STUDENT APPLICATION FORM

STUDENT INFORMATION

(ex. : Wang)
(ex. : Xiaoming)
(ex. : Bob)
Format: M/d/yyyy
(If known) The value must be a number
(ex.: China, Canada)
The value must be a number
For school announcements in student Wechat Groups
(If applicable) The value must be a number
(ex.BC)
(ex.Canada)
(ex. : V6X 0J8)
For each school attended, please provide:
1) Name of School
2) City
3) Country
4) Start & End Time of Study (YYYY-MM)
5) Grades studied (e.g 8, 9, 10,11, 12)

CONTACT INFORMATION- Father/Stepfather

(ex. : Wang)
(ex. : Xiaoming)
The value must be a number

CONTACT INFORMATION- Mother/Stepmother

(ex. : Wang)
(ex. : Xiaoming)
The value must be a number

STUDENT MEDICAL HEALTH INFORMATION

•All students with special needs must be assessed before their placement is determined.
•All students must have medical insurance during the course of their study at Maple Hill School
•Maple Hill School can assist with applying/renewing BC’s Medical Service Plan (MSP) on behalf of students upon receiving their applicable supporting documents (ex. study permit, PR cards). Students will receive to their mailing addresses within 45 days the application is submitted to Health Insurance BC (HIBC) for review:
1) MSP card
2) Monthly invoices (International students only)
•***STUDENTS MUST PAY FOR THE INVOICES THEMSELVES***
•Students must provide proof of private medical insurance before MSP coverage becomes available to the student (Students may choose to purchase guard.me (http://guard.me) International Student Insurance through the school at the rate of CAD $1.45/day).
Put "N/A" if you answered "No" to the last question.
Put "N/A" if you answered "No" to the last question.
The value must be a number
The value must be a number
The value must be a number
Format: M/d/yyyy

PARENT/CUSTODIAN CONSENT

FIELD TRIPS & VOLUNTEERING ACTIVITIES
I give my child permission to attend all school-organized field trips and volunteering activities.

LEAVING THE CAMPUS DURING LUNCH TIME
I give my child permission to leave the school campus during lunch break if he/she chooses to do so. I understand that during this absence from the campus there will be limited or no supervision. Students are cautioned by Maple Hill School to stay in groups and to refrain from placing themselves at risk.

COLLECTION OF STUDENT DATA
I confirm any and all Information collected by Maple Hill School is solely for student and family support purposes and is controlled under policies that adhere to the Personal Information and Privacy Act of British Columbia. This act applies to independent schools like Maple Hill School.

1) Maple Hill School uses MyEdBC as the student management software. MyEdBC is created by the BC Ministry of Education and keeps all their data in Canada. More information related to MyEdBC can be found at https://mytrainingbc.ca/myedbcstandards/ (https://mytrainingbc.ca/myedbcstandards/). Students will receive accounts to MyEdBC.
2) Maple Hill School uses Microsoft Teams as a Learning Management System (LMS) which allows students greater access to a class by having a place to interact and to collect information about their classes. Maple Hill School will create accounts for students which allows them to have access to the online versions of the Microsoft Office suite as well as Teams. Information regarding Microsoft’s privacy policies can be found at https://docs.microsoft.com/en-us/microsoft-365/compliance/offering-canadian-privacy-laws?view=o365-worldwide (https://docs.microsoft.com/en-us/microsoft-365/compliance/offering-canadian-privacy-laws?view=o365-worldwide).

RELEASE OF INFORMATION
I give permission for my child’s name, photograph and video to be used by Maple Hill School for education and/or promotional purposes.

DUTIES AND RESPONSIBILITIES
I waive and release all claims against Maple Hill School for the injury, loss, damage, accident, delay or expense resulting from my child’s participation in the High School Graduation Program. I also release Maple Hill School and agree to indemnify them, with regard to any financial obligations or liabilities that the student may personally incur, or any damage or injury to the person or property of others that my child may cause while participating in the High School Graduation Program.

USER AGREEMENT FOR INTERNET ACCEPTABLE USAGE AND E-SAFETY
As the parent/custodian of the student, I understand that internet access at Maple Hill School is designed for educational purposes. Maple Hill School has taken reasonable steps to control access to the Internet, but cannot guarantee that all controversial information will be inaccessible to student users. I agree that I will not hold Maple Hill School responsible for materials acquired on the network. Further, I accept full responsibility for supervision if and when my child’s use is not in a school setting. I hereby give permission for my child to use network resources, including the Internet that are available through Maple Hill School. Should the student commit any violation, his/her access privileges may be revoked, school disciplinary action may be taken, and/or appropriate legal action may be initiated.

STUDENT SIGNATURE

PARENT/LEGAL CUSTODIAN SIGNATURE

If the student is ≥ the age 19, they can complete this section him/herself