International Student Summer Program - Application Form国际学生暑期申请表格.pdfVIP

International Student Summer Program – Application Form 國際學生暑期申請表格 Please complete and submit this application to: 請將已填妥的申請表格，直接傳真或寄到歌摩士谷學區國際教育： International Student Program Comox Valley School District 1551 Lerwick Road Courtenay, British Columbia Canada V9N 9B5 Phone: (250) 703-2904 Fax: (250) 897-1496 Admission criteria 行政原則 Comox Valley School District will accept students who provide evidence that they have the academic and social potential to be successful in our programs. 歌摩士谷七十一學區將會接受，在學術成就與社交表現上，能展現成功潛力學生的申請入學。 Notification 申請通知 Receipt of all applications will be acknowledged, and applicants will be advised promptly whether or not they have been offered placement in the summer program. Each student admitted to the program will receive a letter of acceptance. 無論是否可以入學，每個申請學生都會很快地接獲我們的通知；一旦得到申請許可，歌摩士谷學區會核發入學 許可書。 Application package is to include: 完整申請書包含如下： □ Completed application form 完成申請表格 □ Small recent photograph attached to application 最近半年內兩吋照片一張 Please PRINT in English 請用英文正楷填寫以下資料 Date of application 申請日期 For which program are you applying？ (Please circle one) 你要申請何種專案課程？ (請圈選) □ ESL/activities: July 16 – August 7, 2007 OR □ ESL/activities: August 7 - 25, 2007 英語文化生活營 OR □ Credit Program: July 3 - August 3, 2007 學分課程 OR □ Academic Preparation Program: August 7 -24, 2007 學科預備課程 .. . continued 接續下頁 Comox Valley School District – International Student Program – Application (Page 2) 第二頁 歌摩士谷七十一學區 ─ 國際學生專案 ─申請書 1. □ Ms.女 □ Mr. 男 Surname 姓氏 Given Name(s) 名字 2. Student’s Birthdate: Age: Country of Citizenship: 出生日期 Y Y Y Y - M M - D D 年齡 國籍 Country of Legal Residence: Pas