general application procedures and information

SAMPLE

Questions? Contact the Advancement Coordinator 604.755.8110

GRADE 1-12: ADDITIONAL MEMBERS OF CURRENT FAMILY

Aug. 29, 2018

FAMILY LAST NAME: _________________________________________________

PARENT FIRST NAME(S): _________________________________________________

STUDENT FIRST NAME(S): _________________________________________________

APPLYING TO START: _______________ (Month/Year)

APPLICATION CHECKLIST: Please complete and submit the following:

FORMS:

□ General Application Procedures and Information (this checklist page)

□ Family Profile

□ Student Profile: 1 per student

□ Ministry of Education Grant Approval. If necessary, please attach a copy of legal documentation such as

Canadian Citizenship or Student Visa and Study Permit.

□ Personal Information Parental Consent Form

□ Bus Application (if applicable)

INCLUDE:

□ Photocopy of their most recent report card. Please include their IEP, if applicable.

□ Reports from Child Development Centre, Ministry of Children and Family Development, Sunny Hill Health

Centre for Children and/or other hospitals or health agencies, if applicable.

□ Application Fee: $50 per student payable to ACS

IMPORTANT INFORMATION:

□ I understand that completed application packages are date stamped in order of receipt and may impact

waitlist scenarios. ________ _________ (parent(s)/guardian(s) initials)

□ I understand that once students are registered at ACS, parents must give 30 days written notice of

withdrawal. (Less than 30 days notice is subject to a penalty of one month’s tuition.) _________ _________ (parent(s)/guardian(s) initials)

NEXT STEPS

1. Assessment by Learning Support Services Admissions Team. We will contact you for an appointment as necessary. (K-12 homeschooled, K-5 students and learning support students will be assessed.)

2. Notification of decision: If accepted you will receive an acceptance offer package, containing forms to complete and return in order to hold your child’s spot.

NOTE: Students will be accepted based on space and/or suitable program availability or waitlisted. See ACS Admissions Policy and Admission Waitlist Guidelines.

GENERAL APPLICATION PROCEDURES AND INFORMATION

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Office use Received date: _________ time:__________ Application package complete date: _________ time:_____ ____

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Aug. 29, 2018

FAMILY PROFILE

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FAMILY LAST NAME: ________________________

Mother (or Guardian) Name: ________________________________________________________________

Are you an ACS graduate? □ Yes □ No Grad Year: __________ Maiden Name: _____________________

Address: _____________________________________ City: ____________________ Province: _____________

Postal Code: ________________ Phone: __________________________ Cell: ___________________________

Email: ______________________________________________________

Father (or Guardian) Name: _________________________________________________________________

Are you an ACS graduate? □ Yes □ No Grad Year: __________

If different from above:

Address: _____________________________________ City: ____________________ Province: _____________

Postal Code: ________________ Phone: __________________________ Cell: ___________________________

Email: ______________________________________________________

Children Living at Home:

Will you have child(ren) entering kindergarten in future years? □ Yes □ No

What years? __________________________

NAME AGE GENDER SCHOOL CURRENTLY ATTENDING

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Aug. 29, 2018

STUDENT PROFILE

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Please complete a student profile for every child applying to ACS. Student’s Name: _____________________________________________________ Gender: ____________ Last name First Middle

Date of Birth: ________________________ Place of Birth: ___________________________________________ Day/Month/Year City Country

Requested Grade Placement: ________________ Requested Start Date: _______________________________ Month/Year

ACADEMIC & BEHAVIOURAL INFORMATION: List chronologically all previous schools attended including Kindergarten. (Please provide the mailing address of the last school attended only. This will allow us to request school records).

Is your child currently:

□ Registered as a homeschooler

□ Enrolled with a distributed learning school Name of school: ______________________________________

Previous academic achievement has been: □ Superior □ Above Average □ Average □ Below Average

Has the student ever received learning assistance or special education support? □ Yes □ No

Please explain: ______________________________________________________________________________

Has the student ever repeated a grade? □ Yes □ No

If yes, state at which grade level and explain reasons: _______________________________________________

__________________________________________________________________________________________

How many days of school did the student miss last year? Explain:

____________________________________________________________________________________________

____________________________________________________________________________________________

continued

Name of School Address, City, Postal Code Year Grade

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Aug. 29, 2018

STUDENT PROFILE

4

Describe your child’s personality (shy, nervous, outgoing, strong-willed, cooperative, confident etc.).

_________________________________________________________________________________________

_________________________________________________________________________________________

Describe any mental, emotional or behavioural concerns (anxiety, speech/language, depression etc.):

_________________________________________________________________________________________

_________________________________________________________________________________________

Has your child ever received (or is scheduled to receive) diagnostic assessments or testing? □ Yes □ No

If yes: What was the nature of the assessment/test: ________________________________________________

__________________________________________________________________________________________

When did/will these assessments/tests take place: __________________________________________________

Do any other agencies (i.e. The Child Development Centre, Ministry of Children and Family Development, Sunny

Hill Health Centre for Children, and/or other hospitals or health agencies) have reports on your child?

□ Yes □ No

I will make all assessments, tests, and/or reports available to school upon request: □ Yes □ No

If no, please explain: _________________________________________________________________________

MEDICAL INFORMATION:

What medical information would help us understand your child better (birth complications, speech, hearing, aller-

gies, asthma, heart, vision, development, medications, etc.) ___________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

Has your child been referred to any specialists (allergist, hearing, pediatrician, etc.)?

_________________________________________________________________________________________

_________________________________________________________________________________________

Is there anything else you would like us to know about your child? ____________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

The information collected on this form is used and disclosed by Abbotsford Christian School (ACS) in accordance with the Personal Information Privacy Policy for Parents and Students of ACS, a copy of which is available from the school’s Privacy Officer.

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Aug. 29, 2018

Legal Residency of Parent/Guardian:

To be completed and signed by a parent or legal (court-appointed) guardian. If legal guardian, attach a copy of

court order appointing you as legal guardian.

1. I am (please mark one):

A Canadian citizen (if not born in Canada, please attach photocopy of citizenship paper/card)

A landed immigrant (attach photocopy of landed immigrant status paper)

□ Lawfully admitted to Canada under one of the following documents (attach photocopy documentation for

any of the below):

Admission as a refugee claimant

A person claiming refugee status who has a letter of no objection

Student authorization (student visa) for two or more years (or issued for one year but

anticipated to be renewed for one or more additional years)

A person carrying out official duties as a diplomatic or consular official (with a foreign

representative acceptance counter foil in his/her passport)

Other. Document description: _________________________________ (Must be cleared with

Immigration Canada)

2. I am a resident of British Columbia (please mark one):

Yes, Residence Address: ____________________________________________________________

Street Address

____________________________________________________________

City Postal Code

No, I am not a resident of British Columbia

___________________________________ ________________________________ ___________________

Signature: Parent/Legal Guardian Print Name Date

___________________________________ ________________________________ ___________________


MINISTRY OF EDUCATION GRANT APPROVAL

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Aug. 29, 2018

PERSONAL INFORMATION PARENTAL CONSENT FORM

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PARENT FIRST NAME(S): ______________________ PARENT LAST NAME: _________________________

In compliance with the Personal Information Privacy Act, Abbotsford Christian School (ACS), requires the consent of

parent(s) or guardian to collect, store, and utilize personal information. Please carefully read the information below and

return this form to the ACS Administration Office.

I consent to having Abbotsford Christian School (ACS) collect personal information that may include student identifica-

tion information, birth certificate, legal guardianship, court orders if applicable, parents' work numbers and e-mail ad-

dress, behavioural, academic, and health information, report cards, emergency contact name and number, doctor's

name and number, health insurance number, and any similar information needed for application and registration.

I further consent to the use and disclosure of information contained in this form and otherwise collected by or on behalf

of ACS: (1) for the purpose of establishing, maintaining, and terminating the student's or parents' relationship with ACS;

(2) for additional purposes identified when or before personal information is collected; and (3) as otherwise provided in

ACS' Personal Information Privacy Policy, a copy of which is available on request. I also consent to the collection, use,

and disclosure of such personal information by and to agents, contractors, and service providers of ACS.

___________________________________ ________________________________ ___________________


___________________________________ ________________________________ ___________________


This information is required in order to register your child at this school and assist the school authority in making an in-

formed decision as to your child's suitability and appropriate placement in the school. It will also allow the school to re-

spond immediately to an emergency. For more information, the privacy officer for ACS is Julius Siebenga and may be

reached at 604.755.8103.

ACS acknowledges that there will be no disclosure of personal information to unauthorized personnel or third parties

who are not directly involved in school management or the care, supervision, and instruction of your child(ren) at this

school, unless written authorization from a parent or legal guardian is provided to the school. The school will securely

store all digital and hard copy parent and student personal information.

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Aug. 29, 2018

BUS APPLICATION

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Please indicate whether you: □ Require ACS busing in order to attend ACS

□ Are interested in the bus but can facilitate your own transportation for your children if space is unavailable

CURRENT BUSING FAMILIES ADDING A CHILD: If you have currently enrolled children already taking the ACS bus, but would like to add a new child to the route (ie kindergartener or homestay student), please provide the following:

Parent First & Last Names: ____________________________________________________________________

New Student Name: _______________________________________________ Grade entering: _____________

Route (route name or bus driver): ________________________________________________________________

Allergies or Medical Concerns: __________________________________________________________________

NEW BUSING FAMILIES:

□ Our child(ren) are currently enrolled at ACS or □ We are applying to ACS as a new family

Parent First & Last Names: ____________________________________________________________________

Address: __________________________________________________________________________________

Home Phone: __________________ Mother’s Cell: ____________________ Father’s Cell: ________________

Email Address: _____________________________________

Emergency Contact Name & Number: ____________________________________________________________

BUS OPTIONS Please check which option you are applying for:

□ Full-time: (riding more than 5 times a week, am & pm)

□ Part-time: □ am only □ pm only

□ Kindergarten:

Please note:

Prices are subject to change each year. For current fees see the Tuition & Fees Schedule on the ACS web-site.

Payment options and current prices will be provided in an acceptance offer package.

30 days notice must be given if cancelling bus service.

There are waiting lists on many of our buses and priority is given to current, enrolled ACS families. New rider applications will be reviewed in order of date received after an acceptance decision has been made and available seats will be offered based on availability.

STUDENTS’ NAME GRADE ALLERGIES OR MEDICAL CONCERNS

general application procedures and information

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