F.W. Johnson Collegiate
F.W. Johnson Technology Use Contract: 2015—2016
In order to maintain our excellent computer/technology network at F.W. Johnson Collegiate, it is necessary to communicate high
expectations for their usage. We request the support of parents/guardians to assist us in maintaining responsible student use.
Opportunities for all students to explore the world of information using computers, media retrieval, audio and video production are
provided throughout the school year. These opportunities enhance the skills necessary for effective research, writing,
communicating and presenting. We encourage flexible use of the technology; however we have established specific business rules to
protect the interests of all. The following technology use agreement is a mechanism whereby the students and their families have
been informed of the access we will provide and also outlines the consequences should any violations occur. Please review this with
your son/daughter and sign acknowledging your understanding. Should you have questions or require clarification, please call our
school office.
400 Fines Drive, Regina, SK S4N 5L9
Phone: 306-523-3350 Fax: 306-751-2143
Website: fwjohnsoncollegiate.rbe.sk.ca
Grade 9 Registration 2015—2016
A Reputation for Excellence
Our school has the honour being named after the Honourable Frederick W. Johnson, former Lieutenant Governor of Saskatchewan
and recipient of The Order of Canada, The Saskatchewan Order of Merit and The Order of St. John. He was appointed “Queen’s
Counsel,” before becoming a Judge of the Saskatchewan Court of Queen’s Bench and the Chief Justice of the Court.
Student Information
(Please note: use family Legal Name as it appears on your birth certificate)
The following rules are necessary to ensure that we can allocate our financial and human resources to provide exciting technical
experiences. Violations of the following make it necessary for us to spend inordinate amounts of time securing, monitoring, repairing
and re-programming. These rules are to ensure that all students have access to the appropriate technology.
Last Name:
Previous School:
First Name:
Location of Previous School:
I WILL NOT without express instruction/permission from the supervising teacher:
Middle Name(s):
Siblings attending F.W. Johnson:
1.
2.
3.
4.
5.
6.
Access email, messaging, chat, or forum sites.
Access another user’s file and/or account.
Play games, or add games to any computer in the school.
Add or remove software, files or hardware (including cabling).
Add, modify or delete any system or application software file.
Alter any settings on electronic equipment including computer control panels, configuration settings, televisions, VCR,
video and audio equipment.
7. Use disks, CDs or portable storage devices
8. Use peer to peer sharing of assignments.
9. Download or upload any files to or from the system or specific machines.
10. View, access or publish any files including copying or searching for information that does not meet the social standards of
the school and community. (Profane, racial, sexual, or para-military applications, documents or images will not be
tolerated).
Bring or consume food or drinks in the technology or computer labs.
Mistreat any of the technology equipment in the school.
Take material from the internet or other online sources and present it as my own (plagiarize).
Try to disable or bypass security measures or restrictions put in place on school computers
Violations to the above mentioned rules will result in suspension or complete removal of access to the technology depending on the
severity or frequency of the infraction.
I have read and understand the rules and the policy as outlined above. I agree that if I violate any of these rules I may forfeit the
right to use technology at F.W. Johnson Collegiate. It should be further understood that if scheduled for a class which requires
extensive use of technology I may have to drop or reschedule the course.
Student’s Name (Please Print)
Apt. #:
City:
Postal Code:
Home Phone: (
)
JAG Teacher
Student’s Signature
Date (mmm/dd/yyyy)
Parent/Guardian Signature
Date (mmm/dd/yyyy)
To view Regina Public School Board Internet and Network Policies and Guidelines, please go to:
http://www.rbe.sk.ca.index
Saskatchewan Health Card No.:
Medical Information the school should be aware of:
Is your Home Phone an Unlisted Number?  Yes  No
Student Cell:
(
)
Date of Birth:
/
mm
Gender:  Female  Male
/
dd
yyyy
Please advise the office, or your JAG teacher, of any changes to your Student Information to keep it current.
Student Support Information
Have you received assistance from a Learning Resource Teacher?
I WILL NOT:
1.
2.
3.
4.
Address:
 Yes  No
If Yes, when/where:
Have you previously been enrolled in an English as an Additional
Language (EAL) Program?
 Yes  No
If Yes, when/where:
Have you previously been enrolled in a a specialized program?
 Yes  No
If Yes, when/where:
Grade 9 Course Selection
Required Classes:







0000
0917
0918
0903
0914
0907
0900
JAG 9 (Advisory)
English 9A
English 9B
Math 9
Science 9
Social Studies 9
Physical Education/Wellness*
* Additional class fees apply
Elective Classes:
Choose two (2):
 0930 Fine Arts 9* (Art, Computers & Music)

0947
Practical & Applied Arts 9 (PAA)*
(Auto, Carpentry & Foods)

0919
French 9
You may also choose one or both:
 0926 Concert Band 9 (during noon hour)
 0927 Concert Choir 9 (during noon hour opposite band)
Office Use Only:
 PowerSchool Historical Updated
 SDS Number:
 Cumulative Record Requested
 Sask Ministry Updated
 JAG/Homeroom:
Contact # 1 Information
Contact # 2 Information
Last Name:
Last Name:
First Name:
First Name:
Relationship:  Mother  Father  Grandparent  Legal Guardian
Relationship:  Mother  Father  Grandparent  Legal Guardian
 Aunt  Uncle  Brother  Sister  Other:
 Aunt  Uncle  Brother  Sister  Other:
Address:
 Check if same address as student
Address:
Address:
Apt. #:
City:
Postal Code:
F.W. Johnson Collegiate Release Form:
PLEASE initial in the box below each disclaimer that you wish to agree/not agree to and sign at the bottom of the page.
Address:
Apt. #:
City:
Postal Code:
Home Phone: (
)
Home Phone: (
)
Cell Phone:
(
)
Cell Phone:
(
)
Work Phone:
(
)
Work Phone:
(
)
I, the parent/guardian of the student named below, do hereby grant permission to the Board of
Education, Regina Public School Division No. 4 of Saskatchewan, to use and reproduce any photograph,
audio or video footage or other recording for use on television, informational or promotional material
such as school or Board newsletters, advertisements, pamphlets, including publication on the Regina
Public School Website and/or F.W. Johnson Collegiate Website, in any manner the Board/school
considers suitable and conforming to established procedures and policies. No names or personal
information will be attached to the images on the Website.
 Yes
Email:
Email:
Emergency Contact Information
Social Worker Information
Last Name:
Last Name:
First Name:
First Name:
Relationship:
Promotion/Information
 Check if same address as student
News Media
I, the parent/guardian of the student named below, do hereby grant permission for my child to be
photographed/recorded/filmed by news media as part of any school or Board event that may be
covered by the news media.
Ministry of:  Justice  Social Services
Home Phone: (
)
Work or Cell Phone:
(
Work Phone:
)
(
Contact Phone:
)
(
 Yes
)
Email:
Declaration of Support (of Contact 1 and/or 2)
 No
 No
Yearbook
Please advise the office, or your JAG teacher, of any changes to your Contact(s), Emergency Contact and/or Social Worker.
Do you own the residence listed above?
 No
If NO, go to the next section.
 Yes
If YES, complete the following:
•Is this property jointly owned?
 Yes
 No
•I am a member of the religious faith that established the Regina Roman Catholic Separate School Division No. 81.
Owner #1
 Yes
 No
Owner #2  Yes  No
I, the parent/guardian of the student named below, do hereby grant permission to F.W. Johnson
Collegiate to use and reproduce my child’s name, photograph and biographical information for exclusive
and limited use of the school yearbook. The image, name and information will not be used for any other
purposes.
 Yes
 No
•If you are NOT of the Roman Catholic faith, is the Education portion of your property taxes allocated to the Public School Board?
Owner #1
 Yes
 No
Owner #2  Yes  No
The following information is collected for the Ministry of Education and disclosure is protected under the Local Freedom of Information and
Protection of Privacy Act.
Country of Birth
Country of Citizenship
First Language spoken at home
Second Language spoken at home
In which school division do parents/guardians reside?  Regina Public Schools or  Other (specify)
Information on Aboriginal ancestry is collected in the SDS by the Ministry of Education to inform program decisions at the local and provincial
levels. Schools are required to provide students with the opportunity to self-declare their Aboriginal ancestry.
Aboriginal people are those who identify themselves to be Registered/Treaty/Status Indian, Non-Status Indian, Métis, or Inuit. Based on this
definition, do you consider yourself to be an Aboriginal person?
 Yes
 No
If Yes, please specify the Aboriginal group you belong to:  Registered/Treaty/Status Indian
Band Affiliation
Non-status Indian  Métis  Inuit
Treaty Status Number
As the legal parent/guardian of the student named above, I hereby declare that the information provided is correct to the best of
my knowledge, and authorize and request the transfer of the student’s school records if required to:
F.W. Johnson Collegiate, 400 Fines Drive, Regina, SK S4N 5L9
Parent/Guardian Signature
Student Signature
Date
Student’s Name (Please Print)
Grade
Parent/Guardian Signature
Date (mmm/dd/yyyy)
Contact # 1 Information
Contact # 2 Information
Last Name:
Last Name:
First Name:
First Name:
Relationship:  Mother  Father  Grandparent  Legal Guardian
Relationship:  Mother  Father  Grandparent  Legal Guardian
 Aunt  Uncle  Brother  Sister  Other:
 Aunt  Uncle  Brother  Sister  Other:
Address:
 Check if same address as student
Address:
Address:
Apt. #:
City:
Postal Code:
F.W. Johnson Collegiate Release Form:
PLEASE initial in the box below each disclaimer that you wish to agree/not agree to and sign at the bottom of the page.
Address:
Apt. #:
City:
Postal Code:
Home Phone: (
)
Home Phone: (
)
Cell Phone:
(
)
Cell Phone:
(
)
Work Phone:
(
)
Work Phone:
(
)
I, the parent/guardian of the student named below, do hereby grant permission to the Board of
Education, Regina Public School Division No. 4 of Saskatchewan, to use and reproduce any photograph,
audio or video footage or other recording for use on television, informational or promotional material
such as school or Board newsletters, advertisements, pamphlets, including publication on the Regina
Public School Website and/or F.W. Johnson Collegiate Website, in any manner the Board/school
considers suitable and conforming to established procedures and policies. No names or personal
information will be attached to the images on the Website.
 Yes
Email:
Email:
Emergency Contact Information
Social Worker Information
Last Name:
Last Name:
First Name:
First Name:
Relationship:
Promotion/Information
 Check if same address as student
News Media
I, the parent/guardian of the student named below, do hereby grant permission for my child to be
photographed/recorded/filmed by news media as part of any school or Board event that may be
covered by the news media.
Ministry of:  Justice  Social Services
Home Phone: (
)
Work or Cell Phone:
(
Work Phone:
)
(
Contact Phone:
)
(
 Yes
)
Email:
Declaration of Support (of Contact 1 and/or 2)
 No
 No
Yearbook
Please advise the office, or your JAG teacher, of any changes to your Contact(s), Emergency Contact and/or Social Worker.
Do you own the residence listed above?
 No
If NO, go to the next section.
 Yes
If YES, complete the following:
•Is this property jointly owned?
 Yes
 No
•I am a member of the religious faith that established the Regina Roman Catholic Separate School Division No. 81.
Owner #1
 Yes
 No
Owner #2  Yes  No
I, the parent/guardian of the student named below, do hereby grant permission to F.W. Johnson
Collegiate to use and reproduce my child’s name, photograph and biographical information for exclusive
and limited use of the school yearbook. The image, name and information will not be used for any other
purposes.
 Yes
 No
•If you are NOT of the Roman Catholic faith, is the Education portion of your property taxes allocated to the Public School Board?
Owner #1
 Yes
 No
Owner #2  Yes  No
The following information is collected for the Ministry of Education and disclosure is protected under the Local Freedom of Information and
Protection of Privacy Act.
Country of Birth
Country of Citizenship
First Language spoken at home
Second Language spoken at home
In which school division do parents/guardians reside?  Regina Public Schools or  Other (specify)
Information on Aboriginal ancestry is collected in the SDS by the Ministry of Education to inform program decisions at the local and provincial
levels. Schools are required to provide students with the opportunity to self-declare their Aboriginal ancestry.
Aboriginal people are those who identify themselves to be Registered/Treaty/Status Indian, Non-Status Indian, Métis, or Inuit. Based on this
definition, do you consider yourself to be an Aboriginal person?
 Yes
 No
If Yes, please specify the Aboriginal group you belong to:  Registered/Treaty/Status Indian
Band Affiliation
Non-status Indian  Métis  Inuit
Treaty Status Number
As the legal parent/guardian of the student named above, I hereby declare that the information provided is correct to the best of
my knowledge, and authorize and request the transfer of the student’s school records if required to:
F.W. Johnson Collegiate, 400 Fines Drive, Regina, SK S4N 5L9
Parent/Guardian Signature
Student Signature
Date
Student’s Name (Please Print)
Grade
Parent/Guardian Signature
Date (mmm/dd/yyyy)
F.W. Johnson Collegiate
F.W. Johnson Technology Use Contract: 2015—2016
In order to maintain our excellent computer/technology network at F.W. Johnson Collegiate, it is necessary to communicate high
expectations for their usage. We request the support of parents/guardians to assist us in maintaining responsible student use.
Opportunities for all students to explore the world of information using computers, media retrieval, audio and video production are
provided throughout the school year. These opportunities enhance the skills necessary for effective research, writing,
communicating and presenting. We encourage flexible use of the technology; however we have established specific business rules to
protect the interests of all. The following technology use agreement is a mechanism whereby the students and their families have
been informed of the access we will provide and also outlines the consequences should any violations occur. Please review this with
your son/daughter and sign acknowledging your understanding. Should you have questions or require clarification, please call our
school office.
400 Fines Drive, Regina, SK S4N 5L9
Phone: 306-523-3350 Fax: 306-751-2143
Website: fwjohnsoncollegiate.rbe.sk.ca
Grade 9 Registration 2015—2016
A Reputation for Excellence
Our school has the honour being named after the Honourable Frederick W. Johnson, former Lieutenant Governor of Saskatchewan
and recipient of The Order of Canada, The Saskatchewan Order of Merit and The Order of St. John. He was appointed “Queen’s
Counsel,” before becoming a Judge of the Saskatchewan Court of Queen’s Bench and the Chief Justice of the Court.
Student Information
(Please note: use family Legal Name as it appears on your birth certificate)
The following rules are necessary to ensure that we can allocate our financial and human resources to provide exciting technical
experiences. Violations of the following make it necessary for us to spend inordinate amounts of time securing, monitoring, repairing
and re-programming. These rules are to ensure that all students have access to the appropriate technology.
Last Name:
Previous School:
First Name:
Location of Previous School:
I WILL NOT without express instruction/permission from the supervising teacher:
Middle Name(s):
Siblings attending F.W. Johnson:
1.
2.
3.
4.
5.
6.
Access email, messaging, chat, or forum sites.
Access another user’s file and/or account.
Play games, or add games to any computer in the school.
Add or remove software, files or hardware (including cabling).
Add, modify or delete any system or application software file.
Alter any settings on electronic equipment including computer control panels, configuration settings, televisions, VCR,
video and audio equipment.
7. Use disks, CDs or portable storage devices
8. Use peer to peer sharing of assignments.
9. Download or upload any files to or from the system or specific machines.
10. View, access or publish any files including copying or searching for information that does not meet the social standards of
the school and community. (Profane, racial, sexual, or para-military applications, documents or images will not be
tolerated).
Bring or consume food or drinks in the technology or computer labs.
Mistreat any of the technology equipment in the school.
Take material from the internet or other online sources and present it as my own (plagiarize).
Try to disable or bypass security measures or restrictions put in place on school computers
Violations to the above mentioned rules will result in suspension or complete removal of access to the technology depending on the
severity or frequency of the infraction.
I have read and understand the rules and the policy as outlined above. I agree that if I violate any of these rules I may forfeit the
right to use technology at F.W. Johnson Collegiate. It should be further understood that if scheduled for a class which requires
extensive use of technology I may have to drop or reschedule the course.
Student’s Name (Please Print)
Apt. #:
City:
Postal Code:
Home Phone: (
)
JAG Teacher
Student’s Signature
Date (mmm/dd/yyyy)
Parent/Guardian Signature
Date (mmm/dd/yyyy)
To view Regina Public School Board Internet and Network Policies and Guidelines, please go to:
http://www.rbe.sk.ca/index.asp?id=stu_internetandnetworkpolicies
Saskatchewan Health Card No.:
Medical Information the school should be aware of:
Is your Home Phone an Unlisted Number?  Yes  No
Student Cell:
(
)
Date of Birth:
/
mm
Gender:  Female  Male
/
dd
yyyy
Please advise the office, or your JAG teacher, of any changes to your Student Information to keep it current.
Student Support Information
Have you received assistance from a Learning Resource Teacher?
I WILL NOT:
1.
2.
3.
4.
Address:
 Yes  No
If Yes, when/where:
Have you previously been enrolled in an English as an Additional
Language (EAL) Program?
 Yes  No
If Yes, when/where:
Have you previously been enrolled in a a specialized program?
 Yes  No
If Yes, when/where:
Grade 9 Course Selection
Required Classes:







0000
0917
0918
0903
0914
0907
0900
JAG 9 (Advisory)
English 9A
English 9B
Math 9
Science 9
Social Studies 9
Physical Education/Wellness*
* Additional class fees apply
Elective Classes:
Choose two (2):
 0930 Fine Arts 9* (Art, Computers & Music)

0947
Practical & Applied Arts 9 (PAA)*
(Auto, Carpentry & Foods)

0919
French 9
You may also choose one or both:
 0926 Concert Band 9 (during noon hour)
 0927 Concert Choir 9 (during noon hour opposite band)
Office Use Only:
 PowerSchool Historical Updated
 SDS Number:
 Cumulative Record Requested
 Sask Ministry Updated
 JAG/Homeroom: