Lev Academics Registration Form
Sign in to Google to save your progress. Learn more
Student First Name
 *
Student Last Name
 *
Current Home School
 *
Student Date of Birth *
MM
/
DD
/
YYYY
OEN Number
 *
Address
 *
City
 *
Province
 *
Postal Code
 *
Student Phone Number
 *
Student Email Address
 *
Parent/Guardian First Name
 *
Parent/Guardian Last Name
 *
Parent/Guardian Phone Number
 *
Parent/Guardian Email Address
 *
Parent/Guardian Relationship to Student
 *
Course(s)

** Prerequisite: Any grade 11 or 12 U/M course in Canadian and World Studies, English or Social Sciences.
 *
Required
Prerequisite Status
 *
I give Lev Academics the right to collect and share student academic information to and from previous and current academic institutions.
*
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Lev Academics. Report Abuse
Google Forms