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SECTION A : PERSONAL INFORMATION
Gender
*
Male
Female
Name
*
Date of Birth
*
Country of Citizenship:
*
Please select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua And Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia And Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic Of The
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia (Local Name: Hrvatska)
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
France, Metropolitan
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard And Mc Donald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic Of)
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic Of
Korea, Republic Of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia, Former Yugoslav Republic Of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States Of
Moldova, Republic Of
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Kitts And Nevis
Saint Lucia
Saint Vincent And The Grenadines
Samoa
San Marino
Sao Tome And Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia (Slovak Republic)
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia, South Sandwich Islands
Spain
Sri Lanka
St. Helena
St. Pierre And Miquelon
Sudan
Suriname
Svalbard And Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic Of
Thailand
Togo
Tokelau
Tonga
Trinidad And Tobago
Tunisia
Turkey
Turkmenistan
Turks And Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis And Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
Status in Canada
*
Canadian Citizen
Permanent Resident
Student Authorization(visa)
Other
Upload your scanned Passport
*
Current Address
*
City
*
Email address
*
Postal Code
*
SECTION B : ENROLMENT INFORMATION
This student is applying for the following terms:
*
September to June (Full Year)
January to December (Full Year)
March to February (Full Year)
September to December (Fall Semester)
January to February (Winter Semester)
March to June (Spring Semester)
Summer School (July/August)
School Grade (In Canada)
*
Gr.9
Gr10.
Gr.11
Gr.12
SECTION C : CUSTODIAN INFORMATION
Custodian
*
Yes
No
Custodian Name
Custodian Email address
Custodian Tel
Custodian Address
SECTION D : OTHER SERVICES
Please choose other services if you want to request W.H.S to arrange for you.
Residence
Homestay
Medical Insurance
Custodian Letter
Airport Pick-up Service
Next
REFUND POLICY FOR TUITION FEE
A full refund, excluding the administration fee ($500) and application fee ($300), will be granted if Citizenship and immigration Canada does not issue the Study Permit. To obtain a refund, the student must provide: 1. The original Letter of Rejection from Citizenship & Immigration Canada 2. The original Willowdale High School Official Letter of Acceptance 3. The original receipt of tuition fee payment Two – thirds (2/3) of the tuition fee will be refunded, if the student has not applied for a Study Permit and has withdrawn the application prior to the commencement of school. To obtain a refund, the student must provide: 1. The original Willowdale High School Official Letter of Acceptance 2. The original receipt of tuition fee payment There will be no refund of tuition fee after a Study Permit has been granted using the Willowdale High School Official Letter of Acceptance, if the student chooses to withdraw for any reason. There will be no refund of any portion of the tuition fee that has been paid to Willowdale High School once the student has started attending classes or the semester has begun while the student has been in Canada. There will be no refund of the tuition fee if the student is found in violation of school regulations and asked to withdraw from the school. There will be no refund of the tuition fee if the student changes immigration status during the year. A student who becomes a Permanent Resident of Canada after tuition fee is paid is not eligible for a refund.
GENERAL RELEASE/WAIVER
Students must comply with all Willowdale High School policies and the student Code of Conduct. Failure to follow school policy or to comply with the conditions will result in the student being suspended or expelled. No refund will be granted if students are suspended or expelled for any of the above reasons. Student photographs, videotaped images and activities, voice recording, artwork, writing or other school works may be recorded, displayed or used in board and school specific internet web pages for documentation and presentation purposes of Willowdale High School. I/We consent to the use of the above noted records and images by Willowdale High School. I/We fully understand the refund policy of the Willowdale High School. I/We understand that the Willowdale High School shall not be held liable for losses or expenses as a result of the school being unable to provide education owing to labour disputes or other causes beyond its control.
I confirm that I have read and accept the Conditions of Enrolment as well as the Refund Policies and General Release/Waiver of Willowdale High School as stated on the upper side of this form. I will be committed to attending each class on time and will inform the school at least 5 days in advance if I am unable to attend.
Student Signature(18 years or older)/Parents or Guardian
*
Date
*
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