101-814 Goldstream Ave, Victoria, BC V9B2X7

CROSS ENROLLED STUDENT LEARNING PLAN

Legal First Name: ______Legal Last Name: ______
Legal Middle Name: ______HomeAddress: ______
City: ______Province: ______Postal Code: ______
Home Phone: ______Cell Phone: ______Work Phone: ______

Student E-mail: ______Parent E-mail: ______

Maiden Name (last name before marriage): ______Ministry PEN #: ______

Parent / Guardian Name: (Under 19 only)______Parent Contact: ______

Are you currently a distance learning student? Yes  No  Registered at: ______

Student Demographics:
Gender: Male  Female  Birth-date: Day____ Month_____ Year ____
Citizenship: Canadian  Landed Immigrant  Student Visa  Visitor’s Visa 

Do you have any special needs? (hearing, vision, disability, health, learning disability) ______

Section 1- Students will not be accepted unless Section 1 is completed and signed by a school counsellor.

CROSS-ENROLLED STUDENT- APPROVAL TO ENROL IN JDFDL COURSE/S
Name of school presently registered: School code: City: ______
Student claimed on Sept. 30 1701: Yes  No 
Reason for enrolling: Expected date of completion:______
Counsellor Name: (please print) ______
Counsellor Signature: .

Student Signature:Date:

Parent/ Guardian Signature: Date:

By signing I am committed to the learning plan for my son/daughter.

Student under 19 confirms parent / guardian is aware of interview for Student Learning Plan. Yes  No 

All courses follow Ministry of Education learning outcomes and resources available at:

For a complete course plan for your subject area please go to

Student and Parent are required to read and initial after reading: Role of Student and Role of Parent.

Role of Student (DL courses) Initial: ______

Once registered for a course, book a time to attend the DL orientation as soon as possible. The orientation provides a valuable tutorial for navigating online courses and will make the transition into online course work easier. Create a schedule for working on your DL courses. Allot time on a daily basis to complete assigned course tasks. Communicate regularly with your DL teacher and do not hesitate to ask questions if you are not sure how to proceed with an assignment or do not understand a course concept. Your DL teachers will be more than willing to assist you online or by phone.

Remember! There will be no teacher reminding you to get your work done so it is up to you to develop a schedule and routine for completing your DL course work. You are expected to hand in an assignment each week unless you have communicated with your teacher as to why not

Students’ key points to consider:1. Keep to a set schedule (days & times).

  1. Record upcoming due dates (calendar at a glance).
  2. Create a comfortable work area where you do not have any other distractions.
  3. Communicate regularly with your teacher.
  4. Hand in assignments on time (or early!).

Role of Parent (Distributed Learning)Initial: ______

Parents play a critical role with the success of students in any school setting. Distributed Learning (DL) courses place parents in a supervisory role that would be managed by a classroom teacher in the regular setting. There are key elements parents need to keep in mind when helping their children to be successful with courses that are completed at a distance. First, work with your child to maintain a regular schedule of working on DL courses. For example, a DL student could spend the morning working on DL if not enrolled in another school. If the student is enrolled at a regular school and supplementing their school timetable with DL courses, they could dedicate one hour per evening for DL and some time on the weekends. A regular routine of working on DL significantly increases the successful completion of the course.

Secondly, ensure that the student understands the there will be no teacher or timetable reminding them to get the work done. Course success is achieved through the students own motivation. Self directed education is tough to get into when the student has been attending classes in a traditional setting.

Finally, speak to your child about the pros and cons of DL courses. Explain that it requires individual motivation, discipline, and commitment to be successful in these courses. Students will need to be willing to maintain regular contact with the assigned DL teacher and will need to be comfortable working in both an electronic and binder course format.

WestShore Centre for Learning & Training/ JDFDL Phone: 250-391-9002 Fax: 250-391-9007

Work Experience (SD62 Schools)

Students age 16+ as of July 1, 2017 (DOB June 30, 2001 or earlier) Continuing Education

BELMONT / EMCS / ROYAL BAY
 Work Experience 12A
(MWEX-2A-BPB17)
 Work Experience 12B
(MWEX-2B-BPB17) /  Work Experience 12A
(MWEX-2A-E17)
 Work Experience 12B
(MWEX-2B–E17) /  Work Experience 12A
(MWEX-2A-R17)
 Work Experience 12B
(MWEX-2B-R17)

Students age under 16 as of July 1, 2017 (DOB July 1, 2001 or later) Distributed Learning

BELMONT / EMCS / ROYAL BAY
 Work Experience 12A
(MWEX-2AJDF-BPB17)
 Work Experience 12B
(MWEX-2BJDF-BPB17) /  Work Experience 12A
(MWEX-2AJDF-EPB17)
 Work Experience 12B
(MWEX-2BJDF–EPB17) /  Work Experience 12A
(MWEX-2AJDF-RPB17)
 Work Experience 12B
(MWEX-2BJDF-RPB17)

Student Name:______

Youth Work in Trades (formally known as SSA)

Students age 16+ as of July 1, 2017 (DOB June 30, 2001 or earlier) Continuing Education

WESTSHORE / BELMONT / EMCS / ROYAL BAY
GRADE ELEVEN
YWT 11A
(MWRK-1A-PB17)
YWT 11B
(MWRK-1B-PB17)
GRADE TWELVE
YWT 12A
(MWRK-2A-PB17)
YWT 12B
(MWRK-2B-PB17) / GRADE ELEVEN
 YWT 11A
(MWRK-1A-BPB17)
 YWT 11B
(MWRK-1B-BPB17)
GRADE TWELVE
 YWT 12A
(MWRK-2A-BPB17)
 YWT 12B
(MWRK-2B-BPB17) / GRADE ELEVEN
 YWT 11A
(MWRK-1A-EPB17)
 YWT 11B
(MWRK-1B-EPB17)
GRADE TWELVE
 YWT 12A
(MWRK-2A-EPB17)
 YWT 12B
(MWRK-2B-EPB17) / GRADE ELEVEN
 YWT 11A
(MWRK-1A-RPB17)
 YWT 11B
(MWRK-1B-RPB17)
GRADE TWELVE
 YWT 12A
(MWRK-2A-RPB17)
 YWT 12B
(MWRK-2B-RPB17)

Students age under 16 as of July 1, 2017 (DOB July 1, 2001 or later) Distributed Learning

WESTSHORE / BELMONT / EMCS / ROYAL BAY
GRADE ELEVEN
 YWT 11A
(MWRK-1AJDF-PB17)
 YWT 11B
(MWRK-1BJDF-PB17)
GRADE TWELVE
 YWT 12A
(MWRK-2AJDF-PB17)
 YWT 12B
(MWRK-2BJDF-PB17) / GRADE ELEVEN
 YWT 11A
(MWRK-1AJDF-BPB17)
 YWT 11B
(MWRK-1BJDF-BPB17)
GRADE TWELVE
 YWT 12A
(MWRK-2AJDF-BPB17)
 YWT 12B
(MWRK-2BJDF-BPB17) / GRADE ELEVEN
 YWT 11A
(MWRK-1AJDF-EPB17)
 YWT 11B
(MWRK-1BJDF-EPB17)
GRADE TWELVE
 YWT 12A
(MWRK-2AJDF-EPB17)
 YWT 12B
(MWRK-2BJDF-EPB17) / GRADE ELEVEN
 YWT 11A
(MWRK-1AJDF-RPB17)
 YWT 11B
(MWRK-1BJDF-RPB17)
GRADE TWELVE
 YWT 12A
(MWRK-2AJDF-RPB17)
 YWT 12B
(MWRK-2BJDF-RPB17)

Student Name:______

Camosun College South Island Partnership:ACE-IT PROGRAMS

Students age 16+ as of July 1, 2017 (DOB June 30, 2001 or earlier) Continuing Education

PROGRAM NAME:______
WESTSHORE
TRNB-2A-SIP17
TRNB-2B-SIP17
TRNB-2C-SIP17
TRNB-2D-SIP17
TRNB-2E-SIP17
TRNB-2F-SIP17
TRNB-2G-SIP17
TRNB-2H-SIP17
TRNB-2I-SIP17
TRNB-2J-SIP17
TRNB-2K-SIP17
TRNB-2L-SIP17 / BELMONT
TRNB-2A-BSIP17
TRNB-2B-BSIP17
TRNB-2C-BSIP17
TRNB-2D-BSIP17
TRNB-2E-BSIP17
TRNB-2F-BSIP17
TRNB-2G-BSIP17
TRNB-2H-BSIP17
TRNB -2I-BSIP17
TRNB -2J-BSIP17
TRNB-2K-BSIP17
TRNB-2L-BSIP17 / EMCS
TRNB-2A-ESIP17
TRNB-2B-ESIP17
TRNB-2C-ESIP17
TRNB-2D-ESIP17
TRNB-2E-ESIP17
TRNB-2F-ESIP17
TRNB-2G-ESIP17
TRNB-2H-ESIP17
TRNB-2I-ESIP17
TRNB-2J-ESIP17
TRNB-2K-ESIP17
TRNB-2L-ESIP17 / ROYAL BAY
TRNB-2A-RSIP17
TRNB-2B-RSIP17
TRNB-2C-RSIP17
TRNB-2D-RSIP17
TRNB-2E-RSIP17
TRNB-2F-RSIP17
TRNB-2G-RSIP17
TRNB-2H-RSIP17
TRNB-2I-RSIP17
TRNB-2J-RSIP17
TRNB-2K-RSIP17
TRNB-2L-RSIP17

Students age under 16 as of July 1, 2017 (DOB July 1, 2001 or later) Distributed Learning

PROGRAM NAME:______
WESTSHORE
TRNB-2AJDF-SIP17
TRNB-2BJDF-SIP17
TRNB-2CJDF-SIP17
TRNB-2DJDF-SIP17
TRNB-2EJDF-SIP17
TRNB-2FJDF-SIP17
TRNB-2GJDF-SIP17
TRNB-2HJDF-SIP17
TRNB-2IJDF-SIP17
TRNB-2JJDF-SIP17
TRNB-2KJDF-SIP17
TRNB-2LJDF-SIP17 / BELMONT
TRNB-2AJDF-BSIP17
TRNB-2BJDF-BSIP17
TRNB-2CJDF-BSIP17
TRNB-2DJDF-BSIP17
TRNB-2EJDF-BSIP17
TRNB-2FJDF-BSIP17
TRNB-2GJDF-BSIP17
TRNB-2HJDF-BSIP17
TRNB -2IJDF-BSIP17
TRNB -2JJDF-BSIP17
TRNB-2KJDF-BSIP17
TRNB-2LJDF-BSIP17 / EMCS
TRNB-2AJDF-ESIP17
TRNB-2BJDF-ESIP17
TRNB-2CJDF-ESIP17
TRNB-2DJDF-ESIP17
TRNB-2EJDF-ESIP17
TRNB-2FJDF-ESIP17
TRNB-2GJDF-ESIP17
TRNB-2HJDF-ESIP17
TRNB-2IJDF-ESIP17
TRNB-2JJDF-ESIP17
TRNB-2KJDF-ESIP17
TRNB-2LJDF-ESIP17 / ROYAL BAY
TRNB-2AJDF-RSIP17
TRNB-2BJDF-RSIP17
TRNB-2CJDF-RSIP17
TRNB-2DJDF-RSIP17
TRNB-2EJDF-RSIP17
TRNB-2FJDF-RSIP17
TRNB-2GJDF-RSIP17
TRNB-2HJDF-RSIP17
TRNB-2IJDF-RSIP17
TRNB-2JJDF-RSIP17
TRNB-2KJDF-RSIP17
TRNB-2LJDF-RSIP17

Academic Advisor: ______Student: ______Date: ______

Student Name:______

Camosun CollegeSouth Island Partnership Dual Credit Programs:

CNET, HCA, CSEA, IFS, Information and Computer Systems, Electronics & Computer Engineering Tech- Renewable resources, Office Admin Program, Legal Office Admin, Medical Office Assistant Program

Students age 16+ as of July 1, 2017 (DOB June 30, 2001 or earlier) Continuing Education

PROGRAM NAME:______
WESTSHORE
 PB---12A-SIP17
 PB---12B-SIP17
 PB---12C-SIP17
 PB---12D-SIP17
 PB---12E-SIP17
 PB---12F-SIP17
 PB---12G-SIP17
 PB---12H-SIP17
 PB---12I-SIP17
 PB---12J-SIP17
 PB---12K-SIP17
 PB---12L-SIP17 / BELMONT
 PB---12A-BSIP17
 PB---12B-BSIP17
 PB---12C-BSIP17
 PB---12D-BSIP17
 PB---12E-BSIP17
 PB---12F-BSIP17
 PB---12G-BSIP17
 PB---12H-BSIP17
 PB---12I-BSIP17
 PB---12J-BSIP17
 PB---12K-BSIP17
 PB---12L-BSIP17 / EMCS
 PB---12A-ESIP17
 PB---12B-ESIP17
 PB---12C-ESIP17
 PB---12D-ESIP17
 PB---12E-ESIP17
 PB---12F-ESIP17
 PB---12G-ESIP17
 PB---12H-ESIP17
 PB---12I-ESIP17
 PB---12J-ESIP17
 PB---12K-ESIP17
 PB---12L-ESIP17 / ROYAL BAY
 PB---12A-RSIP17
 PB---12B-RSIP17
 PB---12C-RSIP17
 PB---12D-RSIP17
 PB---12E-RSIP17
 PB---12F-RSIP17
 PB---12G-RSIP17
 PB---12H-RSIP17
 PB---12I-RSIP17
 PB---12J-RSIP17
 PB---12K-RSIP17
 PB---12L-RSIP17

Students age under 16 as of July 1, 2017 (DOB July 1, 2001 or later) Distributed Learning

PROGRAM NAME:______
WESTSHORE
 PB---12A-SIP17
 PB---12B-SIP17
 PB---12C-SIP17
 PB---12D-SIP17
 PB---12E-SIP17
 PB---12F-SIP17
 PB---12G-SIP17
 PB---12H-SIP17
 PB---12I-SIP17
 PB---12J-SIP17
 PB---12K-SIP17
 PB---12L-SIP17 / BELMONT
 PB---12A-BSIP17
 PB---12B-BSIP17
 PB---12C-BSIP17
 PB---12D-BSIP17
 PB---12E-BSIP17
 PB---12F-BSIP17
 PB---12G-BSIP17
 PB---12H-BSIP17
 PB---12I-BSIP17
 PB---12J-BSIP17
 PB---12K-BSIP17
 PB---12L-BSIP17 / EMCS
 PB---12A-ESIP17
 PB---12B-ESIP17
 PB---12C-ESIP17
 PB---12D-ESIP17
 PB---12E-ESIP17
 PB---12F-ESIP17
 PB---12G-ESIP17
 PB---12H-ESIP17
 PB---12I-ESIP17
 PB---12J-ESIP17
 PB---12K-ESIP17
 PB---12L-ESIP17 / ROYAL BAY
 PB---12A-RSIP17
 PB---12B-RSIP17
 PB---12C-RSIP17
 PB---12D-RSIP17
 PB---12E-RSIP17
 PB---12F-RSIP17
 PB---12G-RSIP17
 PB---12H-RSIP17
 PB---12I-RSIP17
 PB---12J-RSIP17
 PB---12K-RSIP17
 PB---12L-RSIP17

Academic Advisor: ______Student: ______Date: ______

WestShore Centre for Learning & Training/ JDFDL Phone: 250-391-9002 Fax: 250-391-9007