Application Form – Domestic

Application Form for Domestic Students

General Information

 

Student Information

 

FAMILY INFORMATION

 

LIVING ARRANGEMENTS WHILE STUDYING AT CITY VANCOUVER ACADEMY

  • (Students may only reside with parents, guardians, relatives, or in a homestay approved by City Vancouver Academy)

 

APPOINTMENT CUSTODIAN / GUARDIAN

 

EMERGENCY CONTACT

 

EDUCATION HISTORY

 

HEALTH INFORMATION

  • Basic health coverage is available to students through the BC Medical Services Plan (MSP) after three months of landing in Vancouver, Canada. Students should buy private medical insurance for at least the first 6 months while in Vancouver, Canada.

 

SURVEY

 

AGENCY/AGENT/SCHOOL (if applicable)

 

Important Information

 

Verification