BCCE – ENGLISH ASSESSMENT (ONLINE) BCCE_ENGLISH ASSESSMENT (ONLINE) 1 PROGRAM2 FEE3 Demographics & Contact Info4 Education & IDs5 Confirmation PROGRAM:*Please indicate what program you are registering. FOUNDATIONS ENGLISHHIGH SCHOOL COMPLETIONLOCATION:*Please pick a location to attend the class. - NBAEC - North Burnaby Adult Education Centre (751 Hammarskjold Drive) - SBAEC - South Burnaby Adult Education Centre (Portables at 5455 Rumble St) - BSSS - Burnaby South Secondary School (Main School at 5455 Rumble Street)NBAECSBAECBSSS (Evening ONLY) SBAEC has NO High School Completion Courses. Please check the schedule at BCCE. Are you currently attending BCCE?*This form is for NEW student without English Assessment.YesNo Please register as a CURRENT student at BCCE. Choose one of the followings:*It has been less than 6 MONTHS since your last English Assessment with BCCE.It has been less than 1 YEAR since your last English Foundations class at BCCE.I have completed English 10 in Canada or Foundations English 7.None of above. Please register for BCCE - NEW STUDENT (DAY). Are you registering High School Course under Work Permit or Refugee Claimant?*NOTE: High School Courses are Academic courses. If you are on Work Permit or Refugee Claimant, you are not permitted to take any Academic courses. YesNoPlease contact BCCE office 604-296-6901Office Hour: 8:30 AM - 3:00 PMAre you currently registered at another school or online?*NOTE: You are not permitted to register for the same course at two different schools.YesNoPlease contact BCCE office 604-296-6901Office Hour: 8:30 AM - 3:00 PMEnglish Assessment Fee: $25.00*SEE NOTES BELOW: • Online payments must be made with VISA or MASTERCARD only. • DEBIT payments can only be done IN-PERSON at office (751 Hammarskjold Dr.). • After payment, you will received a link to the online English Assessment test. • The fee is non-refundable. I understand. ONLINE ENGLISH ASSESSMENT FEE. (Course # F001)1. Please click the link above to complete the fee payment to continue your registration. 2. In the COURSE NUMBER field, type in F001 and then Click SUBMIT. Do not fill out any other field. Have you paid for the English Assessment Fee?*NOTE: English Assessment Fee must be fully paid to continue this registration. YesNoRECEIPT # of payment for English Assessment.*Please pay for the English Assessment Fee and enter your payment receipt#. LAST NAME*NOTE: Please enter your FULL LEGAL LAST NAME as it appears on your legal ID.FIRST NAME*NOTE: Please enter your FULL LEGAL FIRST NAME as it appears on your legal ID.Preferred First NameDATE OF BIRTH* EMAIL*IMPORTANT: This is ONE of our main forms of communication with students. Enter Email Confirm Email CELL PHONE #*IMPORTANT: This is ONE of our main forms of communication with students.Home Phone #ADDRESS*As it appears on your BC RESIDENCY document. Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code GENDER*MaleFemaleCITIZENSHIP*If other, please indicate your Country of Citizenship.Canadian CitizenOtherIf Other, please indicate your Country of Citizenship.*CURRENT STATUS IN CANADA*Canadian CitizenPermanent ResidentConvention RefugeeRefugee ClaimantWork PermitVisitor Visa (Fee Paying - $1325 per course)Study Permit (Fee Paying - $1325 per course)Expiry Date*Please indicate the expiry date of your Work Permit, Study Permit or Refugee Permit. NOTE: Your status must be valid for the entire duration of the course your registered. Primary Language*Please indicate the primary language spoken at home. If other, please indicate languageArabicCantoneseChinese (Mandarin)EnglishFarsiFrenchPortuguese (incl. Brazilian Portuguese)SpanishOtherIf Other, please indicate your primary language.*Have you lived in British Columbia for more than six (6) months of this past year?YesNoHave you graduated high school in any country?*YesNoAre you under 19 and have not graduated from high school in Canada?*YesNoDo you have a Transcript or a Foundations Student Exit Form?*Any Transcript from your previous academic experience. -OR- If you are a former BCCE Foundations student, the Foundations Student Exit Form is from your teacher or the assessment test. YesNoPlease upload your previous Transcript if you are registering for a High School Completion course. Any question, please contact BCCE office 604-296-6901 (Office Hour: 8:30 AM - 3:00 PM)TRANSCRIPT or FOUNDATIONS STUDENT EXIT FORM*Please upload: The latest transcript from your previous academic experience. -OR- Foundations Student Exit Form from your teacher or the assessment test. Drop files here or BC RESIDENCY*Please attach proof of BC residency. The name and address on the ID has to match with your current address. (e.g. Driver's License, BCID, Service Card). Drop files here or CURRENT STATUS*Please attach proof of current status in Canada. eg. Passport, PR Card, Canadian Birth Certificate, Work Permit, Study Permit, Refugee Claimant Document. Drop files here or PHOTO ID*Please attach picture identification. eg. Passport, PR Card, Driver's License, BC ID Drop files here or Please check ALL to confirm your registration.* You are a NEW student WITHOUT a BCCE English Assessment. You've paid for a BCCE English Assessment Fee. Your English Assessment Result will be emailed to you. Your registration is NOT completed until all proper documents are provided. We will contact you if there is a problem with your registration. The information on this form is collected under the authority of the School Act, Sections 13 and 79. The information provided will be used for educational programs and administrative purposes, and when required may be provided to health services, social services or support services as outlined in Section 79 (2) of the School Act. The information collected on this form will be protected consistent with the Freedom of Information and Protection of Privacy Act. If you have any questions about the information recorded on this form, please contact School District Administration Office at (604) 296-6901*I certify that the information provided on this form is correct and valid as of this date