New Submission

Please restart your application to login with your PEN and DOB
PENfield type single line
Input blocked. Maximum character limit of 9 characters reached.
Date of Birthfield type date
yyyy-mm-dd
This is your personal education number ( 9-digits). If have forgotten your PEN, please check your my ed account or visit https://www2.gov.bc.ca/gov/content/education-training/k-12/support/pen-services/pen
Select your student type*field type radio button
Select your student typeHigh SchoolFoundations
It appears you are not a CCE student for the current school year.
To continue as a new CCE student please select the below option.
Credentials Accepted. You may continue
Are you a new CCE student?field type radio button
Are you a new CCE student?Yes, I would like to start a new student application

Would you like to start an English Foundations application?*field type radio button
Would you like to start an English Foundations application?YesNo
Foundations applications require an English assessment which will require a fee later in the application.
Would you like to continue your application?field type radio button
Would you like to continue your application?Yes, I would like to continue my application.

Please verify the following information is correct
First Namefield type single line
Input blocked. Maximum character limit of 200 characters reached.
Last Namefield type single line
Input blocked. Maximum character limit of 200 characters reached.

IMPORTANT! Some email messages from Burnaby School District to Hotmail addresses are being blocked. Please make sure the below email is not a ‘Hotmail’ email address.
Emailfield type email
Please confirm this email is correct. If not select the checkbox to update your email.
field type checkbox
I would like to update my email
Please select to update your email.
Update Email*field type email
Update Email Confirm*field type email
Please input a valid email.

Phone Numberfield type single line
Input blocked. Maximum character limit of 4000 characters reached.
Only fill in this field if your home phone number has changedfield type single line
Input blocked. Maximum character limit of 15 characters reached.

Student Demographic Information

Have you attended the Burnaby Adult & Continuing Education Program Prior*field type radio button
Have you attended the Burnaby Adult & Continuing Education Program PriorYesNo
Last Date Attended*field type date
Legal Last Name*field type single line
Input blocked. Maximum character limit of 200 characters reached.
Usual Last Namefield type single line
Input blocked. Maximum character limit of 200 characters reached.
Legal First Name*field type single line
Input blocked. Maximum character limit of 200 characters reached.
Usual First Namefield type single line
Input blocked. Maximum character limit of 200 characters reached.
Legal Middle Namefield type single line
Input blocked. Maximum character limit of 200 characters reached.
Usual Middle Namefield type single line
Input blocked. Maximum character limit of 200 characters reached.
Country of Birth*field type radio button
Country of BirthCanadaOther
Date of Birth*field type date
Country of Citizenship*field type single line
Input blocked. Maximum character limit of 200 characters reached.
Citizenship Status*field type drop-down
Home Language*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Gender*field type radio button
GenderMaleFemaleOther
Address*field type address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Primary Phone*field type single line
Input blocked. Maximum character limit of 15 characters reached.
Other Phonefield type single line
Input blocked. Maximum character limit of 15 characters reached.
IMPORTANT! Some email messages from Burnaby School District to Hotmail addresses are being blocked. Please make sure the below email is not a ‘Hotmail’ email address.
Email*field type email
Confirm Email*field type email
Medical Information (ie. allergies, medical condition we should be aware of etc.)field type multi line

Emergency Contact Information
×
- Last Name*field type single line
  Input blocked. Maximum character limit of 4000 characters reached.
- First Name*field type single line
  Input blocked. Maximum character limit of 4000 characters reached.
- Primary Phone*field type single line
  Input blocked. Maximum character limit of 15 characters reached.
- Other Phonefield type single line
  Input blocked. Maximum character limit of 15 characters reached.
- Email*field type email
- Confirm Email*field type email
- Relationship*field type single line
  Input blocked. Maximum character limit of 4000 characters reached.
Add

Academic History

Have you graduated from high school in any country?*field type radio button
Have you graduated from high school in any country?YesNo
Do you have your BC Graduation Diploma?*field type radio button
Do you have your BC Graduation Diploma?YesNo
Which Graduation Program are you planning to complete?*field type radio button
Which Graduation Program are you planning to complete?Regular Graduation ProgramAdult Graduation Program
For more information please visit high school - program description
Exit Form Uploadfield type file upload
Drop files here
You have reached the maximum file limit: .
ex. Report Card
Transcript*field type file upload
Drop files here
You have reached the maximum file limit: .
If you do not have a transcript, please go the following link to request one. https://www2.gov.bc.ca/gov/content/education-training/k-12/support/transcripts-and-certificates/order-a-high-school-transcript-or-certificate
What course are you interested in taking?*field type multi line

Document	Example
Proof of citizenship status in Canada	One document with your name: Canadian citizens: Canadian birth certificate or current Canadian passport or Canadian citizenship card Permanent residents: permanent resident card Refugees: passport and refugee claimant documents International visitors: passport and visitor visa Work permit holders: Work Permit valid for the duration of your class. You MUST be working 20 hours per week or more. You MUST submit a signed and dated letter of employment on company letterhead stating – position, start date, and number of hours worked per week AND a most recent pay stub showing minimum of 20 hours work per week.
Proof of residence in BC	Documents must include one item from Category A OR one item from Category B. If choosing Category B, one item from Category C must be included. Category A: Provincial Driver’s License or BC Service Card Category B: Proof of ownership of dwelling or long-term lease or rental of dwelling (full document required). Category C: Items include BC hydro bill, BC cable bill, Internet bill, letter from a local Canadian bank, provincial registration of automobile.
Picture ID	One document with your picture and name: Passport BC Driver’s License BC ID Card

Proof of Status - Work Permit*field type file upload
Drop files here
You have reached the maximum file limit: .
Proof of citizenship status in Canada*field type file upload
Drop files here
You have reached the maximum file limit: 1.
Proof of Residence in BC*field type file upload
Drop files here
You have reached the maximum file limit: 1.
Pay-stub Upload*field type file upload
Drop files here
You have reached the maximum file limit: .
Letter of Employment*field type file upload
Drop files here
You have reached the maximum file limit: .
Picture IDfield type file upload
If above ID does not include a picture
Drop files here
You have reached the maximum file limit: .

The information on this form is collected under the authority of the School Act, Sections 13 and 79. The information provided will be used for educational programs and administrative purposes, and when required may be provided to health services, social services or support services as outlined in Section 79 (2) of the School Act. The information collected on this form will be protected consistent with the Freedom of Information and Protection of Privacy Act.
If you have any questions about the information recorded on this form, please contact the Community and Continuing Education Office at (604) 296-6901.
*field type checkbox
I certify that the information provided on this form is correct and valid as of this date
Name*field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Signature*field type signature
Note: Parent/Guardian name and signature is required for any student under the age of 19.

Residency / Refugee Documentation Uploadfield type file upload
Drop files here
You have reached the maximum file limit: .
Please upload your current documentation. If you do not upload, your application will be incomplete and you will need to reapply.
Visa/Work permit Expiration Date*field type date
Please fill in your visa expiration date matching your uploaded document

Hidden_Form_Instance_New_Namefield type single line
Input blocked. Maximum character limit of 4000 characters reached.
Hidden_Form_Instance_Existing_Namefield type single line
Input blocked. Maximum character limit of 4000 characters reached.
Hidden_Form_Instance_Namefield type single line
Input blocked. Maximum character limit of 4000 characters reached.
Hidden Immigration Statusfield type single line
Input blocked. Maximum character limit of 4000 characters reached.
Hidden_HS_or_Foundations_Flagfield type single line
Input blocked. Maximum character limit of 4000 characters reached.
HIdden_HS_Flagfield type single line
Input blocked. Maximum character limit of 4000 characters reached.
Hidden_Foundations_Flagfield type single line
Input blocked. Maximum character limit of 4000 characters reached.
Hidden_IsActivefield type number
New CCE Student Checkfield type single line
Input blocked. Maximum character limit of 4000 characters reached.
End of Termfield type date
Visa is validfield type single line
Input blocked. Maximum character limit of 4000 characters reached.
SD Date Considered 19 yrs oldfield type date
Under 19 (New)field type single line
Input blocked. Maximum character limit of 4000 characters reached.
This field contains a calculation error.
References: Date of Birth, SD Date Considered 19 yrs old

Date of Grad Plan Uploadfield type date
Date will be captured on form submission
Grad Plan Uploadfield type file upload
Drop files here
You have reached the maximum file limit: .
Notes to applicant (Sent if Rejected)field type multi line

Assessed HS or Foundations*field type drop-down
Assessed Foundations Level*field type number
Internal Notesfield type multi line
Notes for Applicantfield type multi line

Student Registration