Student Application Form

Always Supporting Learners

Valuing Individuals • Fostering Pride • Expanding Opportunities

1) Personal Information

First name* Middle namess
Last name*  
 
Date of Birth (day/month/year)* Age*
Sex* Email*
Male Female
First language at home* Other languages

Mailing Address (Home Country)
Address* City*
Country* Code*
Telephone number* Fax number

Emergency Contact (Home Country)
Name* Email*
Telephone* Fax
Why do you wish to study in Canada?  
   

2) Academic Information

Length of Study* School start month requested*
1 Semester 2 Semesters September February
Grade in which currently enrolled* For which grade are you applying*

Name & location of last school attended:
School (Home Country)  
 
City Dates Attended
School (Canada)  
 
City Dates Attended
Are you planning to continue your schooling to college/university level?*
Yes No  
If yes, where  
 
Do you wish to graduate in Canada?*
Yes No  
Please list 4 courses, per semester, you would like to take. Please add 2 optional courses you would like if you can not take your first choices  
In which community do you wish to attend school?*
Squamish Whistler Pemberton
Note: Placement in the school of choice is not always possible. The final decision on grade placement will be made by the school evaluation team.
English as a Second Languages Services required?*
Yes No  
Please list any physical handicaps the school should be aware of
Were you referred by an agent? If so, which agency
If not, how did you hear about us?
Website Student Fair
Friend or Family Referral Other   

3) Accommodation Information
It is a mandatory regulation that any International student under the age of 19 years must live with a “responsible adult” who is 25 years of age or older.
Students who are under 16 years of age must have guardianship papers notarized. These papers will be
forwarded to applicants to complete, once they have been accepted into the program.*
a) I would like homestay arrangements to be made by the Homestay Services Provider of the
International Education program. I have included an application for the homestay program.
b) My child will be living with the following person(s) who is over the age of 25:
First name Last name
Relationship  
 
Address City
Province Postal Code
Telephone number(home) Telephone number (work)
Fax number Email address

4)Parents Information

Mother

  
First name Last name
Address City
Telephone Email Address

Father

  
First name Last name
Address City
Telephone Email Address
   
I certify that everything stated in this application is true.*

*** In order to process this application, we need:

  • 1. current transcript of marks
  • 2. transcript of marks from previous 2 years of study
  • 3. a letter of recommendation from the student’s current school regarding behaviour and academic ability.
  • 4. a signed waiver form from the parent/guardian
  • 5. $200 application fee
  • 6. immunization form
  • 7. copy of passport photo page
  • 8. homestay application, if applicable
  • 9. $300 homestay application fee, if applicable
  • 10.signed activity waiver

 
Please submit by mail or fax to:
International Education Program
School District No. 48 (Sea to Sky)
Box 250
Squamish, British Columbia,
Canada V8B 0A2
Fax: (604) 892-1038
Webpage: www.high-school-canada.com