Seven Summits Centre for Learning Application 2017-18
Thank you for your interest in Seven Summits Centre for Learning. This is an exciting, locally developed centre for grade 8-12 students. Our goal is to educate students to become self-reliant learners. Please read, complete and submit the following package online. Interview and admission decisions will be relayed to students and their families by May 15, 2017.

All payments are non-refundable. There are additional fees for non-local students and competitive athletes. Please contact the Centre at 250-362-7772 for more details.

Student Information
Legal Student Name including middle name *
Your answer
Student email
if applicable
Your answer
Student Cell Phone
if applicable
Your answer
Student Address *
Please include mailing and physical address
Your answer
2017/18 Grade for Student will be: *
Required
Competitive Athlete Option
If you are interested in applying to an Competitive Athlete program please indicate which one below. A representative will contact you directly. Please note additional fees apply.
Date of Birth *
MM
/
DD
/
YYYY
Sex *
Required
Citizenship *
Your answer
First Language *
Your answer
If English is not your first language please indicate the level of ESL help required.
Parent/Guardian Information
Parent/Guardian name *
Your answer
Telephone - home *
Your answer
Telephone - work
Your answer
Telephone - cell
Your answer
Email *
Your answer
Address *
Please include mailing and physical address
Your answer
2nd Parent/Guardian name *
Your answer
Telephone - home
if different than other parent/guardian
Your answer
Telephone - work
Your answer
Telephone - cell
Your answer
Email *
Your answer
Address
If different than other parent/guardian please include mailing and physical address
Your answer
Student's education, aptitude and interests
As the student applying please write why you would like to attend Seven Summits Centre for Learning and why you feel it would be a good fit for you *
at least 100 words
Your answer
Educational history *
Please indicate your current school
School Address
Please indicate your current school's address and phone number if you checked other in the last question
Your answer
Extracurricular activities and interests *
Please list all activities and interests (current and potential) in sports, arts (performing, music, fine arts) and other areas
Your answer
Peer Interactions *
Please describe: do you naturally take a leadership role in a group, do you work better in groups or alone, do you have a large or small group of friends, do you have friends across a range of ages, are you comfortable interacting with adults, do you prefer to be like those around you or do you prefer to be unique, is it easy for you to stand up for what you believe in even if it is different than what the group believes or is doing, etc.?
Your answer
Leadership skills *
Please describe: When in a group are you the leader, are you comfortable being a leader, are you comfortable following someone else, what have you done that has needed leadership skills, what makes you a strong leader, what do you need to work on to become a better leader, etc.
Your answer
Please rate yourself in the following areas: *
Be honest; an accurate picture helps us help you better.
Excellent
Good
Fair
Poor
Attendance
Grades
Work Ethics
Ability to Meet Deadlines
Ability to Work as a Member of a Team
Ability to Work Independently
Reference *
Please provide names and contact information for two current teachers who would be able to give a reference for your character, and work habits
Your answer
Parent paragraph *
Please have a parent write why they support you attending Seven Summits for Learning (min. 100 words)
Your answer
Learning Assistance *
Special Needs Assistance *
Report Cards *
Please scan and send, drop off, or mail the last report card. If you are a BC student please ensure the report card has your Personal Education Number or that you provide it separately.
Birth Certificate or Canadian Passport or Landed Immigrant Card
All applicants must show proof of their citizenship of either Canada or their home country.
Medical History
Doctor
Your answer
Doctor's Phone number
Your answer
BC Care Card number *
Please send in a photocopy of your BC Care Card if you have one.
Please list any medical conditions including allergies *
Your answer
Please list any current medications or medical procedures needed while at the Centre *
Your answer
Please indicate any dietary restrictions. *
Vegan, Vegetarian, Food Allergies/Sensitivities etc.
Your answer
Seven Summits Centre for Learning Policies
Seven Summits Centre for Learning Code of Conduct *
Required
Seven Summits Centre for Learning Participation Agreement *
Required
Student Volunteer Component *
At Seven Summits Centre for Learning we believe in giving back to our community and our volunteer component is part of that. Without volunteers' time, knowledge and expertise Seven Summits Centre for Learning would not be in existence. As part of our program it is mandatory for all students to complete 50 hours of volunteering. If students complete more hours (50-bronze, 75-silver, 100-gold, 125-platinum) they will be rewarded with certificates, commendations on their transcripts and awards. Students can choose what form this volunteer component takes, based on their interests, passions and expertise they choose areas and places and people they wish to volunteer with and for. Teachers will help with the initial set up of volunteer opportunities. As well, numerous requests from various organizations and individuals come to us throughout the year giving students ample chances and variety to fulfill their required hours. Examples are working at the SPCA, shoveling for a neighbour, Winter Carnival, developing a website for a non-profit organization, Golden City Days, tutoring a younger child in various subjects, teaching skiing, helping in a hair salon, the list is long and ever changing.
Required
Parent Volunteeer Component *
Seven Summits Centre for Learning is a charitable organization under the Visions for Small Schools Society. As such we rely heavily on community volunteers, board members and parents. Volunteers are essential so that we can keep the facility fee as low as possible and also allows us to offer diversity in our programming. The facility fee includes $250 that is reimbursed by June 30th if the parent(s) has volunteered 25 hours during the year. At the meeting when accepted students and parents sign up for courses, parents will be asked to sign up for specific volunteer commitments. These commitments vary and include: driving students, running a workshop (i.e. foods), organizing an event (i.e. kids games at winter carnival), tutoring a student, building maintenance, IT support, sitting on a committee etc. And you can always add something that is not on the list that you can help with. If your schedule is such that it is impossible to volunteer time then the $250 is not refunded.
Seven Summits Centre for Learning Payment Policy *
Please review and indicate your preference: Total facility fee is $2350. $250 of which will be refunded by June 30th as long as the minimum requirement of 25 hours is met by the parent(s). A $600 non-refundable deposit is required upon acceptance to the Centre by April 30th, 2017 along with postdated cheques. Other payments are non-refundable once cashed. The financing option spreads the fees over a longer period of time and costs $100. If needed, our financial aid package is available here: http://sevensummitslearning.com/fees . There are additional fees for non-local students and competitive athletetes. Please contact the Centre for more details.
Set a meeting time *
Please pick a time for meeting with Centre personnel here: http://goo.gl/Wznfx0
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms