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Page 1 of 2 (YRDSB) 2020 STUDENT INFORMATION RENEWAL LAST NAME PLEASE PRINT CLEARLY FIRST NAME AGE MALE DATE OF BIRTH (DD/MM/YYYY) / / ADDRESS (IN CANADA) EMAIL ADDRESS CITY STUDENT MAIN TELEPHONE POSTAL CODE STREET ADDRESS HOME TELEPHONE NUMBER COMPLETED RENEWAL DOCUMENTS WILL BE FORWARDED TO THE SCHOOL GUIDANCE DEPARTMENT FOR RETRIEVAL BY STUDENTS. (include area code) CELL PHONE NUMBER (include area code) EMAIL ADDRESS CITY LAST NAME RELATIONSHIP TO STUDENT FIRST NAME SCHOOL INFORMATION NAME OF SCHOOL FEMALE GRADE IN RENEWING SCHOOL YEAR CUSTODIAN INFORMATION (REQUIRED IN ALL CASES) WORK TELEPHONE NUMBER (include area code) POSTAL CODE PROVINCE YRDSB HOMESTAY/CUSTODIAN (if applicable) RETURNING CURRENT NEW CUSTODIAN (NOTARIZED CUSTODIANSHIP DECLARATION FORMS MUST ACCOMPANY THIS FORM IF THERE IS A CHANGE OF CUSTODIAN) SECONDARY ELEMENTARY 2 SEMESTERS 1 SEMESTER I AM NOT RETURNING REASON FOR NOT RETURNING: I AM RETURNING PLEASE NOTE: Upon returning to YRDSB a student may not make private custodian and accommodations arrangements with his/her existing or host engaged by YRDSB to offer these services. Students must re-apply through YRDSB and pay the required fees. PLEASE NOTE THAT THE TUITION FEE WILL INCREASE IF THE RENEWAL APPLICATION IS RECEIVED AFTER APRIL 30 FOR THE 1 ST SEMESTER, OR AFTER OCTOBER 31 FOR THE 2 ND SEMESTER. Student Renewal Academic Application ¨ ¨ ¨ ¨ ¨ ¨ ¨ ¨ ¨ ¨ ¨ International Education Services 36 Regatta Avenue Richmond Hill, ON L4E 4R1 Canada www.yrdsb.ca/international Telephone: (905) 884-2046 x237 Fax: (905) 773-2406 [email protected] SIGNATURE OF STUDENT: DATE SIGNATURE OF PARENT IF LIVING WITH YRDSB HOMESTAY SIGNATURE PREFERRED NAME STUDENT RESIDES WITH: ¨ PARENT ¨ CUSTODIAN ¨ CONTINUE WITH CURRENT ARRANGEMENTS ¨ NEW ARRANGEMENTS REQUESTED ¨ REQUEST YRDSB HOMESTAY/CUSTODIANSHIP DATE SIGNATURE OF PARENT/CUSTODIAN: DATE ¨ HOMESTAY ¨ YRDSB HOMESTAY ¨ RELATIVE ¨ OTHER (explain): LAST NAME FIRST NAME EMAIL ADDRESS TELEPHONE

YRDSB RENEWAL Academic Application 2017-1 · To request a refund of fees, please contact International Education Services. Please note that requests for refund will not be considered

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Page 1: YRDSB RENEWAL Academic Application 2017-1 · To request a refund of fees, please contact International Education Services. Please note that requests for refund will not be considered

Page 1 of 2 (YRDSB) 2020

STUDENT INFORMATION

RENEWAL

LAST NAME

P L E A S E P R I N T C L E A R LY

FIRST NAME

AGEMALE DATE OF BIRTH (DD/MM/YYYY)

/ /ADDRESS (IN CANADA)

EMAIL ADDRESS

CITY STUDENT MAIN TELEPHONE POSTAL CODE

STREET ADDRESS

HOME TELEPHONE NUMBER

COMPLETED RENEWAL DOCUMENTS WILL BE FORWARDED TO THE SCHOOL GUIDANCE DEPARTMENT FOR RETRIEVAL BY STUDENTS.

(include area code) CELL PHONE NUMBER (include area code)

EMAIL ADDRESSCITY

LAST NAME RELATIONSHIP TO STUDENTFIRST NAME

SCHOOL INFORMATIONNAME OF SCHOOL

FEMALE

GRADE IN RENEWING SCHOOL YEAR

CUSTODIAN INFORMATION (REQUIRED IN ALL CASES)

WORK TELEPHONE NUMBER (include area code)

POSTAL CODEPROVINCE

YRDSB HOMESTAY/CUSTODIAN (if applicable)

RETURNING

CURRENT

NEW CUSTODIAN (NOTARIZED CUSTODIANSHIP DECLARATION FORMS MUST ACCOMPANY THIS FORM IF THERE IS A CHANGE OF CUSTODIAN)

SECONDARY

ELEMENTARY

2 SEMESTERS

1 SEMESTER I AM NOT RETURNING REASON FOR NOT RETURNING:I AM RETURNING

PLEASE NOTE: Upon returning to YRDSB a student may not make private custodian and accommodations arrangements with his/her existing or host engaged by YRDSB to offer these services. Students must re-apply through YRDSB and pay the required fees.

PLEASE NOTE THAT THE TUITION FEE WILL INCREASE IF THE RENEWAL APPLICATION IS RECEIVED AFTER APRIL 30 FOR THE 1ST SEMESTER, OR AFTER OCTOBER 31 FOR THE 2ND SEMESTER.

Student Renewal Academic Application

¨

¨

¨

¨

¨

¨

¨¨¨

¨¨

International Education Services 36 Regatta AvenueRichmond Hill, ON L4E 4R1 Canadawww.yrdsb.ca/international

Telephone: (905) 884-2046 x237Fax: (905) 773-2406

[email protected]

SIGNATURE OF STUDENT:

DATESIGNATURE OF PARENT IF LIVING WITH YRDSB HOMESTAY

SIGNATURE

PREFERRED NAME

STUDENT RESIDES WITH:

¨ PARENT ¨CUSTODIAN

¨ CONTINUE WITH CURRENT ARRANGEMENTS ¨ NEW ARRANGEMENTS REQUESTED ¨ REQUEST YRDSB HOMESTAY/CUSTODIANSHIP

DATE SIGNATURE OF PARENT/CUSTODIAN: DATE

¨HOMESTAY¨YRDSB HOMESTAY ¨RELATIVE ¨OTHER (explain):

LAST NAME FIRST NAME EMAIL ADDRESSTELEPHONE

rosy.tersigni
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Page 2: YRDSB RENEWAL Academic Application 2017-1 · To request a refund of fees, please contact International Education Services. Please note that requests for refund will not be considered

Student Renewal Academic Application

Page 2 of 2 (YRDSB) 2020 (rev Jun 2020)

ACADEMIC FEE SCHEDULE (Returning Students)

SECONDARY STUDENT - Academic Renewal ONLY SECONDARY STUDENT - Academic Renewal WITH Homestay/Custodianship

One Semester Two Semesters One Semester September 2020 September 2020

to June 2021 September 2020 to January 2021

12 months 5 months Application Fee $100.00 Application Fee $100.00 Secondary Tuition Fee $14,650.00 Secondary Tuition Fee $7,325.00 Medical Insurance

to January 2021 5 months

$100.00 $7,325.00

$225.00 $470.00 HS/Custodianship Placement Fee $50.00 TOTAL $7,650.00 $15,225.00 Homestay/Custodianship Fee $7,500

Medical Insurance $225.00

Two Semesters September 2020 to

June 2021 10 months

$100.00 $14,650.00

$50.00 $15,000.00

$475.00 TOTAL $15,200.00 $30,275.00 *New Host $15,450.00 $30,525.00

ELEMENTARY STUDENT - Academic Renewal One Semester Two Semesters Two Semesters September 2020 to January 2021

September 2020 to June 2021

Feb 2020 (Grade 8) to Jan 2021 (Grade 9

5 months 12 months 12 months Application Fee $100.00 $100.00 $100.00 Elementary Tuition Fee $7,325.00 $14,650.00 $14,650.00 Medical Insurance $225.00 $450.00 $450.00

$7,650.00 $15,225.00 $15,225.00

Secondary students must maintain and demonstrate an academic average of 65% to be eligible to renew their application. A most recent official YRDSB report card or transcript must accompany the renewal application.

All payments may be included in one bank draft or certified cheque, payable to York Region District School Board.

Add $500 to the total fee if applying after the deadline date.

REFUND There will be no refund of tuition fees in the following circumstances:

• if the student chooses to withdraw for any reason after a YRDSB official Letter of Acceptance has been issued, unless the student is refused astudy permit by IRCC (Immigration, Refugees and Citizenship Canada)

• if the student is found in violation of YRDSB policies or the Student Code of Behaviour and is asked to withdraw from school

Non-refundable:

• application fee• homestay/custodianship placement fee• custodianship fee

Administration fee: • A $500 administration fee is applied to all refund requests

If the immigration status of a student changes prior to or during the school year, contact the Reception Centre to have immigration documents verified. To request a refund of fees, please contact International Education Services. Please note that requests for refund will not be considered if received after October 15 for semester/term 1 or March 15 for semester/term 2. An administration fee of $500 will be deducted from each refund request.

If the insured is no longer a student of the YRDSB, a refund of the medical insurance fee may be requested directly from Ingle Travel & Health Insurance Services Inc., (1-888-386-8888) or by email at [email protected].

DOCUMENTATION CHECKLIST:

Renewal Application Form – Completed and signed by Parent/Custodian and Student Recent Official YRDSB Report Card, or Credit Counselling Summary Custodian Declaration Form (if change in Custodianship), Parent and Custodian