Upper Grand District School Board - Dual Credit Application Form
(For the 2019/2020 school year)
Please complete the form below. Once you hit submit, you will need to print off the DC Consent Form (
) and have it signed by your parent/guardian (if under 18 yrs of age) and yourself and return it to your home school guidance office.
Note: Your Dual Credit application will only be complete once this online form has been completed, and your completed and signed consent form has been handed in to your guidance counselor.
What is your gender?
Prefer not to say
Date of Birth
Status in Canada:
(email that you will check regularly - NOT UGCLOUD email)
(555-555-5555) NOTE: If you don't have access to a cell, please include your home # or a parent's cell # if possible.
Are you a Specialized High Skills Major Student?
Do you have a current Individualized Education Plan? (IEP)
Do you require accommodations to be successful?
If yes, please specify:
e.g. 123 Maple Street
Emergency Contact Information
Relationship to You:
High School Information
Adult Dual Credit (Continuing Education)
Centre Dufferin DHS
Centre Wellington DHS
College Heights SS
John F Ross CVI
Wellington Heights SS
Current Grade Attending
(9 digit number in the format of 999-999-999)
Select the Dual Credit Program that you wish to apply for:
Conestoga College Programs (Semester 2)
OYAP - Automotive Service Tech (May/June - Interview Req'd; Must have transp.)
OYAP - Brick & Stone Mason (Feb/Mar/April - Interview Req'd; Must have transp.)
OYAP General Machinist (May/June - Interview Req'd; Must have transp.)
OYAP - Truck & Coach Tech (May/June - Interview Req'd; Must have transp.)
CAPP - Automotive (May/June - Must have transp.)
CAPP - Truck & Coach (May/June - Must have transp.)
CAPP - Welding (May/June - Must have transp.) - WAIT LIST
Exploring Construction (Plumbing/Electrical - Tue, Waterloo Campus) - WAIT LIST
Exploring Mechanical (Intro to Heavy Equip/Welding - Thu, Guelph Campus) - WAIT LIST
Exploring Food Production (Applied Culinary I & II - Thu, Wellington County Museum)
Canadian Criminal Justice/Security Guard Licensing (Fri, Doon Campus) - WAIT LIST
Design Fundamentals (Basic Design A & B - Fri, Doon Campus) - WAIT LIST
Digital Imaging (Photography/Photoshop - Fri, Doon Campus) - WAIT LIST
ECE ( Foundations of Curriculum/Child Development - Fri, Doon Campus) - WAIT LIST
Piping/Cabinetmaking (Fri, Doon Campus)
Positive Psychology/Group Fitness Leadership (Fri, Doon Campus)
Georgian College Programs (Semester 1 and 2)
Business: Exploring Entrepreneurship / On-line Marketing (Tues - Sem 1)
Health: Lifestyle Mgmt. (Tues - Sem 2)
Humber College Programs (Semester 1 and 2)
Design: Life Drawing for Animation / 2D Design (Wed - Sem 1)
ECE: Child Development to 2.5 yrs / Promoting Health & Safety (Thurs - Sem 1)
Cosmetology: Cosmetics Application / Intro to Spa Mgmt (Thurs - Sem 2)
Police Foundations: Criminology / Cdn Justice System (Wed - Sem 2)
Referral Programs (Semester 1 and 2)
Re-engagement Orangeville (Sem 1)
Re-engagement Guelph (Sem 1)
Re-engagement Orangeville (Sem 2)
Re-engagement Guelph (Sem 2)
Freedom of Information
This information is collected under the legal authority of the Education Act and Co-operative Education and Other Forms of Experiential Learning Policies and Procedures Document. Users of this information will be teachers, community employers and the relevant support staff. Inquiries should be directed to the School to Career Office, 500 Victoria Road North, Guelph, ON, N1E 6K2, 519-766-8524. A copy of this form will be retained for a minimum of 1 year following completion of the course.
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