| First Name
*
|
Invalid Parameter
Required
|
| Last Name
*
|
Invalid Parameter
Required
|
| |
This is the name that will appear on your course completion certificate(s).
|
| Program
|
Required
Invalid Parameter
|
|
School
*
|
Required
|
|
Co-op Teacher
*
|
Required
Invalid Parameter
|
|
Teacher Email
|
Required
Invalid Parameter
|
|
Gender
|
Required
Invalid Parameter
|
|
Grade
*
|
Required
Invalid Parameter
|
|
OEN
|
Required
Invalid Parameter
|
|
Co-op Placement
|
Required
Invalid Parameter
|
|
Co-op Job Title
|
Required
Invalid Parameter
|
|
Supervisor/Designate
|
Required
Invalid Parameter
|
|
SCDSB Student Email
* |
Please enter a valid e-mail address. Multiple addresses can be added using a semi-colon as a delimiter.
Required
|
|
|
Username:*
(Required Field)
|
Required
|
| Enter a password:
*
|
Required
Passwords must contain a minimum of 8 characters, including: 1 lower case letter [a-z]; 1 upper case letter [A-Z]; 1 numeric character [0-9]; and 1 special character [e.g. !, @, $, %, ^, &, *, +,., #]
|