ESL Summer School Application Form:

Welcome to Albert College! We are pleased that you have chosen to complete an application for your child to attend our Summer School. Please note that the application must include a copy of the student's most recent report card.

Please note: If you are unable to complete all sections of this form at one time, scroll to the bottom and click the SAVE button. You will be emailed a link to continue later.

1. Course Selection

I would like to register for the following English As A Second Language (ESL) course:*

Beginner Moderate Intermediate

2. Applicant Information

First Namerequired

Last Namerequired

Likes to be called

Present Age

Current Grade

Date of Birthrequired

Home Addressrequired

Cityrequired

Provincerequired

Countryrequired

Postal/Zip Coderequired

Phonerequired

Student Email

Gender

Male Female Other

I identify my gender as:

Citizenship*

Canadian Citizen Landed Immigrant Student Visa Temporary Resident Visa (not required at time of application)

Landed Immigrant Date (mm/dd/yyyy)

Issuing Country

Country of Citizenshiprequired

First Languagerequired

Other Languages Spoken

3. Parent/Guardian Information

Primary Caregiver:

Other:

First Namerequired

Last Namerequired

Home Addressrequired

Cityrequired

Provincerequired

Countryrequired

Postal/Zip Coderequired

Home Phonerequired

Emailrequired

Business Name

Profession

Title

Business Address

City

Province

Country

Postal/Zip Code

Business Phone

Business Email

Secondary Caregiver (optional):

Other:

First Name

Last Name

Home Address

City

Province

Country

Postal/Zip Code

Home Phone

Email

Business Name

Profession

Title

Business Address

City

Province

Country

Postal/Zip Code

Business Phone

Business Email

4. Applicant's Current School (if not Albert College):

Current School Name

School Address

City

Province

Country

Postal/Zip Code

School Phone

School Email

Please specify:

Please provide a copy of the students last report card.

Max file size: 10 MB

5. Parental Endorsement and Authorization:

I/We, the student’s parent/legal guardian, have read the program/course description and registration, and give my approval and support. I understand that my son or daughter could be withdrawn from the program, with forfeiture of fees, for actions not in keeping with the code of conduct. Albert College will not be responsible and is hereby released from any liability for any sickness, accident or injury to my child. I authorize Albert College to secure medical treatment for my child where appropriate.

I/We, the student’s parent/legal guardian, consent to Albert College’s use of photographs/film footage of the student for lawful promotional purposes in school or other publications, websites and multi-media, should such an opportunity arise.

Applications will be processed on a first-come, first-served basis. By accepting this application, Albert College agrees to provide instruction, board, and accommodation as described. Albert College reserves the right to cancel a course if there is insufficient enrolment. If a course is cancelled, students will be notified and the tuition refunded.

In the case of international students, I also understand that private health insurance must be acquired to ensure that my boarding child's needs are met in the event of illness or injury.

Parent/Guardian Namerequired

Date (mm/dd/yyyy)

Student Name

Date (mm/dd/yyyy)

I/We wish to enrol the above named student at Albert College Summer School subject to the financial requirements and regulations of the College.*

Yes. I/We understand and agree.

By checking this box you are legally signing this form.*

I/We understand.

Albert College values its relationship with its students, their parents, and alumni, and is committed to the protection of their personal information. Accordingly, the school adheres to the privacy principles set out in the Personal Information Protection and Electronic Documents Act (Canada).

Once you have submitted your application you will receive a confirmation by email.