NS-Québec Exchange Student Application - Form A
To be completed by the student with or without the accompaniment of their parent(s) and or guardian(s)
Participants in this exchange program have the opportunity to apply for an additional high school credit. This application must be made prior to participating in the exchange. Interested students must complete forms D and E, please see link below.
(street, city, postal code)
Primary Phone Number
(Home Phone or Cell Phone)
Date of Birth
Grade level next September of the following school year
French Program (choose all that apply):
Early French Immersion
Late French Immersion
Not in a French Program
Cultural Experience 12 credit
This credit is not automatically given for participation in the Explore or the NS-Quebec Exchange Program. (Please visit website "
" for credit details and how to apply)
Yes, I intend to apply for the EXC 12 credit
No, I will not apply for the EXC 12 credit
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