International Students Application Form

RM_Stats

Student Legal Information
School Request
Student Information
Parent / Guardian Information
CIC Custodial Information | Homestay Information
Emergency Contact | Health Information
Recruiter Information | Educational Goals
Document Submission Page

Student Legal First Name^*

Student Legal Last Name^*

Student Date of Birth^*

Student Age^*

Email^*

Last Grade Successfully Completed^*

Elementary Placement (Junior Kindergarten to Grade 8)
At Nile Academy, elementary students are placed in grades
according to age.

The student is applying to the following term(s):

Terms

September to June (Full Year)
February to January (Full Year)
September to January (1st September)
February to June (2nd Semester)
Other

Secondary Placement (Grade 9 to Grade 12)

Secondary Grade Applying to:

Student Secondary Grade

The student is applying for the following term(s):

Terms

September to June (Full Year)
February to January (Full Year)
September to January (1st September)
February to June (2nd Semester)
Other

While in Canada, I will be:

Living Conditions^*

Living with my parent(s) / guardian(s)
Living with my CIC custodian
Living with a homestay
Living in school residence
I do not know where I will be living at this time

Preferred First Name

Gender^*

Male
Female

Country of Citizenship^*

Country of Birth^*

First Language^*

Second Language

Current School Information

Current School Name^*

Current Grade^*

Current School City^*

Current School Country^*

Is this an International School or a Regular School?^*

International
Regular

Parent / Guardian 1:

Gender

Male
Female

Relationship to Student

Legal Last Name^*

Legal First Name^*

Email Address^*

Home Country Information

Permanent Home Country Address^*

Street Number

Street Address

City

State

Country

Zip Code

Preferred Phone Number

Phone Number^*

Secondary Phone Number

Parent / Guardian 2:

Gender

Male
Female

Relationship to Student

Legal Last Name^*

Legal First Name^*

Email Address^*

Home Country Information

Permanent Home Country Address^*

Street Number

Street Address

City

State

Country

Zip Code

Preferred Phone Number

Phone Number^*

Secondary Phone Number

This section is required only if you selected Living with my CIC custodian, if you are applying to an elementary school and will not be living with your parents while in Canada. You can bypass this section by checking the box below.

This section does not apply to me or I do not have my CIC custodian's information yet. I will provide this information at a later date.

Legal Last Name

Legal First Name

Preferred First Name

Gender

Male
Female

Preferred Language

Email Address

Primary Phone Number^*

Secondary Phone Number

Homestay Information

This section is required only if you selected Living with a homestay, otherwise you can bypass this section by checking the box below.

This section does not apply to me or I do not have my homestay information yet. I will provide this information at a later date.

Legal Last Name

Legal First Name

Preferred First Name

Gender

Male
Female

Preferred Language

Email Address

Primary Phone Number^*

Secondary Phone Number

Emergency Contacts will only be called upon if the parents/Guardians and/or the CIC Custodian are unavailable. If you do not have any other emergency contacts or you do not know who they are at this time, you can bypass this section by checking the box below.

Other than my Parent/Guardian or CIC Custodian, I do not have any other emergency contacts or I do not know who my other emergency contacts will be at this time.

Emergency Contact Relationship to Student

Emergency Contact Gender

Male
Female

Emergency Contact Legal Last Name^*

Emergency Contact Legal First Name^*

Emergency Contact Email Address^*

Emergency Contact Primary Phone Number^*

Emergency Contact Secondary Phone Number

Health Information

Does your child have any medical needs or conditions of which the school should be aware of ?

My child has no medical needs or conditions of which the school should be aware.

If your child has medical needs or conditions of which the school should be aware, please describe the condition(s) below:

Add

Delete

I am not using the services of a recruiting agency

(Check this box if you are not with a recruiting agency)

I am a recruiter with an existing Nile Academy account

(Check this box if you have an existing account)

I am a new recruiter

(Check this box if you are a new recruiter)

Recruiter ID^*

Recruiter^*

Contact Last Name^*

Contact First Name^*

Contact Phone Number^*

Contact Fax Number

Contact Email^*

Educational Goals

Favorite Subjects

Difficult Subjects

Strengths

Hobbies / Interests

Post-Secondary Plans and Future Career Direction (e.g. University / College)

Please print and upload a filled out and signed copy of the following PDF file:

Download Required Documents

File Upload^*

Please upload a copy of your passport photo page:

Passport Photo Page^*

Please upload a copy of the previous years transcript:

Last Years Transcript^*