Student Application Form

Student Application Form
Fountainview Academy
First Name:*
Middle Name:
Last Name: (As on passport or birth certificate)*
Student Email Address:
Student Mobile Phone

Country CodeArea CodePhone Number
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Grade Entering:*
For Which School Year?*
(A full school year runs from August to June.)
Date of Birth:*

DayMonthYear
Age:*
Gender:*

MaleFemale
Birthplace:*
Citizenship: List all citizenships held*
Primary Language *
Other Languages (if any)
Social Insurance or Social Security #:
Religious Affiliation:*
Home Church:*
Baptized:*

YesNo
Student Photo: Please upload a recent picture of yourself.

Upload a File
Your application will not be reviewed until we have your photo. If you can't attach it to this form, please email your picture to admissions@fountainview.ca Cancelof
Please upload a copy of your birth certificate.

Upload a File
This is one of the items needed for the application process. If you can't attach it to this form, please email it to admissions@fountainview.ca Cancelof
Student Acknowledgement

I acknowledge that I have answered the above questions as accurately as possible, I have read and understand the student handbook, and if I am accepted as a student, I pledge to uphold the educational principles and practices of Fountainview Academy as outlined in the student handbook.
Student Signature*

Clear
Personal Essay
To be completed by the student in their own words and with no translation help. An essay completed by the student answering the following questions: Why you wish to attend Fountainview Academy? A description of your Christian experience. How your parents feel about your desire to attend Fountainview Academy? Any other information that you feel will aid the application process.
Parents/Guardians
Parent/Guardian 1*

Legal First NameLegal Last Name
Relationship:*
Mailing Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Telephone Number (include country code and area code)*


Home Phone
Mobile Phone

E-mail:*
Parent/Guardian 2

Legal First NameLegal Last Name
Relationship:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Telephone Number (include country code and area code)


Home Phone
Mobile Phone

E-mail:
Email grades to the email aboveEmail financial statements to the email above
MEDICAL INFORMATION

The personal information collected relates directly to, and is necessary for, program operation and will be kept confidential in compliance with the Freedom of Information and Protection of Privacy Act.
Has your child had any major illnesses, surgeries or chronic diseases that we should be aware of in the event of an emergency?*
If yes, please describe below:
Does your child suffer from allergies?*
If yes, please list them including any reactions they may have had.

Please list schools or home school programs attended from the 8th grade to the present (current year):*

	Year	School	Address	Phone
8
9
10
11

Please send us copies of your child’s grades or grade reports (in English or with English translation) from 9th grade to the present. Please upload the grade reports, email them to admissions@fountainview.ca, or if need be, send by mail. The reports do not have to be sent straight from the child's school.

We may require course descriptions (in English or with English translation) to be submitted if it is not clear how the courses line up with our requirements.

Homeschoolers who don't have transcripts or grade reports from a homeschooling program should submit a list of courses taken, being sure to describe course types. For example, instead of saying "Math," write "Algebra 1 by Teaching Textbooks," or instead of "Science," say "Biology from Abeka" etc.
Educational Information
Upload transcript/grade report

Upload a File

Cancelof
Upload another transcript/grade report, if needed

Upload a File

Cancelof
Upload another transcript/grade report, if needed

Upload a File

Cancelof
Does your child have any difficulty learning?*
If yes, please explain:
Does your child desire special help in any subject?*
If yes, which subject(s)?
If your child plays a musical instrument, which kind and for how long?*
Financial Information
Do you have an unpaid bill at any other school?*
If yes, what amount?
School Name:
School phone number:
School Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Parental Acknowledgement

I have read the Student Handbook (Handbook copy ) and I understand the educational philosophy of Fountainview Academy. I desire to have my child attend Fountainview Academy, and I willingly pledge to support the high ideals and standards of the school. I agree to assume all financial responsibility for the applicant.
Parent Signature*

Clear
Skype ID or Name:
Since we often do interviews over Skype, please list your Skype ID/name, or email registered with Skype. If you do not have Skype - just say "not applicable"
How did you find out about us?*
If other, where?
Payment of Application Fee Options
Payment of the $50 application fee

Cheque/Money Order (must be depositable in Canada) - Mail to: Fountainview Academy, Box 500, Lillooet, BC V0K 1V0 CanadaCredit Card online - http://fountainview.flywire.com - Be sure to specify purpose & nameInteract eTransfer (For Canadians only) Pay Accounting@fountainviewacademy.ca directly from your online bank account. Nearly all Canadian banks and credit unions offer Interac e-Transfer. If you are not familiar with Interac e-Transfers visit https://www.interac.ca/en/consumers/products/interac-e-transfer/ to learn more.No, I'll pay later or with a different method
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Student Application Form

Fountainview Academy

Personal Essay

Parents/Guardians

MEDICAL INFORMATION

Educational Information

Financial Information

Payment of Application Fee Options