International Student Application Form
For international student tuition rates, please see the handbook.
Legal Name ________________________________ English Name_____________________
Grade applying for______ (the school reserves the right to evaluate the student and assign him/her to the appropriate grade
level)
Intended length of stay ____ less than 6 months (dates)______________________________
____ more than 6 months (dates) _____________________________
Student information (all information must be filled out)
Birth date____________________ (dd/mm/yy) Age ______________________ (year/months)
Citizenship _______________________________________ Gender ____ Male _____Female
Home address ____________________________________________ City_________________
Postal code __________________ Telephone number _________________________
Language spoken at home ________________________________________________________
Last school attended ____________________________________________________________
School address_________________________________________ City ____________________
Postal code __________________ School Phone number______________________________
Last grade attended __________ School Fax number _______________________________
Member of SDA Church? If yes, which church?____________________________________
Baptized member? Student ______ Father ______ Mother _____ Guardian ________
Parent Information:
Father
Name ________________________________________________________________________
Address ______________________________________________________________________
Phone number ______________________________
Citizenship _________________________________
Mother
Name ________________________________________________________________________
Address ______________________________________________________________________
Phone number _______________________________
Citizenship __________________________________
Guardian while in Canada
Name ________________________________________________________________________
Address_______________________________________________________________________
Phone number ________________________________
Citizenship ____________________________________
Canadian Homestay Information
Name of Homestay parents _______________________________________________________
Address_______________________________________________________________________
Phone number __________________________________
Student Emergency/Medical information
1st Contact Person ______________________________________ Phone__________________
2nd Contact Person _____________________________________ Phone _________________
Allergies/medical information ____________________________________________________
_____________________________________________________________________________
Permission for student to participate in field trips and off-campus activities ___Yes ___No
All students will be required to wear school uniform.
Required for registration:
☐ Completed application forms
☐ Passport
☐ Student visa (for long-term students only)
☐ Proof of medical insurance
☐ Registration fee
☐ Tuition fee
☐ Purchase/commitment to purchase school uniform
STATEMENT OF SUPPORT OF SCHOOL POLICIES
I, __________________________________ (parent/guardian) certify that the above information is
true and accurate. We have read and understood the policies and guidelines in the School Handbook
and agree to comply with them at all times. We also understand that failure to meet our obligations to
the school may result in the removal of the student from the school at any time. We hereby state that
we accept the Christ oriented program offered at Lakeview Christian School and acknowledge its
positive impact on the student’s life.
___________________________________ _________________________________
Parent/Guardian signature Student signature
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