5402‐48A Avenue, Camrose, Alberta, Canada T4V 0L3 email: [email protected] website: www.brsd.ab.ca/international International Student Application Student Information Last (Family) Name ______________________________________________________ Given name(s) _________________________________________________________ Preferred Name ________________________________________________________ Gender: □ Male □ Female Email Address _____________________________ Country of Citizenship _______________________ First Language _____________________________ Date of Birth __________year ________month ________day Age as of September 1 of this year _________ Highest level of education completed ____________________________________________________ Date to Begin Studies: □ August 30 □ February 1 □ Other ___________________________ When do you plan to arrive in Canada? ___________________________________________________ For how long do you plan to be a student at our school? _____________________________________ Family Information Parents’ Names ______________________________________________________________________ Mailing Address ______________________________________________________________________ Telephone Number ___________________________________________ Email Address (optional) ________________________________________ Agent Information (if applicable) Agent’s Company _____________________________________________________ Agent’s Name _______________________________________________________ Agent’s Email Address _________________________________________________ Company Website ____________________________________________________ Page 1 Battle River School Division International Studies Application Academic Information 1. Please email a school transcript of your marks and attendance for the past two years. 2. English Skills 4 = Excellent 3 = Good 2 = Fair 1 = Beginner Reading Writing Overall Level of English Speaking Comprehension Years of English study? 3. Subject Areas (Grade 7 to 12 students only) 3 = yes 2 = maybe / somewhat 1 = no I have skills in this area? I enjoy this?
Art Business / Finance Carpentry / Construction Cosmetology Computers Drama English Fashion Studies Fitness / Physical Education Food Studies (cooking) French as a Second Language Leadership Skills Math Media / Communication Music / Band Social Studies Science (biology, chemistry, physics)
Work Experience Areas of Study I want to learn more about this COMMENTS
(optional) 4. What do you like best about your school? 5. What careers or future goals interest you? Page 2 Battle River School Division International Studies Application 6. Homestay Information Please describe your personality in a few words. With how many family members do you currently live? What does your family enjoy doing together? What hobbies and interests do you have? What physical activities or sports do you enjoy? What artistic or cultural interests do you have? Have you traveled or lived outside your country before? Explain. Do you have medical conditions? Allergies? Is regular church attendance important to you? What makes you happy or makes you laugh? What makes you unhappy? What do you do when you are worried or upset? Page 3 Battle River School Division International Studies Application What interests or motivates you? How do you respond to challenging situations? What do you want to learn from this international program? What else do you want your homestay family to know about you? What do you want to know about your homestay family? Are there any special considerations or requirements regarding the homestay? Follow the steps in the International Studies Fees and Procedures document. Email this completed application, a copy of your passport or birth certificate, and school transcript to: Maureen Parker, Director of Curriculum [email protected] (780)672‐6131 Extension 5223 Page 4 Battle River School Division International Studies Application