| OK German School of Canada - P.O.Box 1464 - Vernon, BC - V1T 6N7 - E-mail [email protected] EDUCATION GRANT APPLICATION 2007 _______________________________________________________________________________ Family Name Home Phone Email Address _________________________________________________________________________________________________________ Street City Zip Code STUDENTS TO BE ENROLLED WITHOUT EDUCATION GRANT __________________________________________________________________________________________ First Name (Include last name if different from family name) Date of Birth(M/D/Y ) Grade/Occupation German knowledge _________________________________________________________________________________________________________ First Name (Include last name if different from family name) Date of Birth(M/D/Y ) Grade/Occupation German knowledge __________________________________________________________________________________________ Father's Name Occupation Work Phone ________________________________________________________________________________________________________ Mother's Name Occupation Work Phone STUDENTS TO BE ENROLLED ________________________________ $_____________________ Number of family members Annual family income _________________________________________________________________________________________ First Name (Include last name if different from family name) ate of Birth(M/D/Y) Grade/Occupation German knowledge MEDICAL AUTHORIZATION I authorize the physician listed below or any other qualified physician to treat me and/ or my child(ren) in case of an emergency while attending the OK German School of Canada. __________________________________________________________________________________________ Physician's Name Physician's Address Phone _________________________________________________________________________________________________________ Allergies, special medications, etc. NOTIFY IN CASE OF EMERGENCY __________________________________________________________________________________________ Name Relationship Phone _________________________________________________________________________________________________________ Name Relationship Phone EDUCATION GRANT Registration fee $25 Non-refundable Class/course number and Semester ______ 1.2.3. Semester$__________Check Calendar for class number and tuition fees. Classes 2002 Primary Level __ January 12 - April 6, 2007 __ April 16 - June 22, 2007 Class 1A, 2A __ January 12 - March 16, 2007 __ February 19 - May 4, 2007 School location: Vernon, B.C. __ __ Kelowna, B.C. Contact school If you have any question regarding your enrollment, please contact the school. How to register Mail EDUCATION GRANT APPLICATION including $25 Non-refundable registration fee, check or money order, payable to OK German School of Canada, P.O.Box 1464, Vernon, B.C. V1T 6N7 Education Grant: If tuition fees create a financial hardship for parents/student, the school has an Education Fund established to help students to continue their German study. Should insufficient registration cause the cancellation of a course, EDUCATION GRANT APPLICATION IS VOID. II/we, the applicant/s, ask to qualify for an Education Grant for me/our child as indicated on this application. I/we, the applicant/s, would experience financial hardship paying the full tuition fee. I am aware each Education Grant have to be recommended by the student's teacher and has to be approved by the board of directors of the OK German School of Canada Society. The board's decision is final. Registration fee of $25 will be not covered by Education Grant. Education Grants can not be transferred. The above is correct to the best of my knowledge. I agree to abide by the rules and regulations of the OK German School of Canada. ______________________________________________ ___________________________________ Signature Date EGA/web |
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