Fill Out the Form Below and Register to Be Part of UMEI Christian High School

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  • Section 1 : Personal Information STEP 1 of 5
    • School Year
         to           Application for Grade     9     10     11     12 
    • Full Name

      Family             
      Given             
      Middle
    • Address

      Street             
      City             
      Postal Code
    • Email
          Phone    
    • Date of Birth
                      Citizenship          Sex    M     F 
    • Country of Birth
          Year of entry to Canada(if not born in Canada)    
    • Church
          Pastor      
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  • Section 2 : Family Information STEP 2 of 5
    • Father                      Phone    
    • Address (if different from students) 
      Street             
      City             
      Postal Code
    • Employer / Occupation        Bus. Phone   
    • Email                                    Cell Phone   
    • Mother                      Phone    
    • Address (if different from students) 
      Street             
      City             
      Postal Code
    • Employer / Occupation        Bus. Phone   
    • Email                                    Cell Phone   
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  • Section 3 : Past Schooling Information STEP 3 of 5
    • Name of Last School Attended   
    • School Address
                             
      Street             
      City             
      Postal Code
    • Do you work with an Individual Education Plan (IEP) or Modified Program?
      If yes please mail a copy of IEP or Modified Program.                 Y     N 
    • List Special Interests   
    • List Special Training   
    • State Why you have chosen to attend UMEI Christian High School   
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  • Section 4 : Financial Information STEP 4 of 5
    • Payment Options - please check one     Payment of full tuition - due the first day of school
    •       Payment of first and second semester tuition - due first day of each semester
    •       Payment of monthly tuition - due the first day of each month (or by 10 post-
          dated cheques)
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  • Section 5 : Aditional Information STEP 5 of 5
    • I indicate my intention to seriously pursue studies at UMEI Christian High School, and my willingingness to co-operate with the goals and purposes of the school.
    • I approve the applicant's enrollment at UMEI Christian High School and will support him/her and the staff to help strengthen the purpose of the school. I shall meet my financial obligations promptly.
    • Please mail to the school at your earliest convience
      - the studen'ts most recent report card/ transcript
      - IEP (if applicable)
      - Copy of Immunization Records.
    • This information is collected by UMEI Christian High School for the purpose of administering the admissions process. All information from this form will remain confidential.
    • Send me a Copy   
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