School District No. 73 (Kamloops-Thompson)

NorKam Trades Sampler

Student Application Date: ______________________________________ Grade (time of application) ________ Grade (at Program start) _______

Name: ___________________________________________________________________________________________________________________________ Last First Middle

Mailing Address: _________________________________________________________________________________________________________________ Street Address / PO Box City Postal Code

Home Phone: _______________________________________________ Cell Phone: _____________________________________________

Present School: _______________________________________________ TNT Coordinator: ___________________________________________

Student PEN: ____________________________ Parent Email: ______________________________________________ T-Shirt Size: ___________

Application Checklist For assistance or more information, please contact your TNT Coordinator or Counsellor.

Deliver completed application package, no later than February 21, 2020 to your TNT Coordinator

All items below are required: Page(s) Completed & Attached

1 Completed Application Checklist – this page (1 signature required at bottom) 1

2 Completed Program Selection Form 2

3 Completed Applicant Profile (2 signatures required – bottom left) 3

4 Policies Sheet (2 signatures required) 4

5 Completed SD #73 Student Enrollment Form 5-6

6 Completed Medical Alert Planning Form 7-8

7 Completed NorKam Secondary Parent/Student Consent Forms 9-10

8 Completed TRU Student Application for Admission (1 signature required at bottom of page 2) 11-12

9 $29.83 Non-Refundable Deposit to be included with this Application (Please make cheque payable to Thompson Rivers University) --

10 Completed ITA Youth Explore Program Stream Registration Form (2 signatures required) 13

11 Completed Student / Parent Statement Form 14

12 Completed Student Education / Transition Plan 15

13 Completed Research Activity 16

14 Interview Notes for Applicant Profile (to be completed by TNT Coordinator) 17

15 Secondary Transcript, Attendance, Behaviour Reports (TNT to obtain from admin/counselling) --

I ___ authorize ___ do not authorize the district to share learning and medical alert information with Thompson River’s University.

______________________ ______________________ ______________________ Applicant’s Signature Parent/Guardian Signature TNT Coordinator’s Signature (acknowledgement)

Date_________________ Date_________________ Date_________________

Keep a Copy You are strongly encouraged to keep a copy of your application as well as, all future forms, paperwork, and emails for your personal records. 1

HOW MUCH WILL THIS COST? Students are required to have the following items for any of the NorKam Trades Sampler Programs

1. TRU Application Fee - $29.83 2. CSA Grade 1 Safety Boots (look for the Green Triangle) – approximately $150.003. PPE (Personal Protective Equipment) which includes: clear safety glasses, hearing

protection, and gloves.

NorKam Trades Sampler – Program Selection

STUDENT NAME: ______________________________________ SCHOOL: __________________________ CURRENT GRADE: ________

Fall 2020 Intake – Semester 1 Programs DATES 1ST CHOICE

2ND CHOICE

CONSTRUCTION SAMPLER • CCE• Plumbing

• Carpentry• Electrical

Semester 1 (Sept – Jan)

MECHANICAL SAMPLER • Welding• HD

• AST• Small Engines

Semester 1 (Sept – Jan)

INDUSTRIAL SAMPLER • Steam Fitter• Millwright

• Sheet Metal• Inst. @ TRU

Semester 1 (Sept – Jan)

Winter 2021 Intake – Semester 2 Programs DATES 1ST CHOICE

2ND CHOICE

CONSTRUCTION SAMPLER • CCE• Plumbing

• Carpentry• Electrical

Semester 2 (Feb - June)

MECHANICAL SAMPLER • Welding• HD

• AST• Small Engines

Semester 2 (Feb - June)

2

NorKam Trades and Technology Centre - Applicant Profile (To be completed by the TNT Coordinator/Counsellor WITH the Applicant)

Maximum Score

Student Score

1. Attendance (Unexcused Absences): use TNT Attendance Profile Full days (0 = 10 or more; 5 = 5 to 10 days; 10 = less than 5 days) 10

2. Conduct (Administration’s student file- past 24 months): (0 = needs improvement; 5 = satisfactory; 10 = good) 10

3. Course Work Ethic (Based Upon Most Recent 8 Completed Courses): (deduct 2 for each N; 1 for each S) 8 4. Course Grades (Based Upon Most Recent 8 Completed Courses): (% average of the 8 courses / 100 x 10)

(please round to 2 decimal places) 10.00

5. Grade 9 / 10 /11 Tech. Ed. Course, or trades related experience: (0 = no; 5= yes) 5

School/TNT Coordinator/Career Counsellor Support

I recommend that TNT Coordinator/Counsellor Applicant

be given consideration for placement into a Youth Sampler program at the NorKam Trades and

Technology Centre.

Signed: Date: TNT Coordinator / Counsellor

School Requested Acceptance Conditions (Confidential between school and district staff)

Attendance Other (Please describe below)

Behaviour

Effort

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NorKam Trades Sampler – Policies

1. Student Code of Conduct

All students are expected to abide by: a) School District No. 73 Student Code of Conduct - Policy No. 600.1. b) Thompson Rivers University Student Academic Integrity - www.tru.ca/_shared/assets/ed05-05657.pdf

2. Attendance/Performance

All students attending the programs at NorKam Trades and Technology Centre are expected to make a sincere effort to gain full benefit from their training. In order for this to occur, regular attendance, punctuality, safe work practice, and progress at an acceptable rate are necessary to maintain enrollment and to ensure success in the program.

Thompson Rivers University official attendance policy states that a student who misses the first two days of their program without prior arrangements with the instructor will be considered withdrawn from the program. Furthermore, the TRU School of Tourism and School of Trades & Technology attendance policies state that a student is allowed no more than three unexcused absences (days) during the length of their post-secondary program (and two unexcused lates are counted as one unexcused absence).

3. Withdrawing

If a student withdrawals from any NorKam Trades Sampler program, the student must submit a signed letter of withdrawal as this is a university credited program. The letter is to be sent to the TNT Coordinator, TRU Partnership Coordinator and Rick Kienlein.

4. Busing and Transportation:

NorKam Trades and Technology Centre is a ‘School of Choice’. Please note that students enrolled in any trades program at NorKam will not be entitled to public school bus service or transportation assistance, as per Board Policy 300.1.

By signing below, we acknowledge that we have read and agree to the policies stated above.

I, , have discussed these program policies with my (Parent/Guardian name: please print)

son/daughter and give my permission for him/her to participate in a NorKam Trades and Technology Centre program as indicated on the Program Selection Sheet.

__________ Applicant signature

__________ Date

Parent/Guardian signature

Date

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School District No. 73(Kamloops/Thompson)

Student Information

Gender Male Female

LegalLastName:

LegalFirstName:

UsualLastName:

PreferredFirstName:

LegalMiddleName(s): None

DateofBirth: Day/ Month/ Year/

ProofofAgeProvided:

HomePhone:

Property Address

Street#andName:

Apt.# PostalCode:

City/Municipality:

ProofofAddressProvided:

Mailing Address:

SameasPropertyAddress: Yes No

IfNo,MailingAddress:

Studente-mail:

Admission Information

EnrollmentDate: Grade:

Previous School/District

PreviousCity/Province:

PreviousDistrict:

PreviousSchool:

(SchoolPhoneNumber):

Immigration

Birthplace:

Citizenship:

FirstLanguageSpoken:

LanguageSpokenatHome:

ProofofBCResidency:

Aboriginal Ancestry

IsyourchildofAboriginalAncestry? Yes NoIfyes,thenselect:

StatusOffReserve Metis Inuit Non-StatusStatusOnReserve

•BandofResidence:

•DIA#:

Custody Information: IsthereaCourtOrderineffect?Yes ,No Ifthereareanycustodyarrangementswiththisstudent,legaldocumentationmustbefiledwiththeschool.

FirstTimeEntry FrenchImmersion DistrictProgramStrongStart MontessoriTransfer FineArts

Parent/Guardian Emergency Contact #1

Relationship:Title:

LastName:

FirstName:

LivingwithStudent? Differentaddressfromstudent:

Address(ifdifferent):

HomePhone#: Cell#:

PlaceofEmployment:

WorkPhoneNumber: AvailableatWork

E-MailAddress:

Parent/Guardian Emergency Contact #2

Relationship:Title:

LastName:

FirstName:

LivingwithStudent? Differentaddressfromstudent:

Address(ifdifferent):

HomePhone#: Cell#:

PlaceofEmployment:

WorkPhoneNumber: AvailableatWork

E-MailAddress:

Siblings: (Includesiblingswhoareattendingadifferentschool)LastName: 1. 2. 3. 4.FirstName:Relationship:BirthDate:School:

SchoolDistrictNo.73(Kamloops/Thompson)

Student Enrollment Form Enrolling School Name:

(DocumentName)

(DocumentName)

(DocumentName)

January2011

(Province)(City) (Country)

Previous School/Program

5

Emergency ContactsNote:Parentsshouldcontactallemergencycontactslistedbelowtoensurethattheyknowtheyarebeinglistedasanemergencycontact.

Emergency Contact #3

Relationship:

LastName:

FirstName:

Address:

HomePhone#: Cell#:

WorkPlace:

WorkPhone:

Permission to pick up student: Yes No

Emergency Contact #4

Relationship:

LastName:

FirstName:

Address:

HomePhone#: Cell#:

WorkPlace:

WorkPhone:

Permission to pick up student: Yes No

Medical Information

Doctor: Phone#: CareCard#:

Allergies: LifeThreatening?

OtherHealthFactors: LifeThreatening?

Isthischildcurrentlyonanymedication: Yes, No.Ifyes,describe:

Alternate Address

PickUp: DropOff

Address:

ContactName:

ContactPhoneNo:

Alternate Address

PickUp DropOff

Address:

ContactName:

ContactPhoneNo:

Other Information

PastAssistance: LearningAssistance EducationalAssessment DistrictCounsellor

Adaptations Modifications IndividualEducationalPlan

Hearing Speech/Language PhysicalAccommodation

AdditionalInformation:

The information provided by you is collected for the use of the school and public health personnel and will not be used for any other purpose without prior approval.

Igivemyconsentforthereleaseofmyname,phonenumberandaddressforschoolcommunicationpurposes,suchasParentAdvisoryCouncil,SafeArrivalProgramandClassroomPhoningCommittee,etc.(asapplicable).

Igivemyconsentforthepublicationofmychild’sname,photographandcomments,forschoolpurposes,intheschoolyear-bookornewsletterortheschoolwebsite,andonoccasion,intheschooldistrictcalendar,annualreportorinthenewsmedia.

Igivemyconsentformychildtoparticipateinneighbourhood,curriculum-basedoffschoolgroundactivities.

Parent Signature Date

NOTE: Alternate Addressesareforanyonewhowillbepickingthestudentupfromschoolordroppingthestudentoffatschool.Thismayincludedaycare,babysittersorothercareproviders.

DistrictInternetAgreementcompleted Principal/Designate: Date:EnrollmentInterviewcompleted

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MEDICAL ALERT PLANNING FORMINFORMATION AND PLAN

WHILE IN THE CARE OF THE SCHOOLSchool District No. 73 (Kamloops/Thompson)

For School Year MSP#

Student Name: Birth Date: (Y / M / D) Parent or Guardian

Home Phone: Bus Phone:

Emergency Contact Name: Phone:

Physician: Phone:

Potentially life threatening medical condition diagnosed as:

1. New Condition: ■ Yes ■ No Date condition identified:

2. Describe the potential problem:

PLAN WHILE IN THE CARE OF THE SCHOOL:To be updated annually and when the child’s condition changes. The plan is updated by the student/parent, in consultation with the family physician and reviewed with principal in consultation with the public health nurse as needed.

• Symptomstowatchforare:

• Preventativemeasures:

Medication needed: ■ Yes ■ No Name of medication: (If yes “Request for Administration of Medication at School” form Parts A, B, & C must be completed and provided to the school).

*Emergency Plan school staff need to follow (step by step):

1.

2.

3.

4.

5.

6.

7.

PHOTO ID

8.

9.

INFORMATION REVIEW by parent/guardian:(Review minimum annually)

1. Sign & Date

2. Sign & Date

3. Sign & Date

4. Sign & Date

TRAINING REVIEW:(Review minimum annually)

1. Sign & Date

2. Sign & Date

3. Sign & Date

4. Sign & Date

ADMINISTRATIVE GUIDELINES FOR MANAGING STUDENTS WITH MEDICAL ALERT CONDITIONSSchool District No. 73 (Kamloops/Thompson) and Interior Health (Public Health)

Revised February 2008

Fill out page 1 for all conditions except anaphylaxis, fill out page 2 if child is anaphylactic.

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School District No. 73 (Kamloops/Thompson)ANAPHYLACTIC STUDENT EMERGENCY PROCEDURE PLAN

PHOTO ID

MSP#:

Anaphylactic Student Emergency Procedure PlanParent/Guardian please complete Physician please complete

Student’s Name: Physician’s Name:

Date of Birth: Daytime Phone: Fax:

Sex: □ Male □ Female Allergen: (Do not include antibiotics or other drugs)

□ Peanuts □ Nuts □ Dairy □ Other food _______________________

□ Insects □ Latex □ Other ___________________________________

Symptoms:Skin - hives, swelling, itching, warmth, redness, rash• Respiratory (breathing) - wheezing, shortness of breath, throat tightness, • cough, hoarse voice, chest pain/tightness, nasal congestion or hay fever-like symptoms (runny itchy nose and watery eyes, sneezing), trouble swallowingGastrointestinal (stomach): nausea, pain/cramps, vomiting, diarrhea, • dizzy/light headed, shockOther: anxiety, feeling of “impending doom”, headache, uterine cramps • in females

Additional symptoms:

Parent/Guardian:

Daytime Phone:

Emergency Contact:

Daytime Phone:

Physician:

Physician Phone:

Emergency Protocol Emergency MedicationAdminister • single dose, single-use auto-injectorCall 911• Notify Parent-Guardian• Administer second single-dose single-use auto-injector in 10 • to 15 minutes, or sooner, if symptoms do not improve or if symptoms recurHave ambulance transport student to hospital•

NOTE: Emergency medication must be a single-dose single-use auto-injector for school setting. Oral antihistamines will not be administered by school personnel.

Name of emergency medication: _Epipen______________________

Dosage: __0.3 mg________________________________________

Physician Signature

Anaphylactic Student Emergency Procedure Plan

Parent/Guardian please complete

Discussed and reviewed Anaphylaxis Responsibility Checklist with principal? .........................□ Yes □ NoTwo single-dose single-use auto-injectors provided to schools? ..............................................□ Yes □ NoStudent aware of how to administer? ........................................................................................□ Yes □ No

Auto-injector locations: _____________________________________________

Your child’s personal information is collected under the authority of the School Act and the Freedom of Information and Protection of Privacy Act. The Board of Education may use your child’s personal information for the purposes of:

Health, safety, treatment and protection • Emergency care and response•

If you have any questions about the collection of your child’s personal information, please contact the school principal directly. By signing this form, you give your consent to the Board of Education to disclose your child’s personal information to school staff and persons reasonably expected to have supervisory responsibility of school-age students and preschool age children participating in early learning programs (as outlined in the BC Anaphylactic and Child Safety Framework 2007) for the above purposes. This consent is valid and in effect until it is revoked in writing by you.

Parent/Guardian Signature Date (Y/M/D)

Date (Y/M/D)

(Y/M/D)

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NORKAM SENIOR SECONDARY SCHOOL 730-12TH STREET

KAMLOOPS, BC V2B 3C1 PHONE: 250-376-1272 FAX: 250-377-2255

P A R E N T A L C O N S E N T F O R M to be used until Graduation or transfer to another district

Student Name: Grade: In accordance with the Freedom of Information and Protection of Privacy Act, School District No. #73 (Kamloops-Thompson) requires consent to use personal information for purposes unrelated to educational programs. 1. There are occasions when our school would like to have contact with parents to consult them directly about school issues or meetings or to plan school-related activities. To contact you for these purposes, we need consent for the disclosure of your name, home address and telephone number to School District Personnel, Parent Advisory Councils or others responsible for organizing these types of activities. Your personal information will not be disclosed to anyone for business or commercial purposes.

� YES, I give my consent for release of my home address and telephone number for purposes consistent with the above.

� NO, I do not permit the release of my home address and telephone number for purposes consistent with the above. Signature of Parent/Guardian: Date: 2. It is tradition in our School District to allow school staff, district staff and the media to photograph or videotape individual students and groups of students to commemorate events and to promote various educational, sports and cultural events taking place in the District. While photographs or videos add to the community life of our school, they are not required for educational purposes. As such, consent for the release of your child’s name, photograph and comments is required. Students’ names, photographs and comments may be published in the school yearbook or newsletter, and on occasions, in the School District Calendar, annual report or in the news media.

� YES, I give my consent for the publication of my child’s name, photograph, and comments for purposes consistent with the above.

� NO, I do not permit the publication of my child’s name, photograph and comments for the purposes consistent with the above. Signature of Parent/Guardian: Date:

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NORKAM SENIOR SECONDARY SCHOOL & SCHOOL DISTRICT #73

INTERNET ACCESS AGREEMENT For Parents, Guardians and Students:

School District #73 is excited to offer your child the opportunity to utilize the internet as a part of his or her educational experience at school. From a computer at the school, your child can be linked to other schools in the district and to millions of computers on the internet. Using this resource, your child will be able to access information on a host of topics all over the world. The opportunities for quality learning appear limitless. There is also a dark side to internet use. The District believes that the benefits of the internet outweigh the potential risks but also believes that parents should be aware of those risks. If your child chooses to violate district policy and guidelines, he or she may be able to access information of a pornographic, violent or racist nature. With the attached Waiver and Acceptable Use Policy, School District #73 wishes to inform you of these dangers and to make very clear that the responsibility for appropriate use of the SD #73 Net lies mainly with the student, within the context of appropriate supervisory practices by school staff. School District #73 (Kamloops-Thompson) (the "School District") requires that a parent/guardian sign a Consent, Waiver and Indemnity form before a student will be permitted access to SD #73 Net at school. More information regarding SD#73 internet policy is available at the school or at the district website www.sd73.bc.ca (type in Internet Access Agreement in the search). Please fill in applicable portions of the form below and return it to the school. If you have any questions, please contact the school for more information.

School District #73 (Kamloops-Thompson) Internet Access Agreement Name of Student: _______________________________________________________________________ Consent, Waiver and Indemnity Form By signing this Form, the student and his/her parents/guardians indicate that they agree to make no claim of any type in the future against School District #73 (the “School District”) resulting from the use of the School District #73 Internet System, and agree to indemnify the School District for claims made against the School District as provided in the attached Consent, Waiver and Indemnity Terms and Conditions. For the Parent or Guardian: I have read the Consent, Waiver and Indemnity Terms and Conditions and the School District #73 Acceptable Use Policy carefully. I understand the benefits and risks of student access to the internet and give my permission for my child to have access to the School District #73 Internet System at school on the conditions outlined therein. Please print your name: ____________________________________________________________________ Signature of parent/guardian: _________________________________________________________________ Date: ____________________ Relationship to Student: __________________________________________ For the Student: I have read the Consent, Waver and Indemnity Terms and Conditions and the attached School District #73 Internet Acceptable Use Policy carefully and agree to abide by the conditions outlined therein. Student's signature ________________________________________ Date: ___________________________ This Access Agreement and Consent, Waiver and Indemnity Form is effective for the period the student is attending in the School District unless revoked in writing by the student or his/her parents/guardians. Please return this form back to the school; unless we have it on file student's will not be able to access SD#73 Internet. 10

Application for Admission For Undergraduate, Diploma, Certificate, Post-Baccalaureate, Trades and Apprenticeship programs only. Not for Graduate programs or Faculty of Law.

Please Print Clearly

PEN ID

│

│ _______ □New Student □Returning Student – TRU ID

│

│

│

│

│

│

│

│

****** APPLICANTS SIGNATURE REQUIRED ON REVERSE ******

Campus applying to □ Kamloops □ Williams Lake Regional Centers: □Lillooet/Lytton □ Ashcroft/Cache Creek □ Barriere □ Clearwater □ 100 Mile House

Last/Family Name Gender □ Male □ Female Former Last/Family Name (if applicable) ___

First/Given Name Middle Birthdate ________ │_______│________

Day Month Year

Mailing Address (Apt#, Street or Box#) Email

(City/Town) Province Postal Code ___ Country ___ ____

Home Phone (_ ) Business Phone (_ ) Cell Phone (_ ) ____

Permanent Address is the same as above □. If no, please complete below:

Apt#, Street or Box# City/Town Province Postal Code __

First Language □ English □ French □ Other Province of Residence □ British Columbia □ Another Province/Territory □ Outside Canada

□ Canadian Citizen □ Permanent Resident Country of Citizenship Date of Entry (Day) (Month) (Year)

Permanent Resident # Expiry Date Student Visa # Expiry Date

Aboriginal Ancestry & Affiliation – An Aboriginal person is identified in accordance to the Constitution Act of 1982, Part II, Section 35(2), as “an Indian, Metis or Inuit person of Canada.” If you wish to identity yourself as an Aboriginal person, for statistical purposes, we invite you to select one or more of the three options that best describe your Aboriginal identity.

□ First Nation (Status, Treaty and non-Treaty) □ Metis □ Inuit

Emergency Contact Name Email

Home Phone (_ ) - Business Phone ( ) - Cell # (_ ) -

Program Choice Indicate the program of study to which you would like to apply (see page 2 for a list of program options). Applicants who do not gain entry into a Limited/Selective program will be offered a 2nd choice in Arts, Business, or Science.

Program Choice Campus: □ Kamloops □ Williams Lake

Have you received a Program Information package? □ YES □ NO Would you like to receive a Program Information package? □ YES □ NO

Which semester do you wish to begin your studies □ Fall 2020 □ Oct 2020 (HM only) □Winter 2021 □ Summer 2021 □ Fall 2021 □ Winter 2022

EDUCATION BACKGROUND

High school name ( most recently attended) City/Prov./Country

Attended from (day/month/year) │ │ Attended to (day/month/year) │ │ Grade completed to date

Have you Graduated High School? □ YES □ NO Anticipated or Graduation date (day/month/year) │______ │_______

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POST-SECONDARY EDUCATION – Have you attended a Post-Secondary Institution? □ Yes □ No (If Yes, provide details below)

POST-SECONDARY EDUCATION YOU MUST DECLARE ALL POST-SECONDARY INSTITUTIONS ATTENDED (Please list starting with most recently attended)

Institutions Name City/Prov./Country Program/Degree Credential Rec’d Date From (mm/yy) Date to (mm/yy)

│ │

│ │

│ │

│ │

│ │

Have you ever been required to withdraw from any post-secondary institution? □ YES □ NO

If yes, give name of institution and date:

Declaration:

By signing this Application, I understand and agree that: (i) this is an application for a TRU program only and is subject to the limitation of available resources; (ii) any misrepresentation of information in this application may result in the cancellation of my admission or registration and such misrepresentation may be shared with other post-secondary institutions; (iii) information placed in my student record will be used for the purpose of admission, registration, record keeping, statistical research, or program evaluation and for purposes consistent with the administration of the University and its programs and services including the programs of student societies/student unions, alumni associations and the Thompson Rivers University Foundation; (iv) my personal information will be reported as required by provincial or federal authority; (v) my admission information may be shared with my current high school as needed and applicable; and (vi) if I am admitted to a program, I am subject to the policies and rules of TRU. I certify that all statements on this application are true and complete and I authorize TRU to verify them.

Applicant Signature: ___________________________________________

Date:

Thompson Rivers University collects information about students (“personal information”) under the authority of the Thompson Rivers University Act, the University Act and in accordance with the Freedom of Information and Protection of Privacy Act (British Columbia), for the purposes of administration, registration and other decisions on students’ academic status, and for the purposes consistent with the administration of the University and its programs and services, including the programs of student societies/student unions, alumni association and the Thompson Rivers University Foundation. Any misrepresentation made by a student in the application/registration process may be shared with other post-secondary institutions. If you wish further information, please contact the Office of the Registrar.

Last update October 2014

Institution Name DATE (mm/yy)

│

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Rick Kienlein: _________________________________

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Kamloops-Thompson School District No. 73 NorKam Trades - Student/Parent Statement Form

Student - Statement of Commitment

Student Name: _______________________________________ Date: ____________________

1. What have you done to prepare yourself for study and work in this career program? (e.g. related jobs, volunteer experience, extra-curricular activities, courses, reading, interviews with people, job shadows) ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2. Explain the skills and talents that you have that will help you to succeed in this program? ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

3. With limited seats available, please describe why you are a good candidate for the NorKam Trades program? ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Parent - Statement of Readiness Parent Name: _______________________________________ Date: _____________________

The applicant has indicated an interest in enrolling in a NorKam Trades program. Keeping in mind that they would be studying in an adult learning environment in which they are expected to be self-motivated, self-directed and not reliant on others to assist in the organization of their learning activities, we ask you to comment on the following:

1. Why do you think your son or daughter should participate in the NorKam Trades program? ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2. Please comment on your son or daughter’s suitability for a program that requires consistent attendance, effort and ability to follow

instructions? ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

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Student Education / Transition Plan

Date: ________________________________ Student Name: ____________________________________ Secondary School: _________________________________________ Student Grade: ________________ Grade 10 Courses: Semester One Semester Two Grade 11 Courses: Semester One Semester Two Grade 12 Courses: Semester One Semester Two

Student has a plan in place to meet Grad Requirements

Requirements 4 Credits Language Arts 10 4 Credits Math 10 4 Credits Social Studies 10 4 Credits Science 10 4 Credits Physical & Health Education 10 4 Credits Career Life Explorations 4 Credits Language Arts 11 4 Credits Social Studies 11 or 12 4 Credits Science 11 or 12 4 Credits Math 11 or 12 4 Credits Language Arts 12 12 Credits of Grade 12 electives 16 Credits of other electives (10,11 or 12) 4 Credit Career Life Connections 4 Credit ADST or Arts Elective (10,11 or 12)

Minimum 80 Credits Capstone

________________________________________ _____________________________ Parent / Guardian Signature Date ________________________________________ ______________________________ Student Signature Date _________________________________________ ______________________________ Counsellor Signature Date

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NorKam Trades Application Research Activity

Based on your career goals, please research the following questions.

1. Describe the career you are interested in? __________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

2. What are some of the jobs/tasks that you would do in this career? _______________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

3. What high school courses would help you get into this career? __________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

4. What salary can you expect to get from this career? __________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

5. What is the “future potential” of this career in terms of employment? For example, will there be many jobs in this trade in

the future? ___________________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

6. Based on your research, are you still interested in this career? Why? _____________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

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Kamloops-Thompson School District No. 73

NorKam Trades - Interview Notes (to be completed by TNT Coordinator)

This sheet is to be used along with the NorKam Trades Sampler Applicant Profile (pg. 4) when interviewing the applicant. Please comment on each category.

TNT Coordinator: _____________________________________ Date: ____________

School: _____________________________________________ Grade: __________

Student Name: _______________________________________ Age: ____________

4. Attendance (Unexcused Absences): { 0=10 or more; 5 = 5 to 10 days; 10 = less than 5 days}

___________________________________________________________________________ ___________________________________________________________________________

5. Conduct (Administration’s student file): { 0 = needs improvement; 5 = satisfactory; 10 = good}

___________________________________________________________________________ ___________________________________________________________________________

6. Course Work Ethic (calculate based on the most recent 8 completed courses): {Starting with 8 points, deduct 2 points for each N and 1 point for each S}. Additional comments.

___________________________________________________________________________ ___________________________________________________________________________

7. Course Grades (calculate based on the most recent 8 completed courses): {% average of the 8 courses/100 x 10 – round to 2 decimal places}. Additional comments.

______________________________________________________________________________________________________________________________________________________

8. Grade 9 / 10 / 11 Tech. Ed. Course or trades related experience: {0 = no; 5 = yes}. If yes, please list.

______________________________________________________________________________________________________________________________________________________

9. Does this student have an IEP? � Yes � No

Accepted Declined _________________________________________

TNT Coordinator’s signature

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