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C.D.D.H.S. Co-op Application Form
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* Indicates required question
My full name is (eg. Johnathan Smith)
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Your answer
My home mailing address is
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Your answer
A parent/guardian can be reached at the following number
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Your answer
My cell phone number is...
Your answer
My email address is...
Your answer
What do I want my career to be?
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Your answer
My age as of September (Semester 1)
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Your answer
My Grade Level as of September (Semester 1)
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Grade 11
Grade 12
I am completing a Specialist High Skills Major
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yes
no
If yes, which SHSM are you completing?
Business
Construction
Transportation
Health & Wellness
Arts & Culture
Clear selection
I am completing a Dual Credit Program
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yes
no
My first choice for a work placement is... (Be specific, give names/numbers if possible)
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Your answer
Skills I have specific to my first choice are...
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This can include personal skills, work experience, courses taken, etc.
Your answer
My second choice for a work placement is...
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Your answer
After high school, I plan to...
find a job
find an apprenticeship
attend college
attend university
Clear selection
This information is collected pursuant to the Board’s responsibilities as set out in the Education Act. The information will be used for educational purposes and securely stored and retained in accordance with the Board’s Records Management Policy. Questions about this collection should be directed to the principal. Revised March 2018.
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