OMO Africentric Virtual Campus
Pre-Register for Drop In Tutoring Parent First Name *
Parent Last Name*
Email*
Phone Number
Comments
Student Information (Please complete a separate registration form for each student you want to register) Name of Student registering for campus*
What grade is the student in?
Pre-school
JK/SK
1
2
3
4
5
6
7
8
9
10
11
12
Post-secondary
What school board does the student belong to?* Please enter data Algoma District School Board Algonquin and Lakeshore DSB Avon Maitland DSB Bluewater DSB Brant Haldimand Norfolk Catholic DSB Bruce-Grey Catholic DSB CDSB of Eastern Ontario CHEO SA CS Viamonde CS catholique MonAvenir CS public du Grand Nord de l'Ontario CSD du Nord-Est de l'Ontario CSDC Franco-Nord CSDC de l'Est ontarien CSDC des Aurores boréales CSDC des Grandes Rivières CSDC du Centre-Est de l'Ontario CSDC du Nouvel-Ontario Conseil scolaire catholique Providence Consortium Centre Jules-Léger CÈP de l'Est de l'Ontario DSB Niagara DSB Ontario North East Dufferin-Peel Catholic DSB Durham Catholic DSB Durham District School Board Grand Erie DSB Greater Essex County DSB Halton Catholic DSB Halton DSB Hamilton-Wentworth Catholic SB Hamilton-Wentworth DSB Hastings & Prince Edward DSB Huron Perth Catholic DSB Huron-Superior Catholic DSB James Bay Lowlands SSB Kawartha Pine Ridge DSB Keewatin-Patricia DSB Kenora Catholic DSB Lakehead District School Board Lambton Kent DSB Limestone DSB London District Catholic School Board Moose Factory Island DSAB Moosonee DSAB Near North DSB Niagara Catholic DSB Nipissing-Parry Sound DSB Northeastern Catholic DSB Northwest Catholic DSB Other Ottawa Catholic DSB Ottawa-Carleton DSB Peel District School Board Penetanguishene PSSB Peterborough Victoria Northumberland and Clarington Catholic DSB Rainbow DSB Rainy River DSB Renfrew County Catholic DSB Renfrew County DSB Simcoe County DSB Simcoe Muskoka Catholic DSB St Clair Catholic DSB Sudbury Catholic DSB Superior North Catholic DSB Superior-Greenstone DSB Thames Valley DSB Thunder Bay Catholic DSB Toronto Catholic DSB Toronto District Schoolboard Trillium Lakelands DSB Upper Canada DSB Upper Grand DSB Waterloo Catholic DSB Waterloo Region DSB Wellington Catholic DSB Windsor-Essex Catholic DSB York Catholic DSB York Region DSB
What subjects does the student require tutoring supports for? (We understand this may change depending on homework).* Select Math Science Social Studies French Language Arts High School - Math
Do you have a laptop of computer that your child can use to access the virtual campus?*
Yes
No
What technology will your child be using to access the virtual campus drop in tutoring? (Note our Omo Africentric Campus can be downloaded onto a PC or MAC. Chromebook users can access tutoring through our web-based platform)*
PC
MAC
Chromebook
Please list any specialized programs/supports that the student requires (i.e IEP etc.)*
Student identifies as... *
Black
African
Afro-Caribbean
African-Canadian descent
Afro-LatinX
Bi- Racial
By completing this form, I consent to having this information, including personally identifying information, shared with the tutoring company who will be providing tutoring services to the student
I agree