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Student Information

Last Name:
First Name:
Middle Name:

Date of Birth (dd/mm/yyyy):
Age:
Gender:

Name of Program:
Start Date:
End Date: 
Calendar of Programs Available
 

Home Address:
City:
Province/State:
Postal/Zip Code:
Country:

Home Telephone:
Skype Address:
Email Address:

Status in Canada
Canadian Citizen     
Permanent Resident
Study Permit          
Visitor/Other           

Country of Citizenship:
Language Spoken at home:
Second Language (if applicable):

Family Information: Father

Last Name:
First Name:

Date of Birth (dd/mm/yyyy):

Home Address:
City:
Province/State:
Postal Code/Zip Code:
Country:

Occupation:
Name of Company:
Business Telephone:

Home Telephone:
Mobile:
Skype Address:
Email Address:

Family Information: Mother

Last Name:
First Name:

Date of Birth (mm/dd/yyyy):

Home Address:
City:
Province/State:
Postal/Zip Code:
Country:

Occupation:
Name of Company:
Business Telephone:

Home Telephone:
Mobile:
Skype Address:
Email Address:

Student lives with?
If other, please specify:

Where should admission materials be sent?
If other, please specify:

Where should bills be sent?
If other, please specify:

If parents are divorced or separated, who has legal custody of the applicant?

Educational Consultant Information

Last Name:
First Name:

Relationship to Student:

Company:
Address:
City:
Province/State:
Postal/Zip Code:
Country:

Telephone:
Skype Address:
Email Address:

Academic Information

Previous School Information
School Name:
Address:
Telephone:
Present Grade:
Overall Academic Average:

Next School Information
Please indicate which school(s) (private or public) the applicant has applied to an/or has been accepted to:

Educational Consulting Services are available to help families apply to boarding schools throughout Canada and the USA. Please indicate which school(s) the applicant may be interested in:

How do you know about Fulford?

Additional Information or Comments:

Signature of Parent/Guardian:
Date (dd/mm/yyyy):

To complete the application process, please email the following documents to admissions@fulfordacademy.com:

  • The most recent transcripts – Please submit an English version of the transcript
  • Copy of SLEP (Secondary Level English Proficiency) test scores or any other English language evaluation test, if available.
  • A letter of reference from the prospective student’s English teacher (if applying for Grade 7-10 Academic Program)
  • Copy of the passport
  • Current photo of the student
  • Skype Address to arrange student interview
  • Application fee of CDN$ 200 - to pay the application fee with an international credit card, please click the 'Pay Now with Flywire' button below.

Before submitting the forms, please ensure that you have provided at least one email address.

TO COMPLETE YOUR APPLICATION, PLEASE CLICK THE "SUBMIT" BUTTON BELOW. 

 

 

 

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Fulford Academy 280 King Street East | Brockville, ON | CA K6V 1E2
admissions@fulfordacademy.com
Phone: 1-613-341-9330 | Fax: 1-613-341-9344
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