SUCCESS ACADEMY CANADA
INTERNATONAL STUDENT APPLICATION FORM

STUDENT INFORMATION

PARENT/GUARDIAN INFORMATION

EMERGENCY CONTACT INFORMATION

HEALTH AND MEDICAL INFORMATION

EDUCATIONAL INFORMATION

Elementary (1-8)
High School (9-12)

CURRENT/LAST SCHOOL INFORMATION

APPLICATION CHECKLIST (Requirements)

  • Completely filled application form
  • Pay $350 non-refundable application
  • Parent/guardian signature
  • Birth certificate/ passport etc.
  • Photo ID
  • Most recent transcript and report cards from your current/previous school(s)

Note: Confidentiality will always be maintained regarding your personal information including your email. I hereby certify that I have read and understand the above terms and conditions.