Summer High School Prep Program

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Summer High School Prep Program"

Transcription

1 Summer High School Prep Program 2015 Application Package Alexander Academy / IH Vancouver # West Hastings Street, Vancouver, British Columbia, V6B 1P1 Canada T: / E:

2 Summer High School Prep Program Student student information Information First Name Program Information Family Name Registration Date: (dd/mm/yy) Program Start date: (dd/mm/yy) Program Finish Date: (dd/mm/yy) Nationality Native Language Program Options (Please check all that apply ) Date of Birth (dd/mm/yy) Street Address Gender Female Male Week One - July Ecosystems Week Two - July History Week Three - July Technology Week Four - July Forensics Week Five - August Theatre Week Six - August Great Canadians Week Seven - August Ecology City Province/State Fee Information Postal Code Home phone PARENT ONE Contact Name Country Mobile phone Early Bird Registration - Before May 31, 2015 Weekly Fee $ Week Five SPECIAL $ All 7 weeks - receive a 25% discount on tuition Regular Registration - After May 31, 2015 Weekly Fee $ Week Five SPECIAL $ All 7 weeks - receive a 20% discount on tuition PARENT ONE Emergency Contact Phone Number PARENT TWO Contact Name Homestay $ / week - includes 3 three meals Airport Transfer $90.00 each way Custodianship $50.00 PARENT TWO Emergency Contact Phone Number Student s Approximate Level of English: (Check appropriate box) Elementary Lower-Intermediate Upper-Intermediate Advanced Accommodation Information Homestay Not needed Single room Full Board Custodianship Yes No Housing Start: (dd/mm/yy) Medical problems or allergies: Double room Full Board Housing Finish: (dd/mm/yy) Do you require airport transfer? On Arrival: Yes No For Departure: Yes No Arrival date (dd/mm/yy) Arrival time (hh:mm) Airline & Flight No. Payment Information Total Program Cost Accommodation fees note Airport transfer(s) Custodianship Medical insurance = Total Cost Due All payments must be made in Canadian dollars. All payment documents must include: [1] Full name of student, [2] Programstart date Parent(s) Signature(s) Yes, I have read, understand and accept all of the enrolment conditions and refund po licies. Sign full name and date to indicate you have agreed to the terms and conditions. Signature Parent One Date Departure date (dd/mm/yy) Departure time (hh:mm) Airline & Flight No. Medical Insurance Provider Signature Parent Two Date Name Emergency Contact for Insurance Policy # (All students MUST have medical coverage for their full study period - please include copy with your application) Do you require medical insurance? Yes No Agent s Information (Optional) Insurance Start: (dd/mm/yy) Insurance Finish: (dd/mm/yy)

3 Alexander Academy & IH Vancouver Summer High School Prep Program Off-Campus Field Trip Permission Statement of understanding and permission for full participation in Alexander Academy and International House s off-site programs. Full Name of Student: Dates of Program: STATEMENT OF PERMISSION: I have read and understood the details noted on page 2 of this form. I hereby give permission for (print student name here) to participate in all aspects of Alexander Academy and International House s Summer High School Prep Program, scheduled during the normal day, from 9:00am 4:00pm. The Alexander Academy and International House Summer High School Prep Program includes but is not restricted to the following field trips: Lynn Canyon Ecology Centre & Suspension Bridge Police Museum Musqueum Cultural Centre UBC Fly over Canada / Canada Place Museum of Anthropology UBC Arts Club Theatre Van Arts / Vancouver Film School BC Sports Hall of Fame Museum of Vancouver Stanley Park & Ecology Centre I understand that Alexander Academy teachers/leaders/volunteers will accompany the students on all off-campus activities and that they will consider the student s safety to be of primary importance at all times. I understand that transportation arrangements for off campus activities will involve my child travelling by any of the following modes: public transportation including bus, Skytrain, Canada Line, Seabus, or chartered school bus. I agree to hold Alexander Academy and International House, its employees and volunteers harmless from any damage or injury to my child that may occur, however caused. If emergency medical treatment is required, I give permission for the teacher in charge or other leaders to authorize the appropriate medical authority to proceed with treatment in my absence. I DO NOT give permission for my child to participate in the following activity /activities: Signature of Parent / Guardian Date Parent / Guardian printed name

4 2 OFF-CAMPUS ACTIVITIES Field studies are an integral part of the Summer High School Prep Program. It is important that we have parental permission for students to participate fully in the High School Prep Program, both on campus and away from the school site. This permission form covers normal off-campus school trips during the regular program from Monday to Friday from 9:00am to 4:00pm from July 6, 2015 to August 21, All field trips will take place during the regular program day, during regular program hours and will be located in the Metro Vancouver Area. Supervision of the students will be direct and indirect depending on the nature of the activity. Most field trips will also be supervised and/or led by a workshop facilitator at the field trip destination in addition to the Alexander Academy or IH teacher. Risks: There are inherent risks associated with all field trips and forms of transportation including: o injuries or even death resulting from motor vehicle accidents occurring during travel to, at, or from the field trip site; o Injury or even death resulting from acts of nature, such as earthquake, or fire; o Injury from improper use of props or displays at field trip site; o Damage or vandalism to, or theft or loss of personal property; Transportation: Transportation to field trip sites will be arranged using one or more of several means of transportation: o Walking o Public Transport (including the Sea Bus, Skytrain, Canada Line, bus) o A chartered school bus driven by a school bus driver (e.g. Lynch Bus Lines) Revised March 2015

5

6

7 REFUND AND CANCELLATION POLICIES 1. Non-refundable fees The medical insurance fee is non-refundable. 2. Program Changes Students who wish to postpone their start date may do so with a minimum two weeks prior written notice. Please note the end date of the program is August 21 st and all paid weeks of the program must be completed prior to the end of August 21 st, In the event of postponement and the student being unable to complete all previously purchased weeks of the program due to the restriction of the length of program, the % refunded for weeks not attended will be in accordance to the Cancellation Policy. Weeks of study may not be downgraded once they have commenced except in the event of postponement. Weeks of study may be increased based on availability and with two weeks notice. 3. Rejection by Immigration Canada Students unable to obtain a visa are entitled to a full refund less all non-refundable fees. Students must request a refund in writing four weeks prior to the start of their course and submit a copy of the rejection letter issued by Immigration Canada as soon as possible, otherwise the cancellation policy will apply to the refund. 4. Cancellation Date of cancellation % refunded 30+ days prior to start date 75% 7 to 29 days prior to start date 50% 0 to 6 days prior to start date 35% After 0% to 20% of program 25% After 20% or more of program 0% NB: Program refers to the total number of weeks for which the student is registered. If a student is registered for 4 weeks, the program length is 4 weeks. BANK INFORMATION Bank Name: Account Name: Bank of Montreal Alexander Academy Corporation Account Number: Swift Code: Bank Address: BOFMCAM2 Burnaby Main Office # Kingsway, Burnaby, BC V5H 0A3 Canada

Youth Programs Registration Form Summer of Service (SOS) 2015

Youth Programs Registration Form Summer of Service (SOS) 2015 Youth Programs Registration Form Summer of Service (SOS) 2015 Participant s Information PHONE GENDER: FEMALE OF BIRTH SCHOOL GRADE IN FALL 2015 MALE ETHNIC BACKGROUND AFRICAN ASIAN INDIAN LATINO NATIVE

More information

Required Forms & Deadlines On Campus Adult and Family Programs

Required Forms & Deadlines On Campus Adult and Family Programs Required Forms & Deadlines On Campus Adult and Family Programs Use this checklist to help you track the forms and payments you need to mail to Crow Canyon. The forms are available on the following pages;

More information

WELCOME TO YMCA Teen Scene Middle School Enrichment Program (This sheet is for parents to keep for informational purposes)

WELCOME TO YMCA Teen Scene Middle School Enrichment Program (This sheet is for parents to keep for informational purposes) Robert D. Fowler Family YMCA Middle School Enrichment Program Student Registration Form 2015-16 Ivy Prep Academy Program Hours: 7am-7:45am & 4pm-7pm Transportation AM: Group leaves at 7:30am Transportation

More information

Liverpool Football Club International Academy Soccer Schools 2015 Registration Form

Liverpool Football Club International Academy Soccer Schools 2015 Registration Form Liverpool Football Club International Academy Soccer Schools 2015 Registration Form Day Camp Session Choice: (please check the appropriate box) Day Camp Session 1: Day Camp Session 2: Monday August 3 Friday

More information

TOWNSVILLE INTERNATIONAL ENGLISH SCHOOL ENROLMENT FORM

TOWNSVILLE INTERNATIONAL ENGLISH SCHOOL ENROLMENT FORM TOWNSVILLE INTERNATIONAL ENGLISH SCHOOL ENROLMENT FORM PERSONAL DETAILS Family Name: Given Name: Preferred name: Gender: M/F Please select Date of Birth: Country: Language: Passport no. (Please attach

More information

English Studies. CES Course Fees 2014. London Oxford Worthing Leeds Dublin. CES Dublin is an official IELTS Test Centre

English Studies. CES Course Fees 2014. London Oxford Worthing Leeds Dublin. CES Dublin is an official IELTS Test Centre Centre of English Studies CES Course Fees 2014 London Oxford Worthing Leeds Dublin CES Dublin is an official IELTS Test Centre www.ces-schools.com www.ieltsdublin.com English Courses CES - UK Course Fees

More information

Registration Form - Summer Masters Membership

Registration Form - Summer Masters Membership Registration Form - Summer Masters Membership Please provide all requested information and SIGN the Waiver and Medical Information forms located on the website Last Name: First Name: Address: City: Postal

More information

University of Cambridge ESOL Examinations Certificate in Teaching English to Speakers of Other Languages 2015/2016 Course Information

University of Cambridge ESOL Examinations Certificate in Teaching English to Speakers of Other Languages 2015/2016 Course Information Speakers of Other Languages 2015/2016 Course Information FULL TIME COURSES August 3 August 28, 2015 January 4 January 29, 2016 8 February 4 March, 2016 4 April 29 April, 2016 9 May 3 June, 2016 1 August

More information

Apicius - The Culinary Institute of Florence

Apicius - The Culinary Institute of Florence Apicius - The Culinary Institute of Florence Application 2005-2006 Your application will be processed once the following items are received: Procedure page 1 1) Payment of Fees and Tuition deposit (50%

More information

2015 Registration Form and Price List www.ihcapetown.com

2015 Registration Form and Price List www.ihcapetown.com 2015 Registration Form and Price List www.ihcapetown.com 1st Floor, 5 Regent Road, Sea Point, Cape Town, 8005 Tel: (+27) 21 433 0546 Fax: (+27) 86 628 6068 Email: info@ihcapetown.com It is reco Registration

More information

Application for Registered Social Worker Full Registration

Application for Registered Social Worker Full Registration Application for Registered Social Worker Full Registration Licensure Exam Requirement: In addition to completing the Application Package, new applicants will be required to complete a competency based

More information

TRUSTEE TRAVEL POLICY Trust Council: June 19, 2014

TRUSTEE TRAVEL POLICY Trust Council: June 19, 2014 Chapter 7. Section 2. Subsection iii. Page 1 7.2.iii. Guidelines 1. Objectives TRUSTEE TRAVEL POLICY Trust Council: June 19, 2014 1.1. Ensure effective travel management and administration, and promote

More information

Student Transportation Policies and Procedures

Student Transportation Policies and Procedures Revised 7/19/12 Student Transportation Policies and Procedures Introduction The safety of our students at Wilmington University is very important. With this in mind, Wilmington University has instituted

More information

THE CENTER FOR GLOBAL EDUCATION & CITIZENSHIP

THE CENTER FOR GLOBAL EDUCATION & CITIZENSHIP THE CENTER FOR GLOBAL EDUCATION & CITIZENSHIP 2011 SUMMER FASHION PROGRAM STUDENT APPLICATION CHECKLIST To apply for the Summer Fashion Program, please submit the required documents to The Center for Global

More information

Community House High School Programs Standing with families since 1969

Community House High School Programs Standing with families since 1969 Dear Parents/Guardians, Founded in 1969, Community House is devoted to standing with Princeton families by providing tools for academic success and social- emotional wellness through programs that bolster

More information

California State University, Los Angeles English Language Program (ELP)

California State University, Los Angeles English Language Program (ELP) (ELP) Application Checklist Students must be at least 18 years of age by the program start date. The (ELP) requires a student (F-1) visa. Your application cannot be processed until all required documents

More information

Applying to Sussex Downs College

Applying to Sussex Downs College Your application Applying to Sussex Downs College STEP 1 Complete and return your application: Either type the form or write in block capitals Enclose all supporting documents STEP 2 Payment: 1,000 deposit

More information

Greetings and Information

Greetings and Information ISSO CONTACT INFORMATION International Students and Scholars Office (ISSO) 524 Riverside Drive in International House North between 122 nd St. and Tiemann Place http://www.columbia.edu/cu/isso/incoming/isso_location.pdf

More information

emerald CUlTUral InSTITUTe Ireland PrICe list 2015

emerald CUlTUral InSTITUTe Ireland PrICe list 2015 EMERALD CULTURAL INSTITUTE Ireland PRICE LIST 2015 2 EMERALD CULTURAL INSTITUTE PRICES 2015 Prices valid from 5th January to 18th December 2015 GENERAL AND SPECIALISED PROGRAMMES General courses Code 2

More information

emerald CUlTUral InSTITUTe Ireland & USa PrICe list 2015

emerald CUlTUral InSTITUTe Ireland & USa PrICe list 2015 EMERALD CULTURAL INSTITUTE Ireland & USA PRICE LIST 2015 2 EMERALD CULTURAL INSTITUTE PRICES 2015 Prices valid from 5th January to 18th December 2015 GENERAL AND SPECIALISED PROGRAMMES General courses

More information

2015 UCI Summer Session: Application and Enrollment Form for Visiting International Students

2015 UCI Summer Session: Application and Enrollment Form for Visiting International Students 2015 UCI Summer Session: Application and Enrollment Form for Visiting International Students 1. PERSONAL INFORMATION TYPE or PRINT CLEARLY your name EXACTLY as it appears on your passport. Application

More information

Field Trip, Offsite Tutoring and Transportation Policy

Field Trip, Offsite Tutoring and Transportation Policy Field Trip, Offsite Tutoring and Transportation Policy This policy is intended to protect the safety of School on Wheels, Inc. (SOW) students and volunteers while participating in field trips, offsite

More information

International Student Admissions Checklist

International Student Admissions Checklist International Student Admissions Checklist One Main Street, Suite 350S Use this checklist as an old aid to make sure you have completed all necessary steps before submitting your application. Check the

More information

C R O S S I N G L A N G U A G E B A R R I E R S. Application Form & Price List 2013. We Make It Simple. www.inlinguamalta.com

C R O S S I N G L A N G U A G E B A R R I E R S. Application Form & Price List 2013. We Make It Simple. www.inlinguamalta.com www.inlinguamalta.com C R O S S I N G L A N G U A G E B A R R I E R S M a l t a Application Form & Price List 2013 L a n g u a g e s O p e n u p t h e W o r l d We Make It Simple GROUP COURSES Maximum

More information

Claim form - Business trip

Claim form - Business trip Claim form - Business trip Illness, injury, accident, repatriation, personal assistance Policyholder Claim no. (policy no. and date of claim) Company contact person Company name VAT no. Company address

More information

MIDDLE SCHOOL ACADEMIC ENRICHMENT PROGRAM REGISTRATION FORM 2015-2016

MIDDLE SCHOOL ACADEMIC ENRICHMENT PROGRAM REGISTRATION FORM 2015-2016 MIDDLE SCHOOL ACADEMIC ENRICHMENT PROGRAM REGISTRATION FORM 2015-2016 * Each form must be accompanied by a NON-REFUNDABLE, NON-TRANSFERABLE 10% deposit * Registration begins Monday, April 27, 2015 * Registration

More information

BELL TERMS AND CONDITIONS

BELL TERMS AND CONDITIONS BELL TERMS AND CONDITIONS Adult courses The following terms and conditions apply to all bookings for courses at Bell Cambridge and Bell London, regardless whether the course is booked directly or through

More information

Application to become an Education Queensland International Homestay Provider

Application to become an Education Queensland International Homestay Provider Application to become an Education Queensland International Homestay Provider Part A: HOMESTAY FAMILY PROFILE (to be completed by the Homestay Family) 1. PERSONAL DETAILS Name Occupation Permanent Resident

More information

FAQ and REGISTRATION INFORMATION for STUDENTS: MFA SUMMER RESIDENCY 2016

FAQ and REGISTRATION INFORMATION for STUDENTS: MFA SUMMER RESIDENCY 2016 FAQ and REGISTRATION INFORMATION for STUDENTS: MFA SUMMER RESIDENCY 2016 What s included in the travel package? WorldStrides has created a ground travel package for our residency, including business hotel

More information

1.6. Travellers may retain for personal use any loyalty program points (for example frequent flyer points) accumulated from University travel.

1.6. Travellers may retain for personal use any loyalty program points (for example frequent flyer points) accumulated from University travel. The University of British Columbia Board of Governors Policy No.: 83 Approval Date: November 2000 Last Revision: June 2005 Responsible Executive: Vice-President, Academic and Provost Vice-President, Learning

More information

Bikecat s Terms and Conditions

Bikecat s Terms and Conditions 1 Bikecat s Terms and Conditions WHAT IS INCLUDED? The following items are included in the trip: English-speaking expert guides, land transportation to and from Barcelona airport and Girona, including

More information

CLERGY/MILITARY CHAPLAIN APPLICATION FORM

CLERGY/MILITARY CHAPLAIN APPLICATION FORM CLERGY/MILITARY CHAPLAIN APPLICATION FORM Application for the Warriors to Lourdes Pilgrimage, 17-23 May 2016 Applicants are encouraged to complete this form electronically for better legibility; completed

More information

UMBC TRAVEL POLICY AND PROCEDURES

UMBC TRAVEL POLICY AND PROCEDURES UMBC TRAVEL POLICY AND PROCEDURES UMBC #VIII-11.00.01 Directory Pre-Approvals Expense Reimbursements Ticketing Hotel Reservations Meals Travel by Car Travel by Private Airplane Travel Advances Recruiting,

More information

APPLICATION FOR ENROLMENT INTERNATIONAL STUDENT

APPLICATION FOR ENROLMENT INTERNATIONAL STUDENT APPLICATION FOR ENROLMENT INTERNATIONAL STUDENT Greek Orthodox Archdiocese of Australia Community and Parish of St George Thebarton and Western Suburbs Inc CRICOS PROVIDER 02799F A Play Group to Year 12

More information

Student First name: Male Female. Passport No. Expiry Date: / / Mother: Mrs Ms Doctor Pastor

Student First name: Male Female. Passport No. Expiry Date: / / Mother: Mrs Ms Doctor Pastor International Student Enrolment Application Form (Long Term Stay 12 weeks & over). CRICOS Provider#: 02708C 1. CONTACT DETAILS Student Details: Student Surname: Student First name: Male Female Student

More information

North Orange County Community College District Dublin Program Summer 2016

North Orange County Community College District Dublin Program Summer 2016 North Orange County Community College District Dublin Program Summer 2016 Application Procedure 1. Complete the AIFS application form, securing the signature of your college's study abroad program administrator

More information

E D M O N T O N ADMINISTRATIVE PROCEDURE

E D M O N T O N ADMINISTRATIVE PROCEDURE DEPARTMENT DELEGATED AUTHORITY CONTACT FINANCIAL SERVICES CHIEF FINANCIAL OFFICER, FINANCIAL SERVICES DEPARTMENT TRAVEL COORDINATORS DEFINITIONS Account Coding A defined list of SAP cost elements used

More information

Winter Camp 2015 Church Registration Instructions and Policies

Winter Camp 2015 Church Registration Instructions and Policies Winter Camp 2015 Church Registration Instructions and Policies Registration Instructions: 1) Choose your weekend(s). Prayerfully consider which available weekend is the best for your church. Bring your

More information

Program Location. Institution Name

Program Location. Institution Name CIEE Program Participant Contract for Specially Arranged Programs This form is important. It includes terms and conditions and releases CIEE from liability. All participants MUST sign this form. Name (please

More information

PEMBROKE PINES CHARTER ELEMENTARY/MIDDLE SCHOOL CENTRAL & WEST AFTER SCHOOL CARE PROGRAM 2013/2014

PEMBROKE PINES CHARTER ELEMENTARY/MIDDLE SCHOOL CENTRAL & WEST AFTER SCHOOL CARE PROGRAM 2013/2014 Dedicated to providing a high quality education to a diverse community where all students are expected to succeed as life-long learners. PEMBROKE PINES CHARTER ELEMENTARY/MIDDLE SCHOOL CENTRAL & WEST AFTER

More information

New Financial Details: Questions 2 and 3 of Part E require additional details about any bankruptcy, insolvency or receivership proceedings.

New Financial Details: Questions 2 and 3 of Part E require additional details about any bankruptcy, insolvency or receivership proceedings. LICENCE RENEWAL LICENCE RENEWAL PROCESS Approximately six weeks prior to your licence expiry date, a renewal application form in your name is mailed to your brokerage, to the attention of the managing

More information

CLAIM FORM - EQ TRAVEL. Section 1 - Particulars of Insured. Section 2 - Details of Incident/Loss/Illness (must be completed)

CLAIM FORM - EQ TRAVEL. Section 1 - Particulars of Insured. Section 2 - Details of Incident/Loss/Illness (must be completed) CLAIM FORM - EQ TRAVEL Agency: Policy No.: Please note: Sections 1, 2 and 12 must be completed. Sections 3 to 11 complete only the relevant sections. The acceptance of this form is NOT an admission of

More information

Telephone Number: Fax Number: Telephone Number: Fax Number: E-mail: Telephone Number: E-mail:

Telephone Number: Fax Number: Telephone Number: Fax Number: E-mail: Telephone Number: E-mail: M.L.S I N T E R N A T I O N A L C O L L E G E Training Needs Analysis Enrolment form Training Course Request Please confirm your enrolment at MLS on one of our executive programmes by completing and signing

More information

16 th Annual Community Challenge Training Program in Deep Cove

16 th Annual Community Challenge Training Program in Deep Cove Deep Cove Rowing Club Community Challenge 2015 16 th Annual Community Challenge Training Program in Deep Cove April 20 to June 6, 2015 The DCRC Community Challenge is once again looking for participants

More information

CHALLENGER WORLD TOURS (CWT)

CHALLENGER WORLD TOURS (CWT) CHALLENGER WORLD TOURS (CWT) TRAVELER REGISTRATION DOCUMENT & TERMS AND CONDITIONS Mail, Fax or Scan/Email To: Challenger World Tours Attn: Gareth Hughes 8263 Flint, Lenexa, KS 66214 USA Phone: 800 878

More information

AIR PASSENGER RIGHTS EU COMPLAINT FORM

AIR PASSENGER RIGHTS EU COMPLAINT FORM AIR PASSENGER RIGHTS EU COMPLAINT FORM THIS FORM CAN BE USED TO LODGE A COMPLAINT WITH AN AIRLINE AND/OR A NATIONAL ENFORCEMENT BODY. Passenger rights in case of denied boarding, downgrading, cancellation

More information

Bachelor of Computer Science (ICS) Program. 2011 Application Form

Bachelor of Computer Science (ICS) Program. 2011 Application Form Bachelor of Computer Science (ICS) Program 2011 Application Form Information for Applicants: Requirements: 1. A bachelor's degree: in a non-computer related area (e.g., arts, science, commerce, music,

More information

Initial. Registration Packet. Summer Academy June 3 rd to August 30 th Z M G. www.zmgtennis.com. HP and TTT Registration Form 1 ZMG Tennis, LLC

Initial. Registration Packet. Summer Academy June 3 rd to August 30 th Z M G. www.zmgtennis.com. HP and TTT Registration Form 1 ZMG Tennis, LLC Registration Packet Summer Academy June 3 rd to August 30 th Z M G www.zmgtennis.com HP and TTT Registration Form 1, LLC Enrolment Process prides its self on offering everything essential in the development

More information

Archdiocese of Mobile Office of Youth Ministry March for Life Pilgrimage 2016

Archdiocese of Mobile Office of Youth Ministry March for Life Pilgrimage 2016 Archdiocese of Mobile Office of Youth Ministry March for Life Pilgrimage 2016 Pope Francis once stated, Human dignity is the same for all human beings: when I trample on the dignity of another, I am trampling

More information

Lake Burton Day Camp For Boys and Girls Ages 6-9

Lake Burton Day Camp For Boys and Girls Ages 6-9 Lake Burton Day Camp For Boys and Girls Ages 6-9 Dear Day Camp Parent- In this handbook, we want to acquaint you with the procedures and practices of our YMCA summer camp programs. Thank you for enrolling

More information

AVANT TRAVEL INSURANCE CLAIM FORM

AVANT TRAVEL INSURANCE CLAIM FORM AVANT TRAVEL INSURANCE CLAIM FORM IMPORTANT: PLEASE READ BEFORE YOU COMPLETE THIS FORM 1. Pleas e answer all questions and provide all relevant doc umentation to avoid delays with your claim. We are unable

More information

VANCOUVER SCHOOL BOARD

VANCOUVER SCHOOL BOARD VANCOUVER SCHOOL BOARD Welcome to beautiful Vancouver, Canada! The United Nations ranks Canada as the Number One country to live in, and Vancouver is rated as one of the top ten cities to visit in the

More information

Prairie Flight Camp. July 19-24. Prairie School of Mission Aviation. Box 4000 Three Hills, AB, Canada T0M 2N0 403.443.2349

Prairie Flight Camp. July 19-24. Prairie School of Mission Aviation. Box 4000 Three Hills, AB, Canada T0M 2N0 403.443.2349 Prairie Flight Camp 2015 July 19-24 Box 4000 Three Hills, AB, Canada T0M 2N0 403.443.2349 Our Purpose s program exists to prepare mission-minded pilots for Global Ministry. Our graduates are currently

More information

Kilimanjaro Registration Form

Kilimanjaro Registration Form Kilimanjaro Registration Form Name: E-Mail: Trip Name: Starting Date: Safari Information: Nationality: Passport Number: Mailing Address: Phone: Home Cell Work Age Gender Height Weight General state of

More information

60 years of excellence. years o le. English Language courses for adults and summer and winter camps for young learners

60 years of excellence. years o le. English Language courses for adults and summer and winter camps for young learners 60 years of excellence years o le 60 years 1954-2014 English Language courses for adults and summer and winter camps for young learners Why Studio Cambridge? 1954 1966 1969 1973 1982 1997 2001 2008 2004

More information

SPORT CLUB TRAVEL GUIDE

SPORT CLUB TRAVEL GUIDE SPORT CLUB TRAVEL GUIDE This guide was created for sport club members to understand the expectations, rights and responsibilities while minimizing the inherent risks that is associated with traveling.

More information

Claim Form TRAVEL INSURANCE

Claim Form TRAVEL INSURANCE ACCIDENT & HEALTH INTERNATIONAL Claim Form TRAVEL INSURANCE Sydney Level 4, 33 York Street Sydney NSW 2000 GPO Box 4213, Sydney, NSW, 2001 T: +61 2 9251 8700 F: +61 2 9252 4385 ABN: 26 053 335 952 AFS

More information

APPLICATION FORM INTERNATIONAL STUDENT GENERAL ENGLISH / ELICOS COURSES VOCATIONAL COURSES AGENT S STAMP. STUDENT ID (if applicable)

APPLICATION FORM INTERNATIONAL STUDENT GENERAL ENGLISH / ELICOS COURSES VOCATIONAL COURSES AGENT S STAMP. STUDENT ID (if applicable) APPLICATION FORM INTERNATIONAL STUDENT AGENT S STAMP STUDENT ID (if applicable) UNIQUE STUDENT IDENTIFIER (USI) GENERAL ENGLISH / ELICOS COURSES ABSOLUTE BEGINNER 10361NAT Course in Preliminary Spoken

More information

2015 Application Form (College/ University/ English Program/ Specialty School)

2015 Application Form (College/ University/ English Program/ Specialty School) 2015 Application Form (College/ University/ English Program/ Specialty School) To apply for admission to any UPP member school: 1. Complete ALL pages of the Universal Placement Program Application Form.

More information

University College London Academic Year 2013-2014 Program Guide

University College London Academic Year 2013-2014 Program Guide BOSTON COLLEGE OFFICE OF INTERNATIONAL PROGRAMS University College London Academic Year 2013-2014 Program Guide University College London http://www.ucl.ac.uk/ Preparing for Study Abroad Students can maximize

More information

RUSSIA FISHING GROUP VISA, AIR TICKETS, INSURANCE INSTRUCTIONS (2008)

RUSSIA FISHING GROUP VISA, AIR TICKETS, INSURANCE INSTRUCTIONS (2008) RUSSIA FISHING GROUP VISA, AIR TICKETS, INSURANCE INSTRUCTIONS (2008) Please fill out this entire form (one per person) and send with all documents to: RUSSIAN VISA Red Star Travel 123 Queen Anne Ave.

More information

Summer Camp at Inter-American Magnet School June 22nd through August 24th, 2015

Summer Camp at Inter-American Magnet School June 22nd through August 24th, 2015 Summer Camp at Inter-American Magnet School June 22nd through August 24th, 2015 Join us this summer as we travel to Spanish speaking countries across the world! We will feature activities that highlight

More information

New Student Registration Forms. Registration Checklist

New Student Registration Forms. Registration Checklist New Student Registration Forms Registration Checklist To be completed only if offered a spot Please print these registration documents All forms should be completed in full The following list includes

More information

INSURANCE CLAIM FORM

INSURANCE CLAIM FORM INSURANCE CLAIM FORM This purpose of this document is to help you complete your insurance claim. Please read the instructions below and carefully follow them, this will enable us to complete the assessment

More information

Psychology in Paris, France

Psychology in Paris, France Psychology in Paris, France Summer 2015 with the Coast Community College District (Orange Coast College) July 6 - August 3, 2015 ACCENT International Consortium for Academic Programs Abroad Immerse yourself

More information

This twenty-two month Certificate Program provides students with the opportunity to:

This twenty-two month Certificate Program provides students with the opportunity to: ADVANCED EMPLOYMENT SKILLS CERTIFICATE INSTRUCTIONS 1. Read the INFORMATION section in full 2. Complete the PERSONAL INFORMATION section 3. Complete the ADMISSION ROUTES and ACADEMIC HISTORY sections 4.

More information

Summer Institute 2015 for CCS Students Arts Impact Middle School (Located on Ft. Hayes Campus) 680 Jack Gibbs Boulevard, Columbus, Ohio 43215

Summer Institute 2015 for CCS Students Arts Impact Middle School (Located on Ft. Hayes Campus) 680 Jack Gibbs Boulevard, Columbus, Ohio 43215 Summer Institute 2015 for CCS Students Arts Impact Middle School (Located on Ft. Hayes Campus) 680 Jack Gibbs Boulevard, Columbus, Ohio 43215 Columbus City Schools will offer the Summer Institute to assist

More information

Application Summer Study - Pre-College New York Summer Study 2016

Application Summer Study - Pre-College New York Summer Study 2016 Application Summer Study - Pre-College New York Summer Study 2016 First Name Birth Date (Month/Day/Year) Address Last Name Male Female City State Zip/Country code Country Home Tel. E-mail Current School

More information

Information for temporary residents departing Australia

Information for temporary residents departing Australia Information for temporary residents departing Australia MLC Superannuation What is a Departing Australia Superannuation Payment? The Departing Australia Superannuation Payment (DASP) is the payment of

More information

REGISTRATION FORM SAINT-LAURENT/LETHBRIDGE EXCHANGE TRIP 2015

REGISTRATION FORM SAINT-LAURENT/LETHBRIDGE EXCHANGE TRIP 2015 REGISTRATION FORM SAINT-LAURENT/LETHBRIDGE EXCHANGE TRIP 2015 Age group: Adults of 55 years old and up Lethbridge trip: June 24 to July 1, 2015 Saint-Laurent trip: August 5 to 12, 2015 History Since 1967,

More information

Single Trip Travel Insurance Frequently Asked Questions

Single Trip Travel Insurance Frequently Asked Questions Single Trip Travel Insurance Frequently Asked Questions Single Trip Travel Insurance is packaged exclusively for HSBC credit cardholders and their family members. It is a travel insurance covering individuals

More information

Name: Address: City, State, Zip: Fax Number: Home Phone: Email Address: Flight Arrival and Departure Information

Name: Address: City, State, Zip: Fax Number: Home Phone: Email Address: Flight Arrival and Departure Information FLORIDA VAN RENTALS DBA DISCOUNT MOBILITY USA, INC. 6307 Hansel Avenue * Orlando, Florida 32809 (800) 308-2503 * (407) 438-8010 * Fax (407) 447-5312 Rental Information Form Name: Address: City, State,

More information

Camp Horizon. 2015 Registration Packet. Non-Resident registration begins March 1 st. Camp Dates: June 22 to August 14 8 sessions

Camp Horizon. 2015 Registration Packet. Non-Resident registration begins March 1 st. Camp Dates: June 22 to August 14 8 sessions Camp Horizon (ages 5 12) 2015 Registration Packet Camp Dates: June 22 to August 14 8 sessions Ocean City Resident and Property Owner registration begins February 1 st Non-Resident registration begins March

More information

Santa Monica College Administrative Regulation - Students Activities and Student Conduct

Santa Monica College Administrative Regulation - Students Activities and Student Conduct Santa Monica College Administrative Regulation - Students Activities and Student Conduct (AR5319-091481) Extracurricular Trips Arrangements for trips by clubs and other non-athletic extracurricular activity

More information

Return completed documents to your faculty member by the deadline provided

Return completed documents to your faculty member by the deadline provided Student Checklist Student Conditions of Participation Agreement and Release Insurance Registration Form (Office of International Programs will provide information necessary to contact insurance company.

More information

In order to fully process your registration, you must complete this form in its entirety. Contact Information:

In order to fully process your registration, you must complete this form in its entirety. Contact Information: Page 1 of 6 In order to fully process your registration, you must complete this form in its entirety. Contact Information: Student Name: Grade in school 2013-2014: Date of Birth : / / Gender: School: Student

More information

D Arcy Lane Institute of Massage Therapy. D AL School of Equine Massage Therapy. Providing Quality Education in Massage Therapy since 1986

D Arcy Lane Institute of Massage Therapy. D AL School of Equine Massage Therapy. Providing Quality Education in Massage Therapy since 1986 September 2013 Equine Massage Therapy Program Guide Providing Quality Education in Massage Therapy since 1986 D Arcy Lane Institute of Massage Therapy D AL School of Equine Massage Therapy 627 Maitland

More information

FULL TIME INTENSIVE 30 LESSONS/WEEK MON THU: 9:00 AM 4:00 PM FRI: 9:00 AM 12:00 PM

FULL TIME INTENSIVE 30 LESSONS/WEEK MON THU: 9:00 AM 4:00 PM FRI: 9:00 AM 12:00 PM CANADA VANCOUVER, TORONTO, MONTR√ČAL 2016 Turkish Promotion FROM JANUARY 1 TO MARCH 31, 2016 All prices are in CAD REGISTRATION FEES Registration fee: $150 (non-refundable) Junior registration fee (15 years

More information

Travel insurance claim form

Travel insurance claim form NTUC Income Insurance Co-operative Limited NTUC Income Centre 75 Bras Basah Road Singapore 189557 Tel: 63 INCOME/6346 2663 Fax: 6338 1500 Email: csquery@income.com.sg Website: www.income.com.sg Travel

More information

APPLICATION FOR PRE-REGISTRATION CANADA NEW PHARMACY TECHNICIAN GRADUATE. Please submit this application to the College of Pharmacists of BC

APPLICATION FOR PRE-REGISTRATION CANADA NEW PHARMACY TECHNICIAN GRADUATE. Please submit this application to the College of Pharmacists of BC Page 1 of 5 Please submit this application to the College of Pharmacists of BC CHECKLIST You must submit 1. Checklist (page 1). 2. Application form (page 2). 3. Copy of birth certificate or Canadian citizenship

More information

Exploring Math and Science Academy (EMSA)

Exploring Math and Science Academy (EMSA) Student Name: 1 THE UNIVERSITY OF OKLAHOMA HEALTH SCIENCES CENTER (OUHSC) OFFICE OF COMMUNITY PARTNERSHIPS AND HEALTH POLICY A primary goal of the University of Oklahoma Health Sciences Center (OUHSC)

More information

Application Form Heriot-Watt University Malaysia

Application Form Heriot-Watt University Malaysia FOR UNIVERSITY USE ONLY: Consultant: University use only Conditional Unconditional Rejected Date Approved by Signature Remarks Application Form Heriot-Watt University Malaysia PLEASE USE CAPITAL LETTERS

More information

To be eligible for the Suzanne Lee Teacher s Education Award, a recipient must

To be eligible for the Suzanne Lee Teacher s Education Award, a recipient must Minerva Foundation for BC Women Faculty of Education, Simon Fraser University Suzanne Lee Teacher s Award in the field of Education Award Application Form Award Amount: $2,000 Application Deadline: June

More information

WYNCHEMNA SUMMER CAMPS ESL ADVENTURE LEARNING ABOUT [1] Type to enter text

WYNCHEMNA SUMMER CAMPS ESL ADVENTURE LEARNING ABOUT [1] Type to enter text WYNCHEMNA SUMMER CAMPS ABOUT Type to enter text Wynchemna is an English language school that combines learning with outdoor adventure for students aged 10-23. Learn to speak English in beautiful Canada!

More information

The LeRoy W. Homer Jr. Foundation Flight Training Scholarship Program

The LeRoy W. Homer Jr. Foundation Flight Training Scholarship Program The LeRoy W. Homer Jr. Foundation Flight Training Scholarship Program Scholarship Overview LeRoy Homer was the First Officer on United Airlines Flight 93, which was hijacked and crashed in Pennsylvania

More information

Georgia Tech North Ave. NW Atlanta Ga. 30332

Georgia Tech North Ave. NW Atlanta Ga. 30332 Welcome to Fun Weird STEM Saturdays 2014 The functioning objective of Fun Weird Science STEM Saturdays is to: 1. Provide students with hands-on STEM experience; and 2. Engage students in the exciting ways

More information

Special Event/Use. Permit Application GVRD PARKS FACILITIES INFORMATION. You will be required to supply the following documents:

Special Event/Use. Permit Application GVRD PARKS FACILITIES INFORMATION. You will be required to supply the following documents: Special Event/Use Permit Application GVRD PARKS FACILITIES IFORMATIO Regional Parks 4330 Kingsway Burnaby, B.C. V5H 4G8 Special Permits 604-432-6359 fax: 604-432-6296 Thank you for contacting Regional

More information

International Application

International Application International Application Personal Details Family Name: Given Names: Date of Birth (DDMMYYYY): Gender: Male Female Place of Birth: Nationality: Language(s) spoken at home: Passport Number: Passport Expiry

More information

Address: Street City State Zip Code Home Phone: E-mail Address:

Address: Street City State Zip Code Home Phone: E-mail Address: SANDWICH CUSD #430 REGISTRATION FORM SCHOOL YEAR 2013-2014 SELECT AN ATTENDANCE CENTER LG Haskin Prairie View WW Woodbury HE Dummer Middle School High School 1. NAME: 5. SEX: Male Female Last Name First

More information

TUITION RATES SCHOOL YEAR 2015-2016

TUITION RATES SCHOOL YEAR 2015-2016 TUITION RATES SCHOOL YEAR 2015-2016 REGISTRATION FEE: $65.00 per child DISCOUNTS: Family discount apply to families with two or more children in the Extended Day program. Full price is paid for the youngest

More information

President s Message. Sincerely, Dr. Verna Magee-Shepherd President and Vice Chancellor

President s Message. Sincerely, Dr. Verna Magee-Shepherd President and Vice Chancellor President s Message University Canada West is an expanding, young university. At its campus located in Vancouver, one of the top ranked cities in the world according to UNESCO based on the standard of

More information

Guidance Notes. How to enrol at the school If you have any questions, please contact us, we re happy to help. Please contact: Admissions@lse.uk.

Guidance Notes. How to enrol at the school If you have any questions, please contact us, we re happy to help. Please contact: Admissions@lse.uk. GUIDANCE NOTES Guidance tes How to enrol at the school If you have any questions, please contact us, we re happy to help. Please contact: Admissions@lse.uk.net 1) Fill in the registration form and send

More information

WELLESLEY COLLEGE TRAVEL POLICIES AND PROCEDURES

WELLESLEY COLLEGE TRAVEL POLICIES AND PROCEDURES WELLESLEY COLLEGE TRAVEL POLICIES AND PROCEDURES The purpose of this document is to establish and communicate equitable standards and effective procedures for reducing travel costs while complying with

More information

TRANSPORTATION 3 Support Staff & Bus Riding Duties

TRANSPORTATION 3 Support Staff & Bus Riding Duties 1.0 RATIONALE At time, support staff are hired to work during the regular school day in a school program, and also supervise students on the bus or in a private vehicle as students are transported to and/or

More information

Re-Application for the Sobey MBA Program

Re-Application for the Sobey MBA Program Re-Application for the Sobey MBA Program The following re-application form is to be used by Sobey MBA Applicants who have an incomplete file or an accepted file on record in the Faculty of Graduate Studies

More information

Travel Claims Form STEP 1 CLAIM FORM COMPLETION REQUIREMENTS STEP 2 CLAIMANT DETAILS. Policy and Claimant Details. A. Travel Arrangements

Travel Claims Form STEP 1 CLAIM FORM COMPLETION REQUIREMENTS STEP 2 CLAIMANT DETAILS. Policy and Claimant Details. A. Travel Arrangements STEP 1 CLAIM FORM COMPLETION REQUIREMENTS Please read and complete this form. Please retain a copy of ALL documents for your records. Documents in a foreign language are required to be translated into

More information

(US citizens must be 18 or over to apply for homestay) Agent? Yes No Agency Name: Agency Contact Person: Street: Country, Zip code :

(US citizens must be 18 or over to apply for homestay) Agent? Yes No Agency Name: Agency Contact Person: Street: Country, Zip code : Last Name (Family name) INTERNATIONAL STUDENT PLACEMENTS COLLEGE PROGRAM APPLICATION Attach recent photo here (smiling) Birthdate: Age: Male Female Month / Day / Year (US citizens must be 18 or over to

More information

APPLICATION FORM FOREIGN STUDENTS (PLEASE PRINT)

APPLICATION FORM FOREIGN STUDENTS (PLEASE PRINT) APPLICATION FORM FOREIGN STUDENTS (PLEASE PRINT) Attach Photo Here ( ) Exchange Student ( ) Transfer Student 1. PERSONAL DETAILS Full Name: Date of Birth (DD/MM/YYYY): / / Gender: ( ) Male ( ) Female City

More information