First Responders Services SHSM Application
Thank you for your interest in the First Responders SHSM. This SHSM is a two year program and traditionally begins in grade 11. Committed students going into grade 12 would potentially have the opportunity to complete this SHSM pending training availability.

This SHSM will focus on First Responders and Emergency Services (policing, paramedics, firefighters).

Filling out this application does not commit or guarantee your spot in this SHSM program. Once your application is submitted, Mrs. Roberts will connect with you to ensure that this SHSM program is the right fit for you.

If you have any specific questions please email Mrs. Roberts at

Please complete the following SHSM application. I look forward to working with you on this exciting opportunity.
Email address *
First Name: *
Last Name: *
Gender *
OEN Number *
Home/Main Phone Number *
Date of Birth *
Parent First Name: *
Parent Last Name: *
Parent Work/Cell Number: *
Parent's Email: *
Preference for where or what industry you would like to complete your co-op placement:
Choice 1: *
Choice 2: *
What is your preferred grade for you co-op program? *
Your probable post secondary pathway is: *
In a paragraph or two, explain why are you interested in taking this Justice, Community Service and Emergency Services SHSM? *
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