School District No. 73 (Kamloops/Thompson) NorKam Trades Sampler. Student Application. Name: Last First Middle

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1 School District No. 73 (Kamloops/Thompson) NorKam Trades Sampler Student Application Name: Last First Middle Present School: School District No: Present Grade: TNT Coordinator: Student PEN: Student 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, 2018 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 Sheet (2 initials required bottom right) 2 3 Policies Sheet (2 signatures required) 3 4 Completed TRU Student Application for Admission (1 signature required at bottom of page 2) $28.68 Non-Refundable Deposit to be included with this Application (Please make cheque payable to Thompson Rivers University) -- 6 Completed ITA Youth Explore Program Stream Registration Form (2 signatures required) 6 7 Completed Applicant Profile (2 signatures required bottom left) 7 8 Secondary School Transcript to be attached (See TNT Coordinator or Counsellor to obtain) -- 9 Attendance and Behaviour Summary to be attached (See TNT Coordinator or Counsellor to obtain) Completed Student / Parent Statement Form 8 11 Interview Notes for Applicant Profile (to be completed by TNT Coordinator) 9 12 Completed Student Education / Transition Plan Completed Research Activity 11 I verify that all required 13 items above have been completed and/or attached to this checklist. Applicant s Signature Keep a Copy You are strongly encouraged to keep a copy of your application as well as, all future forms, paperwork, and s for your personal records NorKam Trades Sampler Application Package Page 1 of 11

2 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 - $ CSA Grade 1 Safety Boots (look for the Green Triangle) approximately $ PPE (Personal Protective Equipment) which includes: clear safety glasses, hearing protection, and gloves. NorKam Trades Sampler Program Selection STUDENT NAME: SCHOOL: CURRENT GRADE: Students should consult with their school s TNT Coordinator and Counsellor to determine an education plan prior to completing this selection process. Students may take one program in either semester, and will return to their home school after the program is finished. Those students wishing to take two semesters at NorKam Trades and Technology Centre will require prior approval by their home school Principal and further authorization by the District Principal. 1 st Choice: 2 nd Choice: 1 Construction Sampler 2 Mechanical Sampler Semester 1 (Sept Jan) Semester 2 (Feb June) Semester 1 (Sept Jan) Semester 2 (Feb June) 3 Industrial Sampler see below for details Semester 1 (Sept Jan) Semester 2 (not available) Industrial Sampler includes the following courses: Millwright (Industrial Mechanic) / Machinist Steamfitter / Pipefitter Sheet Metal Worker Instrumentation Mechanic - Students will attend this course at Thompson Rivers University. I acknowledge that my son/daughter will be responsible for their own transportation and parking fees while attending TRU. Parent Signature Student s Initials: Parent s Initials: NorKam Trades Sampler Application Package Page 2 of 11

3 1. Student Code of Conduct NorKam Trades Sampler Policies All students are expected to abide by: a) School District No. 73 Student Code of Conduct - Policy No b) Thompson Rivers University Student Academic Integrity 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 withdraw as this is a University credited program. The letter is to be sent to the TNT Coordinator, TRU Partnership Coordinator and R. Collins. 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 By signing below, we acknowledge that we have read and agree to the policies stated above. I,, have discussed this program with my son/daughter and (Parent/Guardian name: please print) 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 Parent/Guardian signature Date Date NorKam Trades Sampler Application Package Page 3 of 11

4 Please Print Clearly Application for Admission For Undergraduate, Diploma, Certificate, Post-Baccalaureate, Trades and Apprenticeship programs only. Not for Graduate programs or Faculty of Law PEN ID New Student Returning Student TRU ID Campus applying to Kamloops Williams Lake Regional Centers: Lillooet/Lytton Ashcroft/Cache Creek Barriere Clearwater 100 Mile House Last/Family Name Male Female Former Last/Family Name (if applicable) First/Given Name Birthdate Mailing Address (Apt#, Street or Box#) (City/Town) 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 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) (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 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 2 nd choice in Arts, Business, or Science. Program Choice 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 2018 Winter 2019 Summer 2019 Fall 2019 Winter 2020 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) ****** APPLICANTS SIGNATURE REQUIRED ON REVERSE ****** NorKam Trades Sampler Application Package Page 4 of 11

5 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: Institution Name DATE (mm/yy) 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 NorKam Trades Sampler Application Package Page 5 of 11

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7 NorKam Trades and Technology Centre - Applicant Profile (To be completed by the TNT Coordinator/Counsellor WITH the Applicant) Maximum Score 1. Attendance (Unexcused Absences): use TNT Attendance Profile 10 Full days (0 = 10 or more; 5 = 5 to 10 days; 10 = less than 5 days) 2. Conduct (Administration s student file- past 24 months): (0 = needs improvement; 5 = satisfactory; 10 = good) 10 Student Score 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) 5. Grade 9 / 10 /11 Tech. Ed. Course, or trades related experience: (0 = no; 5= yes) 5 Total Score: Max. 43 Planning 10: Not Required Completed Not Completed - % Completed School/TNT Coordinator/Career Counsellor Support I recommend that TNT Coordinator/Counsellor Applicant s name (print) be given consideration for placement into a NorKam Trades and Technology Centre program. Signed: TNT Coordinator / Counsellor Date: Signed: Applicant Date: NorKam Trades Sampler Application Package Page 7 of 11

8 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, selfdirected 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? NorKam Trades Sampler Application Package Page 8 of 11

9 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: School: Student Name: Date: Grade: Age: 1. Attendance (Unexcused Absences): { 0=10 or more; 5 = 5 to 10 days; 10 = less than 5 days} 2. Conduct (Administration s student file): { 0 = needs improvement; 5 = satisfactory; 10 = good} 3. 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. 4. 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. 5. Grade 9 / 10 / 11 Tech. Ed. Course or trades related experience: {0 = no; 5 = yes}. If yes, please list. 6. Does the student require Planning 10 or Career Development? If Planning 10, what is the percentage completed? 7. Does this student have an IEP? Yes No Accepted Declined TNT Coordinator s Signature NorKam Trades Sampler Application Package Page 9 of 11

10 Student Education / Transition Plan Date: Student Name: Secondary School: Student Grade: Grade 10: English / Socials / Science / Math / PE / Planning and all electives Semester One Semester Two Grade 11: English / Socials / Science / Math and all electives Semester One Semester Two Grade 12: English 12 or Communications 12 and all electives Semester One Semester Two *Must be filled out by the school: Transition Courses (e.g. PV---2A) When Taken (e.g. September YYYY) Location (e.g. Kamloops) Institution / Employer (e.g. TRU/NorKam Trades Center) Parent / Guardian Signature Date Student Signature Date Counsellor Signature Date NorKam Trades Sampler Application Package Page 10 of 11

11 NorKam Trades Application - Research Activity My Career goals are: 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? NorKam Trades Sampler Application Package Page 11 of 11