905-789-8789 - info@moonshotinternationalschool.com  

International Students Application Form

Student Information

  
First Name* Last Name*
English Name Gender*

Country of Birth* Date of Birth*
Citizenship* First Language*
Second Language Third Language
Email Address* Confirm Email*
Home Address*  
 
Home Phone Cell Phone
Work Phone  
 
   

Current School Information

  
Current School Name Last Grade Completed
School City School Country
   

Parent/Guardian Information

  
Parent/Guardian #1  
First Name Last Name
Email Address Phone
Relationship  
 
Parent/Guardian #2  
First Name Last Name
Email Address Phone
Relationship  
 
   

Emergency Contact Information (In Canada if available)
First Name Last Name
Email Address Relationship
Home Phone Cell Phone
Work Phone  
 
   

Custodian Information (In Canada if available)
First Name Last Name
English Name First Language
Email Home Address
City Province
Postal Code  
 
Home Phone Cell Phone
Work Phone  
 
   

Canadian Address (If available)

  
Home Address in Canada  
City Province
Postal Code Phone
   

Program Registration

  
Dates for International Students  
Grade 9 - 12  
* Please note: Admission will be determined after reviewing the student documents and confirmation of enrolment sent accordingly.
   

Educational Background

  
Elementary School  
CountryDates Attended
From                   To		Grade Last AttendedLanguages(s) of Instruction
Middle/Junior High School  
CountryDates Attended
From                   To		Grade Last AttendedLanguages(s) of Instruction
Senior High School  
CountryDates Attended
From                   To		Grade Last AttendedLanguages(s) of Instruction
   

Medical Information

  
Are there any medical conditions we should be made aware of?
If Yes, please specify
Is the student on any medication?
If Yes, please specify
Does the student have a disability that requires special education support?
If Yes, please specify
Does the student have any allergies?
If Yes, please specify
   

Proficiency in English

  
Have you recently completed any language testing for English. If yes, please provide details below.
If Yes, please specify
   

Admission Requirements

Submit the following documents:

 
1. Proof of your nationality (Copy of passport) Attach Proof of Nationality

2. Birth Certificate Attach BirthCertificate
3. Immunization Record Attach Immunization Record
4. Most recent report card or Transcript Attach Report Card or Transcript
   

Referral and Agent Information

  
How did you hear about Moonshot International School?
 
   

Agent Information

  
Name of Agency Contact Person
Address City
Province Postal Code
Phone Email
   

Refund Policy

  

If a student is denied a Study Permit  by IRCC,  a full refund, less the application fee ($350.00), will be granted.

To obtain a refund, the student must provide:

  1. The original Letter of Rejection from Immigration, Refugee and Citizenship Canada
  2. The original Letter of Acceptance from Moonshot International School
  3. The original receipt of paid tuition fees

If the student has not applied for a Study Permit and has withdrawn the application prior to the commencement of school, a full refund, less an administration fee ($750.00), will be granted. To obtain a refund the student must provide:

  1. The original Letter of Acceptance from Moonshot International School
  2. The original receipt of paid tuition fees

There will be no refund of tuition fees if any one of the following applies:

  1. If the student chooses to withdraw for any reason after a Study Permit has been granted using the official Letter of Acceptance.
  2. After commencement of studies.
  3. If the student is found in violation of school regulations and has been withdrawn from school as a result.
  4. If the student changes immigration status during the year. Students who become permanent residents of Canada after school fees are paid will not be entitled for a refund.
Please allow 4-6 weeks for a refund to be issued.

Participation Agreement

  

Students, regardless of age, must abide by the following conditions:

  1. The student must obey the laws of Canada, the Province of Ontario and follow the rules, guidelines and policies of the Ministry of Education and the school in which the student is enrolled.
  2. The student must follow all school regulations regarding attendance, course responsibilities and behaviour.
  3. The student and family acknowledge that based on the information in the application, Moonshot International School has the right to make educational decisions, including placement and program selections in the best interests of the student within the available resources.
  4. The student and family understand and agree that inaccuracies in the application or failure to abide by the above conditions may result in immediate dismissal from Moonshot International School without refund of tuition fees.
  5. All students require a custodian in Canada even if they are 18 years of older.
  6. Students must live with a Canadian family and are not permitted to live on their own.
I have read, understood, and agreed to follow the rules and guidelines as outlined above:

General Release Waiver

  

We, the undersigned, do waive and release all claims against Moonshot International School for the injury, loss, damage, accident, delay or expense resulting from the applicant’s participation in Moonshot International School. We also release Moonshot International School and agree to indemnify it, with regard to any financial obligations or liabilities that the applicant may personally incur, or any damage or injury to the person or property of others that the applicant may cause while participating in Moonshot International School. We understand that Moonshot International School is not responsible for any loss or injury suffered by the applicant during periods of travel and study. If the applicant becomes ill or incapacitated, Moonshot International School may take such action as it considers necessary, including securing medical treatment and transporting the applicant home at his/her own expense. We release Moonshot International School from all liability related to such actions. We understand that the applicant’s participation in the program may be terminated at the discretion of the Principal without any refund of tuition fee, and that the applicant may be sent home at his/her own expense if he/she does not adhere to the school rules, standards and instructions. This agreement with Moonshot International School cannot be modified or interpreted except in writing by Moonshot International School.

The student and the parent/guardian warrant that the student applicant has no history of criminal behaviour. Any disputes of a legal nature must be resolved through the courts of Ontario.
We understand that placement in a school is subject to availability of space. Moonshot International School reserves the right to determine final school and grade placement.
We fully understand the refund policy of Moonshot International School. We understand that Moonshot International School shall not be held liable for losses or expenses as a result of Moonshot International School being unable to provide education owing to labour disputes, force majeure, or other causes beyond its control.

I have read, understood, and agreed to follow the rules and guidelines as outlined above: