Primary to Grade 9 Application

Your Child

Child's Name

First

Last

Usual Name (if different)

Birthdate

Gender/Pronoun

Language spoken at home

Applying for Grade

To start

If your goal is a mid-year transfer, in which month you would want your child to begin?

Please select the statement that best describes this child's eligibility to enrol in school in Canada.

This child has Canadian citizenship or permanent resident status.

This child is in Canada with a parent/guardian who has a valid Canadian study/work permit.

This child has a valid Canadian study permit.

This child has applied for a Canadian study permit, but the application is still in process.

This child will need a Canadian study permit, and will apply for one.

Other

Please close this window and contact us for an alternate application form. Thank you!

Parent)/Guardian info

Every custodial parent/guardian must be included in this application.

Parent/Guardian Name

First

Last

Mobile

Home Phone

Business Phone

Ext.

Residential Address

Street Address

Apt./Unit

City/Town

Province/State

Postal Code/Zip Code

Country

Add another Parent/Guardian Remove

Your Child's Health

Allergies

Overall state of health

Describe any current health concerns other than allergies

List your child’s current medications, if any

Application Questions

All questions are required.

Child's current school/centre

Describe your child’s interests and extracurricular activities.

If your child has any special needs (educational, emotional, social, etc.) please provide details.

Summarize your child’s experience with school or group learning environments.

Tell us more about your child and why you feel that Halifax Independent could be a good choice for them.

Have any of your child's schools/teachers suggested that your child may benefit from a psycho-educational assessment?

Yes

Has your child ever completed a formal assessment related to academic, behavioural or emotional concerns??

Yes

*If so, the child's most recent assessment report is a required supporting document for this application.

Authorization to contact current school/centre

By signing this application, you authorize our school staff to contact your child’s current/most recent school. At that school, who knows your child best?

Teacher's/Director's Name

Teacher's/Director's Email

School/Centre Name

School/Centre Phone

Arrange your confidential school reference.

I authorize Halifax Independent School to send the Confidential Reference form directly to the person/school identified above.

Send the form link to me and I will send it to my child's teacher.

Based on your selection, we will send the reference form to the person identified above, or to you so that you can forward it to them.

Additional Details

Upload: Birth Certificate

Maximum file size: 52.43MB

Upload a certified translation if not already in English.

Upload: Most Recent Report Card

Maximum file size: 52.43MB

Upload a certified English translation unless already in English.

Upload: Prior Report Card

Maximum file size: 52.43MB

Upload a certified English translation unless already in English.

Upload: Third-party assessment reports

Maximum file size: 52.43MB

Upload a certified English translation unless already in English.

$100 Application Fee Payment

Are you paying the $100 application fee as part of this application submission?

Yes

Alternatively, you are welcome to pay the application fee by e-transfer to accounts@halifaxindependentschool.ns.ca .

Name on Payment Card

First Name

Last Name

Email Address for Payment Confirmation

Address associated with payment card.

City

State/Province

Zip/Postal

Mandatory Acknowledgement

I/we acknowledge that failure to provide complete information and documentation will compromise my/our child's eligibilty for enrolment/continued enrolment.

If you are human, leave this field blank.