Upper Grand District School Board              Summer School Skilled Trades Co-op Program
Student Registration Form 2020
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Last Name *
First Name *
Birth Date (please make sure to pick correct year!) *
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DD
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Gender *
Home Address *
City/Town *
OEN
Please use the format ### - ### - ### and include all 9 digits; check a recent report card if you are unsure. If you do not have one indicate N/A
Home Phone   *
Indicate N/A if you don't have a home phone (land line)
Cell Phone *
Indicate N/A if you don't have a cell phone
Email Address *
You must check this email regularly, so be sure to use an address that is active
Which Secondary School do you attend *
If you are not currently attending High School, please choose N/A
Highest grade completed *
How many credits do you need to graduate? *
Are you currently in a 2nd Chance program?
Clear selection
In which trade sector are you interested in working. *
Check only the trades that you would want to work in.
Required
Which Trade are you most interested in and why? *
Are you committed and able to attend all 6 pre-placement classes? *
The 6 weekly pre-placement classes begin the week of May 6th (6pm-9pm)
Have you taken Co-op previously? If so, where? *
Do you have any previous work experience? If so, where? *
Have you previously completed any Health and Safety Training? If yes, where? *
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