International Student Application

PLEASE NOTE:

APPLICATIONS MUST HAVE ALL REQUIRED DOCUMENTS BEFORE THEY WILL BE REVIEWED. PLEASE ONLY SUBMIT THE COMPLETED APPLICATION PACKAGE.
Student Personal Information:
Family (last) name:*
Family Last Name
Given name(s):*
Given name(s)
Name to be used in school (if different than given name):
Date of birth (mm/dd/yyyy):*
Date Format: MM slash DD slash YYYY
Gender:*
- Male
- Female
- Not specified
Country of Current Residency:*
Select the country in which you currently reside

Country
Country of birth:*
Select the country in which you were born

Country
Country of citizenship:*
Select the country in which you are currently a registered citizen

Country
First language:*
Please specify the primary language you speak
Other languages spoken:
Please specify any other languages you speak
Home Mailing Address:*
Street Address Street Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone number:*
Email address for all correspondence:*
Enter Email Confirm Email
Grade currently in:*
Please enter the grade that you are currently in
I would like to enroll in:*
- High School
- Elementary School
I would like to begin school in:*
- September
- February
I would like to begin school in the following year:*
Enter the year you would like to begin classes in
Learning challenges that may require support (physical, cognitive or mental health related):
Please include actual diagnosis as well as any other description that would help to explain

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Family Information:
Parent #1:
Full name as it appears on passport:*
Occupation:*
Please enter your occupation here
Phone Number:*
Add a second parent to this application
- Add a second parent to this application
Parent #2:
Full name as it appears on passport:*
Occupation:*
Please enter your occupation here
Phone Number:*
Email address for all correspondence regarding student:*
Enter the email address that you wish to use to receive all correspondence for this student
Enter Email Confirm Email

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Living Arrangements in Moose Jaw
Name of person who you will be living with in Moose Jaw who is over the age of 25:*
Relation to Student:*
Address of person you will be living with in Moose Jaw:*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone number of person you will be living with in Moose Jaw:*
Email address of person you will be living with in Moose Jaw:*
Enter Email Confirm Email
Custodian who is over the age of 25:
Uncheck the box below if your custodian is different than the person you will be living with in Moose Jaw
- Same as Living Arrangements above
If your custodian is different than the person you will be living with above, please enter your custodian's information below
Name of custodian:*
Relation to Student:*
Address of custodian:*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone number of custodian:*
Email address of custodian:*
Enter Email Confirm Email

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Student's English Language Ability
Speaking in English*
- Student uses single-word communication or simple phrases
- Student uses simple sentences and some academic vocabulary. Oral language is understood in most cases
- Oral language is spoken in complete sentences and it is clear and fluent. Student uses correct vocabulary
Writing in English*
- Student prints or writes the English alphabet. Can copy written material correctly
- Student uses basic spelling and punctuation when writing sentences. The meaning is clear and easy to follow
- Student can independently write a paragraph and use a variety of writing styles, forms and genres
Reading in English*
- Student reads individual words and recognizes simple vocabulary
- Student reads and understands the main idea of basic books with simple sentences
- Student reads and understands a variety of longer paragraphs and texts. Understands main idea and different styles of writing. Student is able to make simple connections between reading and personal experiences

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Information for High School Students
Students will be allocated classes based on their submitted transcripts and the information they have provided on this application on. Upon arrival, students will be assessed in English. Based on this assessment, students will be registered in appropriate EAL support classes.

Please note that in some cases students are granted a Grade 10 credit from the Saskatchewan Ministry of Education, although their level of English might not be high enough to take the Grade 11 credit. If a student's test results indicate a lower level of reading, writing, and comprehension in English, this student will be required to take a literacy class to bridge the gap in their reading, writing and comprehension skills. This takes extra time so the student and family must understand the student might not complete Grades 10, 11 and 12 in three years.

High school students may be charged additional fees to cover the cost of expenses related to a particular class the student is taking or for participation in school activities. These fees will be collected by the school.
Acknowledgement of program expectations:*
- I have read, understand and agree to the program expectations
Information for Elementary School Students:
Upon arrival, students will be assessed in English.

Prairie South Schools will place the student into the final appropriate grade based on the student's age.
Acknowledgement of program expectations:*
- I have read, understand and agree to the program expectations

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Health Care and Accident Insurance Coverage
It is the responsibility of the family to arrange for health care and accident insurance coverage for their child while the child is in Canada.
Acknowledgement of health care and accident insurance coverage expectations:*
- I have read and understand my responsibility to arrange for health care and accident insurance coverage for my child

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Tuition and Fees
Tuition Fee: $13,500 CAD per year for a full time, full year student
Kindergarten Tuition: $6,750 CAD per year
$6,750 CAD for a 1 semester high school student

All fees must be paid in full prior to the student being registered in classes.

NOTE: If a student is deemed to require intensive supports, additional fees will be charged to the family. These fees must be paid in advance of the child attending school.
Payment of Tuition by Wire Transfer
Upon acceptance of a student, an acceptance letter, a tuition invoice and wire transfer instructions will be sent for payment of tuition.
Acknowledgement of tuition fees and payment expectations:*
- I have read, understand and agree to my responsibility in regards to tuition fees and the payment of tuition fees
Refund Policy
If a student is unable to complete a term, tuition for complete months not attended is refundable at a rate of 1/10 of the annual tuition rate. Refunds are only available before June 30th of the year of attendance.
Acknowledgement of refund policy:*
- I have read, understand and agree to the terms of the refund policy

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Supporting Documentation:
Transcript Information:
Scanned copy of official English translation school transcripts (high school) or report cards (elementary school) from the past two years*
Please bring your original high school transcripts and official English translations with you.
Accepted file types: pdf.
Letter of Recommendation:
Letter of recommendation from an English teacher*
This letter must be on official school letterhead paper
Accepted file types: pdf, doc, docx, rtf.

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Parental Consent and Agreement
1. I/we confirm that all information provided in this application is accurate and complete and that inaccuracies in this application may result in a rejection of the application and/or immediate dismissal from Prairie South Schools
2. I/we acknowledge and agree that if my/our child is offered a placement with Prairie South Schools, I/we will be required to complete and provide all of the further information, documentation, and tuition fees requested by Prairie South Schools before the placement will be finalized and my/our child will be entitled to be registered Prairie South Schools. If intensive supports are deemed to be required, the additional fees must be paid in advance of the child registering in school
3. The student and parent warrant that the student has no history of criminal behavior. Any disputes of a legal nature must be resolved through the courts of Saskatchewan
4. I/we acknowledge that our child is in good health and is able to participate in all classes without any additional support (other than English as an Additional Language support)
5. I/we warrant that our child has no special health or learning needs which require intensive supports
6. I acknowledge and agree that the school and grade placement is completely at the discretion of Prairie South Schools, and will be subject to availability of space and resources
7. I/we are responsible for arranging appropriate medical and health care insurance for our child
8. I/we are responsible to ensure that the student or custodian contact Prairie South Schools if the student moves and/or changes custodian
9. I/we have read this application in its entirety and understand and agree to the terms set out in it
Signature of Parent #1:*
- I agree by checking this box that I, the first parent listed in this application, hereby acknowledge that this check mark will act as a signature on my behalf
Signature of Parent #2:*
- I agree by checking this box that I, the second parent listed in this application, hereby acknowledge that this check mark will act as a signature on my behalf
Email
This field is for validation purposes and should be left unchanged.

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Prairie South School Division 210

International Student Application Form

Additional supporting documentation not requested in the below application form will be required. Once your application has been received, Prairie South School Division will be in contact with you to arrange the sharing of this information.

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