A. STUDENT INFORMATION
Family/Last Name
Given Name
Date Of Birth
Sex
Citizenship
Native Language
Educational Background
1. School Currently Attending
Grade
2. School
Grade Completed
Phone
Email
Permanent Address
B. ADMISSION INFORMATION
I would like to start in
Specify If “Other”
C. PARENT/GUARDIAN CONTACT INFORMATION
Name of Parent/Guardian
Relationship
Address (if different from above)
D. VANCOUVER AREA CONTACT (OR CUSTODIAN)
Name of Local Contact (or Custodian)
Address
E. ADDITIONAL INFORMATION
Interest and Extra-curricular Activities
Allergies and/or Medical/Health Particulars
Details if “Yes”
Homestay Required
Vancouver Formosa Academy 5621 Killarney Street Vancouver, BC, Canada V5R 3W4
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