Registration Form

Process for Secondary Representative and Student

Toronto District School Board: Amanda St. Louis (amanda.st.louis@tdsb.on.ca)
Toronto Catholic District School Board: Matthew Candiotto (matthew.candiotto@tcdsb.org)
York Region District School Board: Brian Cho (brian.cho@yrdsb.ca)
Dufferin-Peel Catholic District School Board: Robby Costa (robby.costa@dpcdsb.org)
Peel District School Board: Ann-Marie Pottinger (annmarie.pottinger@peelsb.com)
EC Drury School for the Deaf: Jeri Buzny (jeri.buzny@ontario.ca)

Student Personal Information

Legal First Name

Legal Last Name

Student Preferred First Name

Date of Birth

Student's Gender

Student Contact Information

Email Address

Confirm email

Street address

City

Province

Postal code

Home Phone Number

School Information

Select a School Board

High School Name

Contact Teacher's Name

Contact Teacher's Email

Dual Credit Courses

How did you hear about the Dual Credit program?

Please select the Dual Credit course you are interested in applying for:

Have you taken a Dual Credit course before?

If the answer is 'Yes', please enter the name of the course and college below:

Course Name

College Name

Have you applied to College?

If the answer is 'Yes', please enter the name of the program(s) below:

Student Academic Information

Ontario Education Number (OEN)

Credits Earned To Date

Do you have a current Individual Education Plan (IEP)?

Yes

Have you at any time taken a leave from high school?

Yes

Are you in a Specialist High Skills Major (SHSM) program?

Yes

Select one or more of the following categories that is applicable to your student (please note: students must fit into at least one of the following three categories in order to meet Ministry standard):

For more information, please refer to the Dual Credit Program PDF.

Emergency Contact Information

Emergency Contact Name

Emergency Contact Number

Relationship To Student

I have read the foregoing and fully understand the contents of this release form. By checking this box, I authorize the above-mentioned parties to contact me for the purposes of program follow-up and research relating to the Dual Credit program.

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Dual Credit Program Online Registration Form - Spring 2026 Intake

Process for Secondary Representative and Student

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