Vancouver School Board

Student Registration Information & Check List

✓ If possible, please bring your child to the school during registration

DOCUMENTATION REQUIRED FOR REGISTRATION OF ALL SCHOOL AGE STUDENTS

In accordance with the School Act Section 82, Ministry of Education policy, and school district AP’s 300, a student is eligible for a provincially funded
education if Custodial Parent(s) or Legal Guardian(s) meet residency requirements. Students who are ordinarily resident in BC and whose Custodial Parent
or Legal Guardian is ordinarily resident in BC and are enrolled in a program in School District No. 39 (Vancouver) are eligible for Ministry funding.

✓ STATUS IN CANADA required by Custodial Parent or Legal Guardian and Child:

CUSTODIAL PARENT OR LEGAL GUARDIAN:
One of:
□ Canadian birth certificate □ Status Card
□ Canadian passport □ Nexus Card with Citizen listed as CAN (Canadian)
□ Canadian Citizenship card □ Confirmation of Landed Immigrant or Permanent
□ Permanent Resident Card (front and back) Residence (8-1/2 x 14” sheet)
CHILD:
One of:
□ Canadian Birth certificate □ Permanent Resident Card (front and back)
□ Canadian Passport □ Status Card
□ Canadian Citizenship card □ Confirmation of Landed Immigrant or Permanent
Residence (8-1/2 x 14” sheet)

✓ RESIDENCY required by Custodial Parent or Legal Guardian - Custodial Parent or Legal Guardian must be
ordinarily resident in British Columbia with a sufficient degree of continuity to ensure that there is a settled
purpose other than to obtain free public education:
One of:
□ Long-term Tenancy agreement - showing name and address □ Property tax statement - showing name and address
□ Property purchase agreement - showing name and address □ Proof of employment within the community (For
□ Income Tax statement - showing name and province of Canadians and Permanent Residents only)
residency
And Two of:
□ Utility bill □ Canadian bank account statement - showing name and
□ BC Driver’s Licence or Enhanced BC Driver’s Licence address
□ BC ID □ Canadian credit card statement - showing name and
□ BC vehicle registration address
□ Proof of current school year membership in a local
organization
✓ GUARDIANSHIP required by Custodial Parent or Legal Guardian:
One of:
□ Paper Birth Certificate - parents are named □ If not the parent, the legal guardianship must be by
□ Income Tax statement - children are declared will in accordance with the Infants Act or court order
□ Parent’s Confirmation of Permanent Residency or in accordance with the Family Law Act in British
Record of Landing or valid Immigration Canada Columbia
documents - children named on document □ Child in Care
□ If parents live separately, court order or written
agreement granting care to accompanying parent

✓ OTHER RECORDS required by Child:

One EACH:
□ Original School Report Cards with certified translation in □ Child’s immunization records since birth and, if
English if needed. (Report cards from two most recent necessary, any other important health documents.
school years.

DECEMBER 2020

VANCOUVER BOARD OF EDUCATION
STUDENT APPLICATION FORM
STUDENT INFORMATION
Assigned Sex at Birth: Male Female X
Gender Identity: Male Female X
Legal Last Name: ______________________________
LEE
Legal First Name: ______________________________
JUHAHN
Usual Last Name: _____________________________
Preferred First Name: __Deborah
________________________
Legal Middle Name: ____________________________
08-Apr-2018
Birth Date: ____________________________________
DD-MMM-YYYY
OFFICE USE ONLY
Catchment School: ___________________________
Date Application Received: ____________________
SIS Pupil #: _________________________________
PEN:______________________________________
Grade:______________ Home Room:____________
Program: ___________________________________
School Currently Attending: ____________________
Other
112 - 6309 Larkin Dr.
Address: __________________________________________________
Vancouver
City: _____________________________________________________
British Columbia
Province:_________________ V6T 0C2
Postal Code:_____________________
Student Home Phone #:______________________________________
Student Mobile Phone#:______________________________________
Proof of Address Attached

Proof of Age (Check one and attach)

Birth Certificate Certificate of Citizenship Court Order Passport Other

STUDENT CITIZENSHIP INFORMATION

Canada
Country / Prov of Birth: __________________________ English
First Language: _____________________________________________
Canada
Citizen of: ____________________________________ Korean
Language at home: __________________________________________
If not a Canadian Citizen, Language most used: ________________________________________
DD-MMM-YYYY
Date of entry into Canada: _______________________ Interpreter Required? Yes No

Citizenship Status: OFFICE USE ONLY Student attended a Strong Start Centre?
International Funding Eligibility Yes No Yes No X
International Funding Not Eligible Yes No If yes, name of school:_______________________________
Out of Province Canadian Not Eligible Yes No
Permanent Resident/Landed Immigrant Yes No Citizenship Information (Check one and attach)
Refugee Yes No Canada Immigration Record Immigration Canada Permit
Study Permit #: ______________________________________ Immigration Canada VISA Passport
Permit Expiry Date: ___________________________________ Permanent Resident Card Permanent Resident Form

Does student have special needs? Yes No X Aboriginal Ancestry

Specify: Do you have Aboriginal Ancestry?
_____________________________________________________ Yes No X

PARENT/GUARDIAN INFORMATION
Living with student Yes X No Relation to student: (Check one)
Emergency Contact Yes X No Mother X Father Grandparent
Speaks English Yes X No Guardian Aunt Uncle
Willing to Volunteer? Yes No Homestay Other Family Services
Who has legal custody? _______________________________
Both Parents Same as Student’s Address Yes X No
Kim
Legal Last Name: ____________________________________ If not living with student provide address:__________________
Jeehye
Legal First Name: ____________________________________ ___________________________________________________
Home Telephone #: __________________________________
6047228425 ___________________________________________________
E-mail Address: _____________________________________
jhsofia.kim@gmail.com Mobile Phone #:______________________________________
6047228125
VISA/Work/Study Permit Number: _______________________ Business Phone # if available at work:_____________________

Continue on next page

APP-SC-001 (2016 - 10)

PARENT/GUARDIAN INFORMATION
Living with student Yes X No Relation to student: (Check one )
Emergency Contact Yes X No Mother Father X Grandparent
Speaks English Yes X No Guardian Aunt Uncle
Willing to Volunteer Yes No Homestay Other Family Services
Who has legal custody? Both
_______________________________
Parents
LEE
Legal Last Name: ____________________________________ Same as Student’s Address Yes X No
JONGHO
Legal First Name: ____________________________________ If not living with student provide address: __________________
6047228425
Home Telephone #: __________________________________ ___________________________________________________
E-mail Address: _____________________________________
nasanasa99@gmail.com Mobile Phone #: _____________________________________
6047228125
VISA/Work/Study Permit Number: _______________________ 6048224694
Business Phone # if available at work: ____________________

SIBLING INFORMATION (School age siblings 5-18 yrs.) (Check one)

Sohahn Lee
1. Name: ___________________________________________ Male Female X Birth Date: __28-Jun-2014
___________________
DD-MMM-YYYY
Dohahn Lee
2. Name: ___________________________________________ Male X Female Birth Date: __29-Jul-2016
___________________
DD-MMM-YYYY
3. Name: ___________________________________________ Male Female DD-MMM-YYYY
Birth Date: _____________________

EMERGENCY CONTACT INFORMATION: OTHER THAN PARENT

Yun
Legal Last Name: ____________________________________ Agnes
Legal First Name: ____________________________________
friend
Relationship: ________________________________________ Address: ___________________________________________
Does this person speak English? Yes X No Work Phone #: _______________________________________
Home Phone #: ______________________________________
6046441431 Mobile Phone #: _____________________________________

EMERGENCY CONTACT: OUT OF PROVINCE / COUNTRY (Call in the event of a Natural Disaster)
KIM
Legal Last Name: ____________________________________ JEEWON
Legal First Name: ____________________________________
Does this person speak English? Yes X No
aunt
Legal relationship to student: ___________________________ Work Phone #: _______________________________________
821045481562
Home Phone #: ______________________________________ Mobile Phone #: _____________________________________

STUDENT MEDICAL HEALTH INFORMATION

Allergies and Health Conditions (Check one)
9718262575
Care Card #:_________________________________________ Allergies/Conditions Yes No X
If yes, What?________________________________________
Is an Immunization Record attached? Life Threatening? Yes No X
Yes No What?______________________________________________

The information on this form is collected under the authority of the School Act, Sections 13 and 79. The information provided will be used
for educational programs and administrative purposes, and when required may be provided to health services, social services or support
services as outlined in Section 79(2) of the School Act. The information collected on this form will be protected consistent with the Freedom of
Information and Protection of Privacy Act. If you have any questions about the information recorded on this form, please contact the School
Administrator.

I certify that the above information is correct and valid as of this date. I understand that the provision of false information may lead
to my child no longer being able to attend the assigned school.

Parent / Guardian Signature:_________________________________ Date: ___________________ Verified by: __________

Administrator’s Signature: __________________________________ Date: _______________________________________