This form is only for students who will move on to the provincial Concours on May 6th, 2017, in Toronto. For students under the age of 18, this form must be completed by their parent/guardian.

Deadline to receive this form is Monday, April 3rd, 2017

1. Media Permission Form

  1. Download the Media Permission Form below.
  2. Complete, print and sign the form.
  3. Scan and save the completed form to your computer. Return to this page and upload the completed signed form by clicking on the button "Choose file" below.
  4. If you can't scan this form, please contact Tanzila Mian at 1.800.667.0594 ext.4 or by email at tmian@on.cpf.ca
  • Media Permission Form
  • 2. General Information

    Student's First Name *
    Student's Last Name *
    Speech Title *(Must be in French and limited to 45 characters)

    Current Grade *
    French Program Currently Enrolled in (please choose one) : *
    Mailing Address * (including apt. number if applicable)
    City/Town *
    Province *
    Postal Code *
    Home Phone *
    (+area code)
    Cell Phone
    (+area code)
    Parent/Guardian First Name *
    Parent/Guardian Last Name *
    Parent/Guardian First Name
    Parent/Guardian Last Name
    Parent/Guardian Email Address *
    Do you have a sibling also attending this event? yesno
    If yes, provide name of student

    3. School Information

    School Name *
    (name in full)

    School Board *
    (name in full)
    Name of French Teacher *

    4. Linguistic Experiences

    1 What is your home/first language? *
    2 If your home/first language is not one of Canada's official languages, which Canadian official language did you learn first?
    3 Are you from a home in which a parent speaks French on a regular basis? *
    4 Are you from a home in which one or both parents speak French? *
    5 Do you speak French at home? *
      If yes...
    how often do you speak French at home?
    6 Were you ever part of a student exchange program in a milieu where French was spoken regularly? *
      If yes...
    Which country/province?
      How long was the program?
      How recent was your experience?
    (Please specify with dates from 2014)
    7 Have you ever studied abroad in French? *
      If yes...
    Which country/province?
      How long was the program?
      How recent was your experience?
    (Please specify with dates from 2014)
    8 In the past three years, have you benefited linguistically from living in a community where French was spoken on a regular basis? *
      If yes...
    Which country/province?
      How long was the program?
      How recent was your experience?
    (Please specify with dates)
    9 Have you ever studied in a francophone (French First Language) school for at least one year in the past four years (in 2012-2013 or since)? *
      If you answered yes to the above question, for how many years?
    What was the last grade you completed there?
    10 Do you have any additional linguistic experiences in French? *
      If you answered yes to the above question, please cite specific examples (i.e. summer bursary, work experience, etc.)
    11 Have you previously participated in the Concours et festival d'art oratoire at the provincial level? *
      If you answered yes to the above question, what year?
    In which category?

     

    Signature and Declaration

    Parent consent required if participant is under 18

    Click here to read the Rules for Concours.

    By checking this box and typing my name below, I declare that I am the


    I have read and understood the Rules, and consent to participle in this event.

    Name

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