2024-25 Miller Grade 9 High School Application Form

Miller Comprehensive

Catholic High School

Grade 9 APPLICATION FORM
Select the school year you are applying for:*
Did this student attend Regina Catholic Schools in grade 8?*

YesNo
The latest report card MUST be attached to the application*

Cancelof
GRADE 9 PROGRAM

In grade 9, students register for a full year of classes. Classes are divided into two semesters.
English Program
ENGLISH PROGRAM

My Program
Elective Subjects - Select ONE of

French 9PAA Survey Applied Technology (Construction/Mechanics/Welding)PAA Survey Computer Technology (Photography/Graphic Design/Communication Media)PAA Survey Design Technology (Cooking/Esthetics & Hairstyling/Interior Design)
The compulsory subjects for grade 9 students are:
- English Language Arts A9 OR English Language Arts A91 (R) (both semesters)
- English Language Arts B9 OR English Language Arts B91 (R)
- Social Studies 9 OR Social Studies 91(R)
- Science 9 OR Science 91 (R)
- Arts Education 9
- Catholic Studies 9
- Physical Education/Health 9
- Mathematics 9 (both semesters) OR Math 91 (both semesters) (R)
(R) - Restricted Entry
French Immersion Program
FRENCH PROGRAM

My Program
All Grade 9 students must take:
- English Language Arts 9 (both semesters)
- Mathématiques (both semesters)
- Sciences Sociales 9
- Sciences Naturelles 9
- Arts Education 9
- Études catholiques 9
- Français 9
- Phys. Ed./Health 9
There are no elective options for French Immersion students in Grade 9
All Students
Physical Education Uniform - SHORTS

SmallMediumLargeExtra Large
Physical Education Uniform - SHIRTS

SmallMediumLargeExtra Large
* All clothing is in adult sizes
All Students
All students may enrol in choral and/or vocal jazz (choral required) and/or band

Band 9 (both semesters) (twice/week)Choral 9 (both semesters) (twice/week)Vocal Jazz 9 (both semesters) (twice/week)Instrumental Jazz 9 (both semesters) (once/week)
Band Experience
Number of Years
Instrument
Miller Comprehensive Catholic High School

Grade 9 Registration Information
Legal First Name*
As it appears on Birth Certificate
Legal Middle Name*
As it appears on Birth Certificate
Legal Last Name*
As it appears on Birth Certificate
Name Used*

First NameLast Name
Gender*
Date of Birth*
(MM/DD/YY)
Grade Level*
Previous School (include address if out of Saskatchewan)*
Student's Cell Phone
Address
Please Select*
Number*
Street Address

P.O. Box #

CityProvince

Postal Code
Home Phone*
Property Tax Support:*

Home OwnerRenter
If home owner, please indicate property tax support*

SeparatePublicSplit
Indigenous Self Declaration (voluntary):

An Indigenous person in Canada is a First Nations, a Métis or an Inuit person. First Nations “Registered Status” refers to an individual recognized by the Canadian federal government as being registered under the Indian Act. First Nations “Non-Status” refers to a First Nations person who is not registered under the Indian Act.
Based on the above definition do you self-declare as an Indigenous person?*

YesNo
If yes, please indicate:

First Nations (Registered/Treaty/Status)First Nations (Non-Registered/Non Status)MétisInuit
Heritage Information

The following information is collected for the Ministry of Education and disclosure is protected under The Local Authority Freedom of Information and Protection of Privacy Act, and all employees of Regina Catholic Schools must adhere to Administrative Application 5400.
Student's Country of Birth*

CanadaOther
Student's Country of Origin (last country of residence)*

CanadaOther
Student's Citizenship*

CanadaOther
First Language Spoken at Home*

EnglishFrenchOther
Second Language Spoken at Home

EnglishFrenchOther
Student's Resident Type*

RefugeePermanent ResidentTemporary ResidentStudent/Visitor VisaCanadian Citizen (NA)
Is one or more parent a Canadian Citizen*

YesNo
Regina Catholic Schools personnel will contact you to discuss further documentation needed
Is one or more parent a Permanent Resident?*

YesNo
Regina Catholic Schools personnel will contact you to discuss further documentation needed
Date of Arrival in Canada

MonthDayYear
Has your child had the support of an English as an Additional Language (EAL) teacher in the past?*

YesNo
In what grade(s) was EAL support provided
EAL Students - CFR Level
Parent/Guardian 1 Religion/Spirituality*
Parent/Guardian 2 Religion/Spirituality*
Student Religion/Spirituality*
Parish
Is the student baptized Catholic?*

YesNo
HEALTH INFORMATION
Medical Notes
PRIMARY CONTACT INFORMATION
Title*
Name*

First NameLast Name
Lives with student
Relationship*

FatherMotherStepfatherStepmotherGrandparentGuardian
Work Phone
Cell Phone*
Home Phone (if different than student)
Address (if different than student)

Street Address

Street Address Line 2

CityProvince

Postal Code
Mail to*

YesNo
Email*
example@example.com
ADDITIONAL PRIMARY CONTACT INFORMATION
Title
Name

First NameLast Name
Lives with student
Relationship

FatherMotherStepfatherStepmotherGrandparentGuardian
Work Phone
Cell Phone
Home Phone (if different than student)
Address (if different than student)

Street Address

Street Address Line 2

CityProvince

Postal Code
Mail to

YesNo
Email*
example@example.com
EMERGENCY CONTACT INFORMATION

In the event the school cannot get in touch with a primary contact. (NOTE: This contact information is for someone other than the parents/guardians identified above).
Emergency Contact*

First NameLast Name
Home Phone
Cell Phone
Business Phone
Emergency Contact Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Sibling 1
Attends this school

YesNo
Sibling 2
Attends this school

YesNo
Sibling 3
Attends this school

YesNo
Sibling 4
Attends this school

YesNo
TO BE COMPLETED BY PARENT/GUARDIAN*

I grant permission to release all educational records and applicable information from previous schools.
Parent/Guardian's Signature*

Clear
Date*

MonthDayYear
Should be Empty:

GRADE 9 PROGRAM

English Program

French Immersion Program

All Students

All Students

HEALTH INFORMATION

PRIMARY CONTACT INFORMATION

ADDITIONAL PRIMARY CONTACT INFORMATION

EMERGENCY CONTACT INFORMATION