Application Form | glchs.ca

STUDENT INFORMATION

Grade applying for *

Applying For Sept.

or Jan.

Surname *

First Name *

Middle Name

Preferred name

MaleFemale

Date of Birth *

Street Address *

City

State/Province

ZIP / Postal Code

Country

Canadian Immigration Status *Canadian CitizenPermanent ResidentApplying for Student Visa

Citizenship *

First Language:English

Other *

B. PARENT/GUARDIAN INFORMATION

Please select primary correspondent with schoolFatherMother

Father

First Name

Last Name

Email Address

Phone

Street Address

City

State/Province

ZIP / Postal Code

Country

Citizenship

Mother

First Name

Last Name

Email Address

Phone

Street Address

City

State/Province

ZIP / Postal Code

Country

Citizenship

Sibling Information

Name

Date of Birth

Name

Date of Birth

Name

Date of Birth

Church Name

Other:

C. ACADEMIC INFORMATION

PREVIOUS SCHOOL INFORMATION

Last School Attended: *

Telephone #:

School's Website

School's Email

1. Has the student ever studied in a school in the Ontario Education system? *YesNo

Please provide the Ontario Education Number(OEN)

2. Does the student have:

An Individual Education PlanYesNo

Support from a Learning Resource Teacher:YesNo

Behavioural challenges:YesNo

A history of mental health concernsYesNo

ADD/ or ADHDYesNo

Excessive absences due to illness or any other reason:YesNo

History with tobacco, alcohol, non-prescription drugs, vape, or marijuana?YesNo

Prior suspensions, asked to withdraw, or been expelled from any school?YesNo

Please provide a detailed response to any "Yes" response to Question 2:

3. Why do you desire to have your son or daughter enrolled at Great Lakes Christian High School?

4. After High School, my child is consideringCollegeUniversityTradesNo further schooling(Grade 11/12 Only)

5. If the plan is to attend post-secondary education, which area of study are they interested in?(eg. Business, Engineering, Psychology, etc.)

6. In order to best serve the Applicant please share any other relevant information that is not captured in the above questions.

D. STUDENT BACKGROUND INFORMATION

The applying student is asked to complete the following section, in their own words.

1. Faith preferenceChristianOther religionNo religious preference

Christian denomination

Congregation/Name/Location

Please specify religion:

3. If you are a Christian in regular attendance, how are you involved in your congregation?I participate in church services.I am active in my youth group.I lead in public worship.OtherCheck all that apply:

Other:

4. Do you have personal spiritual faith? What are your personal spiritual values/beliefs?

5. What activities have you been involved in at your previous school, in your community or at your church? How do you hope to be involved at GLCHS?

6. Why do you want to be a student at Great Lakes Christian High School?

7. Please confirm the following:

a. I understand that Great Lakes is a Christian school. *YesNo

b. I understand that as a student I will attend both Chapel and Bible classes. *YesNo

c. I understand that if I am a 7-Day residential student I will attend and participate in Christian church services on Sunday mornings and all residential devotionals. *YesNo

Guardian

Required if parents are regularly more than 3 hours from GLCHS:

Name:

Email:

Phone

Address:

City:

Province:

Postal Code:

Relationship to student

I/we understand that payment is to be made to the school for each year, a full year in advance. Application for a student visa cannot be made without the official letter of acceptance. The school will issue the acceptance letter after the full fee is received.

If accepted (by Citizenship and Immigration Canada and Great Lakes Christian High School) your son/daughter is expected to come and remain at Great Lakes Christian High School for at least one school year. If for any reason a student withdraws or is asked to withdraw during his/her first year at Great Lakes Christian High School, the entire first year payment will be forfeited. Students who are not accepted by Citizenship and Immigration Canada may apply for a refund by sending a request (in writing) to the Great Lakes Christian High School business office. The request must be accompanied by an original letter from Citizenship and Immigration Canada stating that the visa request has been refused.

Signature

Parent/Guardian to sign

Date *

Month

Day

Year

STUDENT INFORMATION

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