Skype meeting Have available: o Identification for the student (birth certificate, passport, permanent resident card, etc.) o Identification for the parent / guardian (passport, driver’s licence, etc.) o Copy of the student’s current IPP (if applicable) CBe-learn Grades 1-5 2336 53 Ave SW Calgary, AB T3E 1L2 t | 403-777-7971 f | 403-777-7270
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NEW TO Calgary Board of Education...The Calgary Board of Education (CBE) does not supervise any activities or provide instruction outside of CBE schools that are part of the Physical

Oct 05, 2020

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Page 1: NEW TO Calgary Board of Education...The Calgary Board of Education (CBE) does not supervise any activities or provide instruction outside of CBE schools that are part of the Physical

NEW TO Calgary Board of Education

Please complete and ensure all documents inside this package are signed: Checklist Page Viewed a recorded information session Completed and Submitted the Information Session QuestionaireDemographic & Course SelectionAcademic Honesty AgreementDigital Citizenship AgreementPE Memorandum of Understanding

Consent to Publish Student WorkIndividual Program Plan – Information for ParentsCBE registration FormIdentification for student (birth certificate, passport, permanent resident card etc.Any other legal documents (i.e. custody order, guardianship)Report Card – Most Recent

When emailing please include all documents as one complete PDF file.

The Application Process: • Attend an information session (dates found on cbelearn.ca)• Email to Jeanette Vandrunen ([email protected]) this entire application package (as directedabove),

including a copy of the students most recent report card as well as student identification as stated above.Please use the subject line: "STUDENTLASTNAME new to CBE application" when returning by email.

• Jeanette will connect with you if any documents or signatures are missing• Once we have all the information needed, you will be sent a link to book an appointment with Lisa Stuart, Learning

Leader for the Elementary and Jr. High programs.Both the parent/guardian and student will need to be in attendance at this online meeting.

To prepare for the online appointment: • Parent/Guardian(s) and students must attend the online Skype meeting• Have available:

o Identification for the student (birth certificate, passport, permanent resident card, etc.)o Identification for the parent / guardian (passport, driver’s licence, etc.)o Copy of the student’s current IPP (if applicable)

CBe-learn Grades 1-52336 53 Ave SW Calgary, AB T3E 1L2 t | 403-777-7971 f | 403-777-7270

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Page 2: NEW TO Calgary Board of Education...The Calgary Board of Education (CBE) does not supervise any activities or provide instruction outside of CBE schools that are part of the Physical

Updated April 23, 2020 (MRT) 

Grades 1-5 Demographics & Course Request Form

STUDENT INFORMATION

Last Name: First Name:

CBE ID:

Home Address: Postal Code:

Previous courses with CBe-learn? ☐ YES ☐ NO

Last School Attended: Grade level completed:

Does student have an Individualized Program Plan (IPP)? ☐ YES ☐ NO

What did your previous learning look like? What kind of additional supports did you get in the classroom?

Full Program Includes: Grade Requested Notes

English Language Arts Social Studies Math Science Health Physical Education

☐ 1 ☐ 2 ☐ 3 ☐ 4

☐ 5

PARENT INFORMATION

Parent / Guardian Name: Phone Number:

Parent / Guardian Email Address:

Parent / Guardian Signature:______________________ Student Signature: ______________________

OFFICE USE ONLY

Application Action Done By

D2L Gr.1-5 Homeroom

PowerSchool Entered Courses Enrolled Fees

Government Code Demographics Updated

Documents File Requested Student ID (if new to CBE)

Page 3: NEW TO Calgary Board of Education...The Calgary Board of Education (CBE) does not supervise any activities or provide instruction outside of CBE schools that are part of the Physical

CBe-learn Grades 1-5 Online 2336 53 Ave SW Calgary, AB T3E 1L2 t | 403-777-7971 f | 403-777-7270

Academic Honesty – Student Agreement

Academic honesty is expected of all students.

Work submitted for assessment as your own work must be your own, and materials taken from any other sources must be clearly identified and referenced.

Intentional falsification of data, plagiarism, copying from others in class, obtaining information about exams and other violations of academic honesty are not acceptable.

Plagiarism, which is the practice of taking the writings or ideas of another and presenting them as your own, is the most common violation.

Students should be aware of the forms that plagiarism can take. Any of the following, without reference or acknowledgement of the original source, can be considered as plagiarism violations:

direct duplication, by copying (or allowing to be copied) another person's work,from a book, article, web site, another student's assignment etc.

paraphrasing of another person's work closely, making only minor changes tothe wording but with the essential meaning, form or progression of ideasmaintained

piecing together sections of the others' work into a new whole

submitting your own work which has already been submitted for assessment inanother subject or course

producing assignments with other people (eg. Another student, a tutor) whichis being assessed as your own independent work.

sharing your work with another student

Student work may be screened electronically to identify plagiarism from all internet sources and other student work previously submitted to CBe-learn.

The circumstances and evidence in each case are reviewed by the instructor, student, parents and CBe-learn administrators. Consequences in each case are at the discretion of the school administration.

Page 4: NEW TO Calgary Board of Education...The Calgary Board of Education (CBE) does not supervise any activities or provide instruction outside of CBE schools that are part of the Physical

2 | 2 Updated April 21, 2020 (MT)

1. The CBe-learn consequences for academic dishonesty the first time are:

discussion with the student via phone or private discussion, ensuring thestudent has a clear understanding of the following:

o what constitutes academic dishonestyo the consequences and conditions of submitting work that is not the

students' original work students are provided with one opportunity to resubmit the assignment for

reassessment

2. If it occurs a second time, the CBe-learn consequence are:

face-to-face meeting with the teacher, student and parent/guardian contact with guidance counsellor and or/assistant principal if the student

attends another CBE high school

3. In a rare third case of academic dishonesty, the final CBe-learn consequences are:

withdrawal from the course

I have read and reviewed this Academic Honesty Policy with my child and we are in agreement with this Policy. Yes              No  

Parent / Guardian’s Signature   _______________________________    Date ________________ 

I have read and reviewed this Academic Honesty Policy with my parent/guardian and I am in agreement with this Policy. Yes      No  

Student’s Name          __________________________________    Date  ________________ 

Page 5: NEW TO Calgary Board of Education...The Calgary Board of Education (CBE) does not supervise any activities or provide instruction outside of CBE schools that are part of the Physical

CBe-learn Grades 1-5 Online 2336 53 Ave SW Calgary, AB T3E 1L2 t | 403-777-7971 f | 403-777-7270

Digital Citizenship – Responsible Use Agreement

The use of technology is an integral part of learning at all CBE schools, as required by the information and Communication Technology (ICT) Program of Studies. The purpose of this responsible use policy is to ensure that all school owned technology and wireless devices are used responsibly and appropriately by students. 

Students are encouraged to use technology to: 1. Access, critically assess, and communicate information and understanding.2. Seek alternative viewpoints.3. Create personal knowledge and meaning.4. Demonstrate understandings.5. Organize and manipulate data.6. Collaborate with others.

Our responsible use policy describes the ways in which we support CBe‐learn students using digital devices and social media for learning. In addition it describes inappropriate uses of digital devices on the network within the Calgary Board of Education. Electronic devices are only to be used under the supervision of staff knowledgeable with the school’s Digital Citizenship Plan. Students are responsible for ensuring that their personal electronic devices are kept at home or stored safely. Personal electronic devices should only be used under the teacher’s direction during school hours.  The school does not provide technical support for personal devices and is not responsible for personal devices that are lost, stolen or damaged. 

Students will use devices and /or the CBE network: 

To demonstrate their understandings of learning outcomes in creative and thoughtfulways. 

To learn how to communicate effectively using a digital device. To share their achievements and excitement about learning with their parents and peers. To demonstrate their learning in a variety of ways. To support personalized learning. To think critically and build information literacy skills. To explore deep questions they have in relation to learning and life. To find rich and reliable sources of information that they will learn how to cite and share

with others. To learn and practice digital etiquette in a compassionate manner. To have fair access to an electronic society in a manner that will support their growth in

understanding of new digital technologies. To protect their own and other’s privacy, safety and freedom of thought while supporting

health and wellness.

Page 6: NEW TO Calgary Board of Education...The Calgary Board of Education (CBE) does not supervise any activities or provide instruction outside of CBE schools that are part of the Physical

2 | 2 Updated April 21, 2020 (MT)

The following activities are examples of inappropriate usage for students or staff in CBE schools using CBE technology and network: 

Sending or displaying content with offensive messages or pictures. Using obscene language. Harassing, insulting, or attacking others. Intentionally damaging computer equipment or the network. Violating copyright laws. Using other people’s folders, work, or files, or enabling others to do so. Allowing others to use your account. Trespassing into other people’s folders, work or files. Intentionally destroying other people’s work. Employing the CBE network for commercial purposes. Using electronic media for plagiarizing. Storing and using information for cheating. Running and application/program from a portable memory device. Posting, publishing, circulating, or distributing personal information about oneself or

others without the supervision and consent of a staff member. Intentionally using system technology for non‐teacher‐approved activities such as:

Playing games. Participating in non‐teacher‐directed‐chat. Participating in online gambling or other gaming activities. Installing software on any school computer. Excessive or inappropriate printing.

Misuse of electronic devices and/or the wireless network will result in a temporary or permanent loss of privileges. 

If clarification is required, please contact the school Administration Team. Please return this form to the school. This is an Annual Acceptable Use Form. 

I have read and reviewed this Acceptable Use Policy with my child and we are in agreement with this Policy.  Yes              No  

Parent / Guardian’s Signature   _______________________________    Date ________________ 

I have read and reviewed this Acceptable Use Policy with my parent/guardian and I am in agreement with this Policy.  Yes              No  

Student’s Name          __________________________________    Date  ________________ 

Page 7: NEW TO Calgary Board of Education...The Calgary Board of Education (CBE) does not supervise any activities or provide instruction outside of CBE schools that are part of the Physical

CBe-learn 2336 53 Ave. SW Calgary AB T3E 1L2

t | 403-777-7971 f | 403-777-7270 | www.cbelearn.ca

| memorandum of understanding | Online Physical Education

Notice to students and parents / guardians of students:

The Calgary Board of Education (CBE) does not supervise any activities or provide instruction outside of CBE schools that are part of the Physical Education Course offered by CBe‐learn, the online school for the Calgary Board of Education (unless specifically stated and accompanied by an Acknowledgement of Risk Form). As a result of this situation you must read the following conditions that apply to you or your child’s participation in online Physical Education.

You (if you are currently over the age of 18 years) and/or your parents (if you are currently under 18 years of age) must ensure that activities you choose as part of your involvement in a Physical Education Course offered by CBe‐learn are safe. The CBE holds no responsibility.

In each course students are expected to find activities that fulfill the program of studies as outlined in the course. Teachers in each course will determine that the activities chosen by a student and/or their parents or guardians will meet the educational requirements of the course. For example, a student’s participation in bowling as an activity might contribute toward credit for the Lifetime Leisure component but would generally not be credited toward aerobic or strength training.

The Calgary Board of Education will NOT arrange or be responsible for:

Fees or costs associated with participation in an activity Arrangement of transportation to and from the location Supervision of any activity or location Equipment and facilities Safety assessments Certification or qualifications First Aid Instruction Prerequisite skills Medical or any other kind of insurance

Students and/or their parents or guardians make all the arrangements and take full responsibility of the activity. This may include fees to a service provider, signing any forms or documents that a service provider might require and other arrangements that are part of the chosen activity. These agreements are external to the CBE.

Page 8: NEW TO Calgary Board of Education...The Calgary Board of Education (CBE) does not supervise any activities or provide instruction outside of CBE schools that are part of the Physical

Updated April 27, 2020 (MT)2 | 2

The CBE is not responsible for any losses as a result of students undertaking the course online and agreements external to the CBE.

I understand that there is an inherent risk of injury associated with all types of physical activity. I will review the recommended safety guidelines for the physical activities chosen by my child and will discuss them with my child.

I will ensure my child abides by the recommended safety guidelines for the physical activities they choose for physical education, and will abide by any other more stringent safety standards imposed by their instructors, coaches, or program leaders while they are participating in the chosen physical activities.

The Safety Guidelines for Physical Activity in Alberta Schools can be found at: https://education.alberta.ca/media/160206/sg_pa_final_2014.pdf

Your signature below indicates that you have read and fully understand the conditions outlined in this document to participate in Online Physical Education. If any of these conditions are unclear you must contact CBe‐learn, and talk to an administrator.

__________________________________ __________________________________ student name – please print student signature

__________________________________ __________________________________ parent/guardian name (if under 18 yrs old) parent/guardian signature

__________________________________ date

Page 9: NEW TO Calgary Board of Education...The Calgary Board of Education (CBE) does not supervise any activities or provide instruction outside of CBE schools that are part of the Physical

Revised June 2020 Research & Strategy Page 1 | 8

Dependent Student

Legal Last Name: Grade Entering:

Legal First Name: CBE Student ID Number (if known):

Legal Middle Name: Alberta Education ID Number (if known):

Resident / Non-Resident of The Calgary Board of Education (CBE) Under the Education Act, a student is considered to be a resident of CBE if at least one of the legal guardians / parents with day-to-day care of the student resides in the boundaries of CBE and at least one of them is NOT of the Roman Catholic faith. For more information refer to Boundaries of CBE at the end of this document. By signing below, I declare that (check one): all legal guardians / parents with day-to-day care of the student identified on this form, do not reside within CBE boundaries at least one legal guardian / parent with day-to-day care of the student identified on this form, resides within CBE boundaries

and (check one): all legal guardians / parents with day-to-day care of the student identified on this form, are of the Roman Catholic faith at least one of the legal guardians / parents with day-to-day care of the student identified on this form, is not of the

Roman Catholic faith

Print Legal Guardian / Parent Name Signature Legal Guardian / Parent Date (MM/DD/YYYY)

Student Name and Address

For acceptable identification refer to Proof of Age, Legal Name and Citizenship at the end of this document.

Preferred Last Name: Preferred First Name:

Birth Date: / / Gender: ☐ Female ☐ Male ☐ Another:MM DD YYYY (Optional)

Student Mobile Phone (only high school students): – –

Student Personal Email Address for Alberta myPass (students 13 or older):

Provide the address of the legal guardian / parent where the student lives full time. If the student lives with legal guardians that do not live together, the legal guardians must choose one address to use as the primary student residence.

Apt / Suite #:

Street: City:

Province: Postal Code:

Home Community (in Calgary):

Office Use Only

Name of School: Program: Lottery/Draw: ☐ Yes ☐ No Expected Start Date (MM/DD/YYYY): Kindergarten: ☐ Full Day (FD) ☐ FD Alternating ☐ Half Day

Proof of Address Document: Proof of Age & Legal Name Verified: ☐ Yes ☐ No Entered by: Date Entered (MM/DD/YYYY): Resident of CBE: ☐ Yes ☐ No

Student Registration Form Dependent Student

This form is a legal document. It must be completed in its entirety by a legal guardian or parent for each Kindergarten to grade 12 student registering in a school in The Calgary Board of Education. The information for each legal guardian, including custodial parents, must be included on this form. The Declaration must be signed in front of school personnel. Please bring (government issued) photo identification. You may be asked to provide documentation confirming guardianship. Please print.

Page 10: NEW TO Calgary Board of Education...The Calgary Board of Education (CBE) does not supervise any activities or provide instruction outside of CBE schools that are part of the Physical

Revised June 2020 Research & Strategy Page 2 | 8

Student Citizenship

Birth Country: Primary Language Spoken at Home:

All Languages Spoken in the Home:

Student is a Canadian Citizen: ☐ Yes ☐ No

If Canadian Citizen, name of Canadian document (e.g., birth certificate, passport, Canadian Citizenship Certificate):

If not Canadian Citizen, name of document (e.g., Permanent Resident, Landed Immigrant, Refugee Claimant, Temporary Resident, Child of Canadian Citizen, Child of a lawfully admitted permanent or temporary resident, Stepchild of a Canadian or Temporary Foreign Worker):

Effective Date of Document: / / Expiry Date of Document: / / MM DD YYYY MM DD YYYY

Student Medical Information

If the student’s attendance at school may be affected by an existing medical or physical condition, it is your responsibility to complete and submit the Student Health Plan form to the school.

Does the student have any medical or physical conditions that may affect their attendance at school? ☐ Yes ☐ No

Does the student have any life-threatening allergies? ☐ Yes ☐ No If yes to either of the above questions, give a brief description:

Has the Student Health Plan form been completed and submitted to the school? ☐ Yes ☐ No

Francophone Eligibility

The exercise of Francophone eligibility rights refers to instruction in a Francophone school, NOT a French Immersion school. According to the Education Act and Section 23 of the Canadian Charter of Rights and Freedoms, a student is eligible for instruction in a Francophone school if at least one parent is a Canadian citizen and one of the following three conditions exists:

either parent’s first language learned and still understood is French; either parent has received their primary school instruction in Canada in French; or one or more of the parent’s children has received or is receiving primary or secondary instruction in French in Canada.

Does your child have Francophone eligibility? ☐ Yes ☐ No

If yes, and you wish to exercise your right, please contact the Conseil Scolaire FrancoSud at 403-686-6998. The Alberta Student Records Regulations requires that, if requested, The Calgary Board of Education provide the name, address, date of birth and gender of Section 23 eligible students to the Francophone School District as well as the name, address and telephone number of the student’s parent.

Self-Identify as Indigenous

If you wish to declare the student as Indigenous, select one:

☐ First Nation (status) ☐ First Nation (non-status) ☐ Métis ☐ Inuit

For further information, refer to https://www.alberta.ca/first-nations-metis-or-inuit-student-self-identification.aspx or contact Alberta Education at 780-427-8501 (dial 310-0000 first to be connected toll-free from anywhere in Alberta).

Page 11: NEW TO Calgary Board of Education...The Calgary Board of Education (CBE) does not supervise any activities or provide instruction outside of CBE schools that are part of the Physical

Revised June 2020 Research & Strategy Page 3 | 8

Previous School Information

Has the student ever registered in a school in The Calgary Board of Education (CBE)? ☐ Yes ☐ No

If yes, provide:

Name of CBE School:

Grade Completed: Withdrawal Date (MM/DD/YYYY):

Has the student attended school elsewhere (including with an Early Childhood provider)? ☐ Yes ☐ No

If yes, provide: Name of the Last School Attended:

Name of School Contact:

Grade Completed: Withdrawal Date (MM/DD/YYYY):

Reason for Leaving:

Was the student suspended or expelled? ☐ Yes ☐ No

Address of School: School Phone: School Fax:

Student Learning Needs

Has the student ever had an Individual Program Plan (IPP), Individual Education Plan (IEP) or had a learning, medical or mental health assessment that has provided recommendations to support the student’s learning? ☐ Yes ☐ No

If yes, provide the school with the learning, medical or mental health assessment document (e.g., psycho-educational assessment, physician letter).

If yes and from inside Alberta, provide a description and if known, the Alberta Education special education code(s).

If yes and from outside Alberta, provide a description and if known, the special education code(s).

Has the student ever been in a special education program/class or unique setting in CBE or elsewhere? ☐ Yes ☐ No

If yes, what was the name of the program/class or setting, and if not from CBE, provide a description.

Are there any language needs or other unique learning needs we should know in order to support the student’s learning?

Legal Guardians / Parents / Others If there is more than one Legal Guardian, include the information for each guardian on this form whether the guardians live together or not.

A legal guardian may be a parent or other person who is legally responsible for the well-being of the child and makes important decisions for the child. Legal guardian is defined in section 1(2) of the Education Act and in the Alberta Government website.

For more information refer to the Relationship and Custody and Guardianship Documents at the end of this document.

Set the phone preferences using the ‘Call Order’. Select 1 for the preferred phone number.

Please provide a minimum of TWO emergency contacts. They may be legal guardians, non-legal guardians or a combination of both.

Page 12: NEW TO Calgary Board of Education...The Calgary Board of Education (CBE) does not supervise any activities or provide instruction outside of CBE schools that are part of the Physical

Revised June 2020 Research & Strategy Page 4 | 8

Legal Guardian

First Name: Last Name:

Relationship to Student: Language interpretation requested: ☐ Yes ☐ No

Lives with Student: ☐ Yes ☐ No Same Address as Student: ☐ Yes ☐ No

Emergency Contact: ☐ Yes ☐ No Contact Order (assign a priority level): ☐ 1st ☐ 2nd ☐ 3rd ☐ 4th ☐ 5th ☐ 6th

Legal Guardians / Parents Live Together: ☐ Yes ☐ No If yes, skip to Home Phone.

Custody: ☐ Sole Custody / Parenting ☐ Joint / Shared Custody / Parenting ☐ Delegation of Authority ☐ Decision Making

Court Order: ☐ Yes ☐ No If yes, a copy must be provided for the student record.

Emergency Protection Order: ☐ Yes ☐ No If yes, a copy must be provided for the student record.

If there are no court documents, a brief written summary of the current family status is required:

Home Phone: – – Call Order (preference): ☐ 1 ☐ 2 ☐ 3

Work Phone: – – Ext. Call Order (preference): ☐ 1 ☐ 2 ☐ 3

Mobile Phone: – – Call Order (preference): ☐ 1 ☐ 2 ☐ 3

Email Address:

Home Address: Apt / Suite #: Mailing Address: Apt / Suite #:

Street: City: Street: City:

Province: Postal Code: Province: Postal Code:

Home Community (in Calgary):

Legal Guardian

First Name: Last Name:

Relationship to Student: Language interpretation requested: ☐ Yes ☐ No

Lives with Student: ☐ Yes ☐ No Same Address as Student: ☐ Yes ☐ No

Emergency Contact: ☐ Yes ☐ No Contact Order (assign a priority level): ☐ 1st ☐ 2nd ☐ 3rd ☐ 4th ☐ 5th ☐ 6th

Legal Guardians / Parents Live Together: ☐ Yes ☐ No If yes, skip to Home Phone.

Custody: ☐ Sole Custody / Parenting ☐ Joint / Shared Custody / Parenting ☐ Delegation of Authority ☐ Decision Making

Court Order: ☐ Yes ☐ No If yes, a copy must be provided for the student record.

Emergency Protection Order: ☐ Yes ☐ No If yes, a copy must be provided for the student record.

If there are no court documents, a brief written summary of the current family status is required:

Home Phone: – – Call Order (preference): ☐ 1 ☐ 2 ☐ 3

Work Phone: – – Ext. Call Order (preference): ☐ 1 ☐ 2 ☐ 3

Mobile Phone: – – Call Order (preference): ☐ 1 ☐ 2 ☐ 3

Email Address:

Home Address: Apt / Suite #: Mailing Address: Apt / Suite #:

Street: City: Street: City:

Province: Postal Code: Province: Postal Code:

Home Community (in Calgary):

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Revised June 2020 Research & Strategy Page 5 | 8

Legal Guardian

First Name: Last Name:

Relationship to Student: Language interpretation requested: ☐ Yes ☐ No

Lives with Student: ☐ Yes ☐ No Same Address as Student: ☐ Yes ☐ No

Emergency Contact: ☐ Yes ☐ No Contact Order (assign a priority level): ☐ 1st ☐ 2nd ☐ 3rd ☐ 4th ☐ 5th ☐ 6th

Legal Guardians / Parents Live Together: ☐ Yes ☐ No If yes, skip to Home Phone.

Custody: ☐ Sole Custody / Parenting ☐ Joint / Shared Custody / Parenting ☐ Delegation of Authority ☐ Decision Making

Court Order: ☐ Yes ☐ No If yes, a copy must be provided for the student record.

Emergency Protection Order: ☐ Yes ☐ No If yes, a copy must be provided for the student record.

If there are no court documents, a brief written summary of the current family status is required:

Home Phone: – – Call Order (preference): ☐ 1 ☐ 2 ☐ 3

Work Phone: – – Ext. Call Order (preference): ☐ 1 ☐ 2 ☐ 3

Mobile Phone: – – Call Order (preference): ☐ 1 ☐ 2 ☐ 3

Email Address:

Home Address: Apt / Suite #: Mailing Address: Apt / Suite #:

Street: City: Street: City:

Province: Postal Code: Province: Postal Code:

Home Community (in Calgary):

NOT Legal Guardian / Others (e.g., stepparent, babysitter, interpreter, probation officer)

First Name: Last Name:

Relationship to Student: Lives with Student: ☐ Yes ☐ No

Permission to Pick Up Student from School: ☐ Yes ☐ No

Emergency Contact: ☐ Yes ☐ No Contact Order (assign a priority level): ☐ 1st ☐ 2nd ☐ 3rd ☐ 4th ☐ 5th ☐ 6th

Release of Information Form (only needed if giving this person access to your child’s information): ☐ Yes ☐ No

If yes, has the form been discussed and signed by both certificated school staff and legal guardian / parent? ☐ Yes ☐ No

Home Phone: – – Call Order (preference): ☐ 1 ☐ 2 ☐ 3

Work Phone: – – Ext. Call Order (preference): ☐ 1 ☐ 2 ☐ 3

Mobile Phone: – – Call Order (preference): ☐ 1 ☐ 2 ☐ 3

NOT Legal Guardian / Others (e.g., stepparent, babysitter, interpreter, probation officer)

First Name: Last Name:

Relationship to Student: Lives with Student: ☐ Yes ☐ No

Permission to Pick Up Student from School: ☐ Yes ☐ No

Emergency Contact: ☐ Yes ☐ No Contact Order (assign a priority level): ☐ 1st ☐ 2nd ☐ 3rd ☐ 4th ☐ 5th ☐ 6th

Release of Information Form (only needed if giving this person access to your child’s information): ☐ Yes ☐ No

If yes, has the form been discussed and signed by both certificated school staff and legal guardian / parent? ☐ Yes ☐ No

Home Phone: – – Call Order (preference): ☐ 1 ☐ 2 ☐ 3

Work Phone: – – Ext. Call Order (preference): ☐ 1 ☐ 2 ☐ 3

Mobile Phone: – – Call Order (preference): ☐ 1 ☐ 2 ☐ 3

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Revised June 2020 Research & Strategy Page 6 | 8

NOT Legal Guardian / Others (e.g., stepparent, babysitter, interpreter, probation officer)

First Name: Last Name:

Relationship to Student: Lives with Student: ☐ Yes ☐ No

Permission to Pick Up Student from School: ☐ Yes ☐ No

Emergency Contact: ☐ Yes ☐ No Contact Order (assign a priority level): ☐ 1st ☐ 2nd ☐ 3rd ☐ 4th ☐ 5th ☐ 6th

Release of Information Form (only needed if giving this person access to your child’s information): ☐ Yes ☐ No

If yes, has the form been discussed and signed by both certificated school staff and legal guardian / parent? ☐ Yes ☐ No

Home Phone: – – Call Order (preference): ☐ 1 ☐ 2 ☐ 3

Work Phone: – – Ext. Call Order (preference): ☐ 1 ☐ 2 ☐ 3

Mobile Phone: – – Call Order (preference): ☐ 1 ☐ 2 ☐ 3

Sibling Information

Siblings can be connected in the student information system. Please provide the other children’s CBE school information (optional):

Name: CBE School: Grade:

Name: CBE School: Grade:

Name: CBE School: Grade:

Name: CBE School: Grade:

Declaration

This Declaration must be signed in front of school personnel. Please bring (government issued) photo identification. You may be asked to provide documentation confirming guardianship. I, the undersigned, hereby represent that I have the legal authority to register the student identified on this form. I have identified all legal guardians / parents for the student. I declare the information that I have provided on this form is complete and accurate. I will immediately notify the school of any changes to the information on this form.

Print Legal Guardian / Parent Name Print Staff Witness Name

Signature Legal Guardian / Parent Signature Staff Witness

Date of Signature (MM/DD/YYYY) Date of Signature (MM/DD/YYYY)

Freedom of Information and Protection of Privacy The personal information requested on this form is collected under the authority of Alberta’s Freedom of Information and Protection of Privacy (FOIP) Act, the Education Act and its regulations, and the Canadian Charter of Rights and Freedoms, Section 23. This information will be used for the maintenance of the student’s record, for a school board’s obligation to provide students with an education program that meets their needs, to provide a safe and secure school environment and other purposes that relate directly to and are necessary for an operating program or activity, including program placement, determination of eligibility and/or suitability for provincial or federal funding, contact and health related information in the event of problems or emergencies. Personal information may also be provided to the Minister of Education for the purpose of carrying out programs, activities, or policies under their administration (e.g., research, statistical analysis). This information will be treated in accordance with the privacy protection provisions of the FOIP Act.

If you have any questions about this form please contact the school.

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Revised June 2020 Research & Strategy Page 7 | 8

Boundaries of CBE North | 144 Avenue N.W. east to Carringvue Manor N.W. alignment (to the south), north to northern boundary of Livingston

community (north limit of Section 4, Township 26, Range 1, Meridian 5), east to 6 Street N.E., south to 144 Avenue NE, east on 144 Avenue N.E. to 84 Street N.E.

East | 84 Street N.E. south to 146 Avenue S.E., east to 88 Street S.E., 88 Street S.E.

South | Bow River west to Deerfoot Trail S.E., follow Deerfoot Trail S.E. south to city limits, west to Macleod Trail S.E., MacleodTrail S.E., north to alignment with 210 Avenue S.E. (to the west), west (following creek) along to 210 Avenue S.E., becoming 210Avenue S.W., to alignment with Silverado Plains Circle S.W. (to the north), north to 194 Avenue S.W., west on 194 Avenue S.W. toSpruce Meadows Way S.W., north on Spruce Meadows Way S.W. to alignment with Silverado Skies Drive S.W. (to the east), westto alignment with Bridleridge Road S.W. (to the north), south to alignment with 186 Avenue S.W. (to the west), 186 Avenue S.W. tocity limits, city limits west to 85 Street S.W.

West | 85 Street S.W. north to 146 Avenue S.W., east to 37 Street S.W., 37 Street S.W. north through Glenmore Park back to 37Street S.W., north to the Glenmore Trail S.W., Glenmore Trail S. W. west and follow city limits to 101 Street S.W., north to 2Avenue S.W. alignment, west along the south boundary of Crestmont community and north along the west boundary of Crestmontand Valley Ridge communities to Bow River, Bow River east to alignment with Twelve Mile Coulee Road N.W. (to the north), northon Twelve Mile Coulee Road N.W. (excludes Lynx Ridge) to 112 Avenue NW, follow 112 Avenue, becoming Country Hills BlvdN.W., east to Rocky Ridge Road N.W., follow Rocky Ridge Road N.W. north to 144 Avenue N.W.

Supplied by: Planning and Transportation Services, June 2020

Proof of Age, Legal Name and Citizenship The original document must be provided to the school. The school will make the copy.

The legal guardian / parent must produce the student’s Canadian birth certificate at the time of registration. If a Canadian birth certificate is not available, the school may accept a:

Canadian passport; Canadian citizenship certificate or card; Canadian provincial government Notice of Live Birth; Canadian Indigenous status card; or Canadian court order that states the legal name and age or date of birth of the child (e.g. Alberta adoption order).

The school can not accept a:

document from another country; Canadian federal government Record of Landing; or Canadian federal government Permanent Resident Card, Permanent Resident Record or Confirmation of Permanent Residence.

A legal guardian / parent who cannot show proof of the student’s Canadian citizenship must register the student through CBE Welcome Centre. For more information visit www.cbe.ab.ca or call 403-817-4000.

Exception – Students in Shelters If the legal guardian / parent does not have one of the documents listed above, they will provide a written summary of current family status until documentation can be provided. The legal guardian / parent is to apply to the government to acquire the required document. Shelter staff can help with this. If applicable, the legal guardian / parent will provide the Restraining Order (RO) or Emergency Protection Order (EPO).

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Revised June 2020 Research & Strategy Page 8 | 8

Relationship The following are the options for relationships:

Agency Representative Babysitter Cousin Custodian DLSA - CBE Diversity & Learning Support Advisor Family Friend Father Foster Parent Grandparent Group Home Case Worker Home Stay Parent Interpreter Legal Guardian Mother Other Outside School Care

Parent Partner Physician Probation Officer Psychologist Relative Sibling Social Worker Sponsor Spouse Stepfather Stepmother Stepparent Stepsibling System AP, Global Learning Unspecified

Custody and Guardianship Documents The original court document must be provided to the school. The school will make a copy of the document, which will be placed in the Official Student Record (OSR).

Decision Making – legal authority for making day-to-day decisions affecting the child. Similar to joint custody, can be courtordered. If not addressed in an Order, the guardians usually both have rights and responsibilities for this.

Delegation of Powers and Duties to a Child Caregiver – implicit sub-allocation of powers and duties by the Director of Child andFamily Services, or their delegate (i.e., the social worker), under the Child, Youth and Family Enhancement Act. Done by the social worker for a child in protective custody – either Temporary Guardianship Order (TGO) or Permanent Guardianship Order (PGO).

Joint / Shared Custody / Parenting – more than one guardian may exercise the powers, responsibilities and entitlements ofguardianship, unless the court orders otherwise; shall use best efforts to co-operate with one another in exercising their powers, responsibilities and entitlements of guardianship. Can be court ordered, or presumed if the parents were married and are now separated but have not been to court.

Sole Custody / Parenting – allocation, generally or specifically, of the powers, responsibilities and entitlements of guardianshipexclusive to one individual. Usually court ordered.

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Consent to Publish Student Information and Work

Our school would like to share information and communicate with students and parents by highlighting the school, student and student work or activities in a variety of public forums for non-profit educational purposes. The following are examples only and not meant to be an all inclusive list of how student personal information and work may be shown: online learning sessions, displays during school sponsored open houses; professional development sessions; other school related activities held at the school, school district sites or at school or school district sponsored events; school or community publications; or posting or publishing on school or Calgary Board of Education web sites.

Our school’s web site may be accessed at: www.cbelearn.ca.

Students’ work that is shared will be identified using the student’s first name and last name initial, only.

In order to comply with Alberta’s Freedom of Information and Protection of Privacy (FOIP) Act and the Copyright Act, the Calgary Board of Education is requesting consent from parents or independent students to post or publish student information and work on various public forums, including recording of online learning sessions. Please note the following information:

Once photographs, student names and other identifying information or student work are released in anypublic forum, the Calgary Board of Education cannot control or prevent the further distribution or use of thematerial by those who access the information.

Parents or independent students are under no obligation to consent; it is their voluntary decision to do so.If you do not return this form, this indicates a refusal to consent.

Your consent will be valid for the duration of the school year. You may withdraw your consent prior toposting or publication by notifying the school principal in writing. You may at any time instruct us toremove the photographs or work from Calgary Board of Education sites such as school or school districtdisplays or from the school web site or Calgary Board of Education web site by notifying the schoolprincipal in writing.

Consent for Release I, being the independent student or the parent/legal guardian of the student named below, have read and understand the information provided on this form. I voluntarily give the Calgary Board of Education consent to post or publish my or my child’s photographs, first name and last initial, grade, school and samples of my or my child’s work in various public forums as described above for non-profit educational purposes. I understand my consent is valid for the current school year unless I revoke my consent prior to posting or publication by notifying the school principal in writing.

Name of Student (please print) School

Name of Parent/Guardian (please print) Signature of Parent/Guardian/Independent Student

Name of Independent Student (please print) Date

Page 18: NEW TO Calgary Board of Education...The Calgary Board of Education (CBE) does not supervise any activities or provide instruction outside of CBE schools that are part of the Physical

Individual Program Plans: Information for Parents Individual Program Plans 

Individualized Program Plans (IPPs) are the main document used by schools to captureassessment information about students identified with special education needs, to set out plansfor teaching and learning, and to document ongoing growth and progress.

Planning Together 

Individual program planning is a collaborative process. Parents and teachers, as well as students (asappropriate), work together to:

o build an understanding of where the student is starting from in their learning,o develop a plan of action,o monitor growth and celebrate successes,o identify obstacles and find ways around them,o document effective strategies, ando plan for transitions from one learning environment to the next.

In the IPP process, parents play a critical role in building an understanding of their child as a learnerand in creating a meaningful, achievable learning plan.

According to Alberta Education's Standards for Special Education, 2004, schoolboards are requiredto obtain written parental consent on IPPs.At each review date, parents are asked to sign the IPP,indicating that they understand and agree to the plan that has been developed for their child.

Resolving Differences 

At any time, parents are welcome to contact their child's teacher(s) or the school principal to discussquestions or concerns, to offer insights about their child, or to make suggestions for next steps.

If parent(s) don't understand the IPP, or don't agree with its contents, it is important to worktogether with the teacher(s) and/or principal to resolve misunderstandings or make changes to theIPP.

In cases where the parent(s) refuse consent or are unavailable to provide consent, the parent(s)and/or teacher will document the reasons why , and will note the steps that were taken to resolvedifferences. In the absence of parental agreement, instruction in the classroom must be based onreasonable practice and teachers must make instructional decisions in the best interests of thestudent.

For more information about IPPs, please visit: 

Calgary Board of Education: Administrative Regulation 3003 (Special Education Programming) ‐ http://www.cbe.ab.ca/GovernancePolicies/AR3003.pdf 

While the CBE works to keep all personal information secure, I understand that there are risks of inappropriate access whenever personal information is sent via email. There is no way to guarantee that information sent by email will not be inappropriately accessed. 

I consent to receiving an electronic copy of my child's IPP to the following email address(s). 

EMAIL ADDRESS: 

PRINT NAME  SIGNATURE  DATE