Canadian Students Application

Student Information:
Name:*
Given Surname
School Year*
Applying For Grade*
Gender:*
Date of Birth:*
MM
DD
YYYY
Home Address:*
Street Address Address Line 2 City Province/Region Postal Code Country
Home Phone:
Family Information:
Father's Name
Given Surname
Father's Cell Phone:
Father's Email:
Mother's Name
Given Surname
Mother's Cell Phone:
Mother's Email:
Are There Any Educational Issues St. John’s Academy Should Be Aware Of?
Canadian Citizen*
- Yes
- No
School Information:
Personal Education Number (PEN):
Does Your Child Have An Individualized Education Program (IEP)?
- Yes
- No
Current School's Name:
Enrolled From:
MM
DD
YYYY
Enrolled To:
MM
DD
YYYY
Location:
Previous School's Name:
Enrolled From:
MM
DD
YYYY
Enrolled To:
MM
DD
YYYY
Location:
Upload Report Cards from Previous Two Years:

St.John’s Academy respects your privacy. The information that you entered into this form will be kept confidential.

Student Information: