Toronto International Student Programs STUDENT APPLICATION FORM

Please submit completed application form to:

Toronto District School Board

International Students and Admissions Office

5050 Yonge Street, 1

st

_Floor

Toronto, Ontario, CANADA M2N 5N8

Tel: (416) 395.8120

E-mail: [email protected]

Fax: (416) 395.8476

Website: www.studytoronto.ca

PLEASE PRINT THE FOLLOWING INFORMATION IN ENGLISH

_________________________________________ Surname (Family Name)

_________________________________________ Given Name _______________________________ English Name

Male

Female _________________________________________ Citizenship _________________________________________ Country of Birth _______________________________ Date of Birth (Day/Month/Year)

__________ Age _________________________________________ First Language _________________________________________ Second Language _____________________________________________ Email Address (Mandatory)

_________________________________________ _____________________ _____________ ___________________ Home Address in Toronto (if available) City Province Postal Code

(______)_______________________ Toronto Home Phone Number

_________________________________________ Parent 1’s Surname (Family Name)

_________________________________________ Given Name

_____________________________________________ Email Address (Mandatory)

_________________________________________ Parent 2’s Surname (Family Name)

_________________________________________ Given Name

______________________________________________ Email Address

______________________________________________________________________________________ _____________________ ______________________

Permanent Home Country Address City Province / State

___________________ Country

______________ Postal Code

(______)_______________________ Home Phone Number

(______)________________________ (_______) __________________ Cell Phone Number Fax Number

_________________________________________ Surname (Family Name)

_________________________________________ Given Name _______________________________ English Name

Male

Female Status in Canada:

_{Canadian Citizen}

_{Permanent Resident} _________________________________________________________________

Email Address (Mandatory)

_______________________________________________________________________ ____________________ ____________________ ______________ Home Address City Province Postal Code

(______)________________________ Home Phone Number

(______)________________________ Cell Phone Number

(______)________________________ Work Phone Number

_______________________________ Preferred Language (s)

Toronto International Student Programs

STUDENT APPLICATION FORM

STUDENT INFORMATION

CUSTODIAN INFORMATION

(RESPONSIBLE FOR STUDENT UNDER 18 WHILE LIVING IN TORONTO)

PARENT INFORMATION

A non-refundable application fee of $200.00

must be attached. Accepted forms of payment

are cheque, certified cheque, bank draft or money

order (in Canadian currency).

Please make cheque payable to:

_________________________________________ Surname (Family Name)

_________________________________________ Given Name _______________________________ English Name

Male

Female _________________________________________ Relationship to Student _________________________________________________________________________________________ Email Address (Mandatory)

______________________________________________________________________________ _________________ ________________ ____________ Home Address City Province Postal Code

(______)________________________ Home Phone Number

(______)________________________ Cell Phone Number

(______)________________________ Work Phone Number

(______)________________________ Fax Number

_____________________________________________________ _______________ Current School Name Current Grade

_____________________ __________________________________ Current School City Current School Country

Is it an international school or a regular school? ______________________________________________________________________________________________

Please visit our website at www.studytoronto.ca for elementary school placement and for a list of secondary schools accepting international students.

Elementary Placement (Kindergarten to Grade 8)

Placement in school is based on the address of the custodian or parent in the City of Toronto and is subject to availability of space and school. Change of address does not guarantee placement in the new home school. In the Ontario education systeman elementary student is placed in a grade according to age. The Toronto District School Board reserves the right to determine final school and grade placement.

The student is applying for the following term:

September to June (Full Year)

February to January (Full Year)

September to January (1st _Semester)

February to June (2nd _Semester)

Other option _________________________

Secondary Placement (Grade 9 to 12)

Placement in school of choice is not always possible. The Toronto District School Board reserves the right to determine final school and grade placement. In the Ontario education systemit is common for the student who is designated to a particular grade to take subjects at a different grade level as long as he/she meets the subject prerequisites.

Grade:

9

10

11

12

The student is applying for the following term:

September to June (Full Year)

February to January (Full Year)

September to January (1st _Semester)

Other option ________________________

February to June (2nd _Semester)

List four secondary school choices:

1. ___________________________________ 2. ________________________________

3. ___________________________________ 4. ________________________________

Certified original and translated School Transcripts from the current year and the last two years along with the Letter of Recommendation (TDSB Form only) must be attached to this application. Failure to comply will result in a delay or return of the application.

Have you applied to the TDSB International Student Programs before?

Yes

No If yes, when? DD / MM / YYYY

_________________________________________________________________ Favourite Subjects _________________________________________________________________ Difficult Subjects _________________________________________________________________ Strengths _________________________________________________________________ Hobbies / Interests

TORONTO CONTACT INFORMATION

(TO BE COMPLETED FOR ALL ELEMENTARY AND SECONDARY STUDENTS)

CURRENT SCHOOL INFORMATION

SCHOOL REQUEST

1. Are you in good health and able to participate fully in your classes?

Yes

No

If no, please explain: _________________________________________________________________________________________________________

Please specify any ongoing medical condition or health issue of which the school needs to be aware:

__________________________________________________________________________________________________________________________

Please note that an updated immunization record is required by the Toronto Public Health and school officials upon arrival.

2. Do you have a disability that requires special education support?

Yes

No

If yes, please specify: _________________________________________________________________________________________________________

Please note that the Toronto District School Board does not provide special education support for international students.

How did you hear about Toronto International Student Programs?

Toronto District School Board website www.studytoronto.ca or www.tdsb.on.ca

Agency

Friends or Family

Education Fair / Seminar ___________________________ __________________________

City Country

Other _______________________________________

To be completed by the Agent:

__________________________________________________________________________________ Name of Agency ________________________________________________ Contact Person _____________________________________________________________________________________________________________________________________ Street Address ___________________________________ _________________________________ ______________________________ _____________________________ City Province / State Country Postal Code

(____)__________________________________ (____)___________________________________ Phone Number Fax Number

________________________________________________ Email (Mandatory)

Please indicate your status:

Authorized recruiter of TDSB

Non-authorized recruiter of TDSB

New agent

A full tuition fee refund, less the administration fee (CAD$500.00), will be granted if Citizenship and Immigration Canada does not issue the Study Permit. To obtain a refund, the student must provide:

1. Copy of the Letter of Rejection from Citizenship and Immigration Canada 2. Copy of the TDSB Official Letter of Acceptance

3. Copy of the original receipt of tuition payment

4. A written refund request by the parent including the name and address of the cheque recipient or wire transfer details

There will be no refund of the tuition fee in the following circumstances:

‐ if the student chooses to withdraw for reasons other than the Study Permit has been denied by Citizenship and Immigration Canada

‐ if the student is found in violation of school regulations and asked to withdraw from the school

‐ if false medical information was given and conditions were not disclosed

In the event that the student’s immigration status changes during the school year, the parent of the student is to contact the International Students and

Admissions Office immediately.

REFERRAL AND AGENT INFORMATION

HEALTH INFORMATION

The Toronto District School Board (TDSB) is committed to providing the best educational opportunities possible for International Students. In order to facilitate this, International Students, regardless of age, must participate according to the following conditions:

1.

The student must obey the laws of Canada, the Province of Ontario and follow the rules, guidelines and policies of the TDSB and the school in which the student is enrolled.

2.

The student must follow all specific school and Board regulations regarding attendance, course responsibilities and behaviour as they pertain to day school and continuing education program (if applicable). The student must attend school on a daily basis. A written note from a custodian/parent or doctor should be submitted to the school when absent.

3.

The student or custodian must contact the International Programs and Admissions Office and school if the student moves and/or changes custodian.

4.

The student must maintain a full-time timetable. In a semestered secondary school, this means 4 courses per semester and in a non-semestered school, this means 8 courses for the year.

5.

The student’s reports on attendance, academics and emotional/psychological concerns can be shared with parents, custodian, school and Board personnel in order to provide the necessary guidance and assistance for student success.

6.

The student and family acknowledge that based on the information in the application, the TDSB has the right to make educational decisions, including placement and program selections in the best interests of the student within the available resources.

7.

The student and family understand and agree that inaccuracies in the application or failure to abide by the above conditions may result in immediate dismissal from the TDSB without refund of tuition fee. If it is determined by the TDSB that the student’s educational needs are greater than disclosed in the application, the TDSB can send the student home at the parent’s expense.

I have read, understand and agree to follow I have read, understand and agree to follow

the rules and guidelines as outlined above. the rules and guidelines as outlined above.

_______________________________________ ________________________________________

Signature of Student Signature of Parent

_______________________________________ ________________________________________

Day/Month/Year Day/Month/Year

1. We, the undersigned, do waive and release all claims against the TDSB for the injury, loss, damage, accident, delay or expense resulting from the applicant’s participation in the Toronto International Student Programs. We also release the TDSB and agree to indemnify it, with regard to any financial obligations or liabilities that the applicant may personally incur, or any damage or injury to the person or property of others that the applicant may cause while

participating in the Toronto International Student Programs.

2. We understand that the TDSB is not responsible for any loss or injury suffered by the applicant during periods of travel and study. If the applicant becomes ill or incapacitated, the TDSB may take such action as it considers necessary, including securing medical treatment and transporting the applicant home at his/her own expense. We release the TDSB from all liability related to such actions. We understand that the applicant’s participation in the program may be terminated at the discretion of the Senior Manager of the International Student Programs without any refund of tuition fee, and that the applicant may be sent home at his/her own expense if he/she does not adhere to the school or TDSB rules, standards and instructions as set forth in the school’s agenda, handbook and the Participation Agreement of the International Student Programs. This agreement with the TDSB cannot be modified or interpreted except in writing by the International Programs and Admissions Office.

3. The student and the parent warrant that the student applicant has no history of criminal behaviour. Any disputes of a legal nature must be resolved through the courts of Ontario.

4. We understand that placement in a school is subject to availability of space. The Toronto District School Board reserves the right to determine final school and grade placement.

5. We fully understand the refund policy of the TDSB. We understand that the TDSB shall not be held liable for losses or expenses as a result of the Board being unable to provide education owing to labour disputes or other causes beyond its control.

I have read, understand and agree to follow I have read, understand and agree to follow

the rules and guidelines as outlined above. the rules and guidelines as outlined above.

_______________________________________ ________________________________________

PARTICIPATION AGREEMENT

Student Media Release Consent Form

Please ensure one box is checked for Part 1 and one box is checked for Part 2 of this form.

Part 1– Events

I, _____________________________________________, hereby agree and give my permission for the

(Name of parent/guardian if student is a minor, under the age of 18.

Name of student if an adult, 18 years of age or older.)

Toronto District School Board (TDSB) and/or partners to record, film, photograph, audiotape or videotape my/my child’s name,

image, student work, and performance (hereinafter collectively referred to as “Works”) and to display, publish or distribute these

Works for the purpose of publishing, posting on the TDSB website, posting in schools, posting on social media sites and/or for

broadcasting on television or radio as determined by the TDSB.

I hereby waive any right to approve the use of these Works now or in the future, whether the use is known to me or unknown, and

I waive any right to any royalties related to the use of these Works.

I understand that the Works may appear in electronic form on the internet or in other publications outside of the TDSB’s control. I

agree that I will not hold the TDSB responsible for any harm that may arise from such unauthorized reproduction.

Please mark this box if you AGREE that your child may participate in recorded TDSB/school events and TDSB hosted

events as described above. (See Part 2 below)

Please mark this box if you DO NOT WISH your child to participate in recorded TDSB/school events and TDSB hosted

events.

Part 2 – Media Specific

I also understand that external media organizations may attend school events. I give permission for my/my child’s name, image,

student work, and performance to be photographed, filmed, audio-taped or videotaped for the purpose of being published

and/or broadcast on-line, on television or radio.

Please mark this box if you AGREE that your child may participate in media events that may be published or broadcast by

organizations external to the Toronto District School Board.

Please mark this box if you DO NOT WISH your child to be photographed, filmed, audio-taped or videotaped at media

events.

I have read this Student Media Release Consent Form and I fully understand the contents and meaning of this release. I understand

that I am free to contact the Principal with any questions regarding this release.

Student’s Name: _____________________________________________________________________________ Grade: _________

School: ______________________________________________________________________________________________________

Student’s Signature (If 18 years of age or older) _____________________________________________________________________

Parent’s/Guardian’s Name: ______________________________________________________________________________________

Parent’s/Guardian’s Signature (If student is a minor – under the age of 18): ______________________________________________

Date: _________________________________

Canada’s Anti-Spam Legislation

The Toronto District School Board requires your consent to receive any electronic messages which contain advertising or

promotions. If you wish to allow your email address to be used for the above communications from us, please check the

appropriate boxes below. You will continue to receive non-commercial emails. If you do not wish to receive commercial emails no

action is required. You may choose to unsubscribe from commercial emails at any time by emailing [email protected]. What kind(s)

of email would you like to receive? Check any that apply.

School commercial electronic messages (fun fairs, field trips, pizza lunches)

Trustee commercial electronic messages (promotion of school and community activities or local business events)