SNP-STEAM Academy Application Form
Notice of Collection and Use of Personal Information

Information on this form is collected under the legal authority of the Education Act and in accordance with the Municipal Freedom of Information and Protection of Privacy Act [MFIPPA]. It will be used to establish the Ontario Student Record [OSR], and for student and education related purposes such as registration, administration, communication, data reporting, and Student Transportation Services. Student information such as name, date of birth, and contact information is released to the Regional Health Units in accordance with the Health Protection and Promotions Act and the Immunization of School Pupils Act. Student information is used by the Ontario Ministry of Education and by EQAO [Education Quality and Accountability Office] for education related purposes. Questions or concerns should be directed to the school principal.

Student Information
Application for: *
Student's Full Name *
Your answer
Student's Full Address *
Your answer
Street Number and Name
Your answer
City
Your answer
Postal Code
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Lives With *
Is there a court order limiting access to one or both parents?
If applicable, please list your: Indigenous Status Card Number:
Your answer
Indigenous Band Name and Number:
Your answer
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