STUDENT PERSONAL DETAILS

CONTACT DETAILS

Address

Street Address *

City *

State *

Country *

Postal code *

SCHOOL REQUEST

CURRENT SCHOOL INFORMATION

Country of School *

PARENT/GUARDIAN INFORMATION

PARENT/GUARDIAN 1

Parent/Guardian 1 Address *

PARENT/GUARDIAN 2

Parent/Guardian 2 Address

EDUCATIONAL GOALS AND DIRECTIONS

Favourite Subjects *

Difficult Subjects *

Strengths *

Hobbies/Interests *

HEALTH INFORMATION

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

TERMS AND AGREEMENTS

STUDENT MEDIA RELEASE CONSENT FORM

Part 1 - Events

I hereby agree and give my permission for Future Hope Academy and/or partners to record, film, photograph, audiotape or videotape my/my child's name, image, student work, and performance (hereinafter collectively referred to as "Work") and to display, publish or distribute these Works for the purpose of publishing, posting on the Future Hope Academy website, posting in schools, posting on social media sites and/or for broadcasting on television or radio as determined by the Future Hope Academy. I hereby waive any right to approve the use of these Works now or in the future, whether the use is known to me or unknown, and I waive any right to any royalties related to the use of these Works. I understand that the Works may appear in electronic form on the internet or in other publications outside of the FH Education’s control. I agree that I will not hold the Future Hope Academy responsible for any harm that may arise from such unauthorized reproduction.

Part 2 - Media Specific

I also understand that external media organizations may attend school events. I give permission for my/my child's name,

image, student work, and performance to be photographed, filmed, audiotaped, or videotaped for the purpose of being

published and/or broadcast online, on television or radio.

CANADA'S ANTI-SPAM LEGISLATION

Future Hope Academy requires your consent to receive any electronic messages which contain advertising or promotions. If you wish to allow your email address to be used for the above communications from us, please indicate below. You will continue to receive non- commercial emails. If you do not wish to receive commercial emails, please indicate below. You may choose to unsubscribe from commercial emails at any time by emailing [email protected]. Please select

what kind(s) of email would you like to receive or not receive?

School commercial electronic messages (fun fairs, field trips, pizza lunches) *

I wish to receive these e-mails

I do not want to receive these e-mails

GENERAL RELEASE/WAIVER

We, the undersigned, do waive and release all claims against the Future Hope Academy for the injury, loss, damage, accident, delay or expense resulting from the applicant's participation in the Toronto Student Programs. We also release the Future Hope Academy and agree to indemnify it, with respect to any financial obligations or liabilities that the applicant may personally incur, or any damage or injury to the person or property of others.
We understand that the Future Hope Academy 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, the Future Hope Academy may take such action as it considers necessary, including securing medical treatment and transporting the applicant home at his/her own expense. We release the Future Hope Academy 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 Senior Manager of the Admissions Office 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, policies and procedures as set forth in the school's agenda, handbook and the Participation Agreement of the Student Programs.
We warrant that the student applicant has no history of criminal behavior.
Any rights, obligations, and relations in regard to the applicant's participation in the Future Hope Academy Student Programs will be governed by and construed in accordance with the laws of the Province of Ontario and Canada applicable therein. Any disputes in relation to the applicant's participation in the Future Hope Academy Student Programs will fall under the exclusive jurisdiction of the courts of Ontario.
We understand that placement in a Future Hope Academy is subject to availability of space.

STUDENT DECLARATION

Code of Conduct:

Future Hope Academy promotes responsibilities, respect, civility and academic excellence in a safe learning and teaching environment. Future Hope Academy has developed a Code of Conduct on factors like behavior and attendance that is used to resolve any potential issues. We expect all of our students to attend all their classes and be respectful in all their words and actions. Consequences for failure to follow these policies will result in interventions by the principal and/or other staff. For more information, please refer to the Student Handbook or ask the staff for Policy details, but contained here are two excerpts from the Code of Conduct referencing attendance and behavior:

Attendance:

*Students are required to attend all their classes and communicate with their teachers and the school should there be any acceptable reasons for students to be absent. Absences are carefully monitored and students who fail to meet this set of criteria will face discipline and interventions by the principal and/or Attendance Counselors. The student may be withdrawn from the course if he/she violates the attendance policy.

Students are required to join in the designated synchronous learning activities (i.e. placement tests) on time. In the case of unexcused absence or lateness of those activities, rescheduling would not be considered. If rescheduling is required, extra fees (i.e. test administrative fees) may apply.

Behaviour:

Students are required to follow all aspects of the Code of Conduct, contained in the Student Handbook as well as the Policy documents of Future Hope Academy. Everyone, including students, parents or guardians, teachers and other staff members are expected to adhere to the Code of Conduct at Future Hope Academy, whether they are on school property, on school buses or at school-authorized events or activities. All members of the school community at Future Hope Academy are to be treated with respect and dignity, especially persons in positions of authority. They are expected to use non-violent means to resolve conflict. Physically aggressive behavior is unacceptable. Things like alcohol and illegal drug use, insults, disrespect and other hurtful acts disrupt learning and teaching in a school community. At Future Hope Academy, we all have a responsibility to maintain an environment where conflicts and differences can be addressed in a manner characterized by respect and civility.

I hereby certify that information entered above is correct and complete. I understand that false information will invalidate this application. I authorize Future Hope Academy to obtain information concerning my academic record from

any school, university or other institution attended by me. If I am accepted as a student at Future Hope Academy, I hereby agree to abide by all the rules and regulations of Future Hope Academy. Future Hope Academy collects, stores

and uses personal information only for the purposes of administering student and prospective student admissions, enrollment and education. The information collected is confidential and will not be disclosed to third parties without your consent, except to meet government, legal or other regulatory authority requirements.