YRDSB Academic Application
Page 1 of 4 (2018 Nov)STUDENT INFORMATIONLAST NAME PLEASE PRINT CLEARLY AND IN BLACK INKFIRST NAMEAGECOUNTRY OF BIRTHCITIZENSHIPEMAIL ADDRESS (MANDATORY)MALESTREET ADDRESSPRIMARY TELEPHONE NUMBER (include area code)PRIMARY EMAIL ADDRESS (MANDATORY)CITYCOUNTRYPOSTAL CODEPROVINCESTREET ADDRESSHOME TELEPHONE NUMBER (include area code)CELL-PHONE NUMBER (include area code)EMAIL ADDRESS (MANDATORY)CITYLAST NAMERELATIONSHIP TO STUDENT (MANDATORY)FIRST NAMEPARENT AND FAMILY INFORMATIONFATHER S LAST NAME CELL TELEPHONE NUMBER (include area code)EMAIL ADDRESS (MANDATORY)MOTHER S LAST NAME CELL TELEPHONE NUMBER (include area code)EMAIL ADDRESS (MANDATORY)FEMALEOTHER NAME USEDOCCUPATION/TITLEOCCUPATION/TITLENAME / AGE OF SISTER(S) OR BROTHER(S)CUSTODIAN INFORMATION - REQUIRED IN ALL CASES(in home country)(if different than custodian)STREET ADDRESSPRIMARY TELEPHONE NUMBER (include area code)CITYPOSTAL CODEPROVINCELAST NAMERELATIONSHIP TO STUDENTFIRST NAMEFATHER S DATE OF BIRTH MOTHER
page 1 of 4 (2018) student information last name please print clearly and in black ink first name age male citizenship country of birth email address (mandatory) street address
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