Bloor Collegiate Institute

Registration Form for TOPS on Bloor

Talented Offerings for Programmes in the Sciences

Student Profile

Student First Name: Enter First Name / Student Last Name: Enter Last name
Mailing Address: Enter mailing address / Apt: Enter apt if applicable.
City: Enter City / ON / Postal Code: Enter postal code
Home Telephone Number: (xxx) xxx-xxxx
Current School: Enter current school / Current Grade: 8 or 9

Materials submitted as part of the TOPS on Bloor application package become the property of Bloor Collegiate and will not be returned.

I confirm that this application in its entirety was written and completed by the student applicant.

I hereby give consent to my child/my being filmed, interviewed, videotaped, photographed by employees of the Toronto District School Board for use in school promotional material and/or website if my child is/I am a student at Bloor Collegiate.

Student Signature:______

Parent/Guardian Signature: ______

Section A: Interests and Activity Involvement

We recognise the importance of a “well-rounded” individual. To help us assess your application, please complete the following outline.

Most Important In-school Activities
Name of activity / Description of the type of involvement / position(s) held / Year(s) involved
Activity / Description / Year(s) /
Activity / Description / Year(s) /
Activity / Description / Year(s) /
Activity / Description / Year(s) /
Most Important Out of School Activities
Name of activity / Description of the type of involvement / position(s) held / Year(s) involved
Activity / Description / Year(s) /
Activity / Description / Year(s) /
Activity / Description / Year(s) /
Activity / Description / Year(s) /

Section B: Tell us more about yourself and your interests and why you are a strong candidate for the TOPS on Bloor program. Please use complete sentences and type no more than 1 page, single spaced, 12 point font.

Click here to enter text.