私立高校願書
（両親用）
Application for Admission to High School (parent form)
Directions: Please submit the following items to the Registrar:
- Completed parent form,
- completed student form,
- non-refundable $50 application fee, ($100 for international students),
- report for the past year,
- photocopy of birth certificate.
Applicant's name
Date of birth Sex (M/F)
(month) (day) (year)
Applying for Grade ___ in (month) (year)
Will applicant live with the family? Need room and board? Want an exchange?
Home address Phone Fax
Street
City Province Postal Code
Birthplace
Nationality Citizenship
Mother's name Position or occupation
Address and telephone (if different from above)
Street
City Province Postal Code
Phone Fax
Employed by
Phone Fax
Father's name Position or occupation
Address and telephone (if different from above)
Street
City Province Postal Code
Phone Fax
Employed by
Phone Fax
If parents maintain separate households, which Parent is the primary Guardian? ________________
Previous schools attended:
School Name Address Dates&nbap; Grades
Brothers and sisters:
Name Birth date School presently attending
Please answer the following as frankly and completely as possible:
1. Please give the reasons for changing schools.
2. What characteristics are you, as parent, seeking in a new school for your child?
3. Has your child ever had any serious physical problems, illnesses or injuries? If so, please describe and give the ages when it occurred.
4. Please describe any circumstances in your child's home, family, or environment which may have had supportive or negative effects on her/his personal or school life.
5. If your child has had any significant learning, behaviour or emotional problems, please describe. Please give ages when these difficulties first became apparent.
6. Has your child had any psychological counselling or psychiatric treatment since the beginning of Grade 7? _______ (yes or no) If so, please list below the name and address of the counsellor or doctor and arrange to have a report released to us. This may be in the form of a conversation or written report, and it will be held in the strictest confidence. Briefly explain your understanding of the reasons for counselling or treatment.
Name Telephone
Address
Street
City Province Postal Code
7. Please add any information that may help us in reaching a decision on admission or may help your child as a student here, for example, special skills, interests, musical or artistic abilities, needs, temperamental characteristics, etc.
8. How did you hear about the School? What do you know about education at this school, and how do you think it might meet the educational needs of your child?
Please give the name and address of the person who will sign the enrolment agreement and be responsible for the payment of tuition fees:
Name Telephone
Address
Street
City Province Postal Code
Signature of parent or guardian
Date
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Downtown Vancouver
