Primary Student Application Form Student Legal Name First Name Middle Name Grade Pronoun Date of Birth Age Phone Number (parent/guardian) Unlisted Yes Current Mailing Address Residential / Rural Address (If different than mailing) Last School Attended PARENT / GUARDIAN POINT OF CONTACT Parent Tel Unlisted Yes E-mail REQUIRED DOCUMENTATIONPlease provide the listed documentation and check off as included. Most Recent Report Card or Progress Report Final Report Cards Previous TWO School Years Confidential School Reference Citizenship:Temporary ResidentChild of a Permanent ResidentForeign / International Student Birth Certificate valid study permit Temporary resident document Birth Certificate valid study permit parent’s permanent residence documents Birth Certificate valid study permit Study permit or Residency issue date Study permit or Residency expiry date Work permit or Residency expiry date TESTING AND ASSESSMENT VERIFICATION Please confirm that your child has complete the following test and assessment and the date of completion. Secondary School Admission Test Yes Date of Completion Character Skills Snapshot Yes Date of Completion I hereby affirm that I have read this Application Form and understand how this information will be used. I affirm that the information provided with this Application package, and the testing/assessment results are complete and correct. As indicated by my signature below, I hereby freely and voluntarily consent to have the information provided by me accessible as indicated. Parent/Guardian Name Signature of Parent/Guardian Date
