01 - SSLC and VIC Online Application Form

First Name*
Fill in your first name as it appears in your passport.
Last Name*
Fill in your last name as it appears in your passport.
Date of Birth*

MonthDayYear
Gender*
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Nationality :*
Please choose your country.
Phone Number
Phone Number

Country CodeArea CodePhone Number
Student E-mail*
example@example.com
Status in Canada*
Student Passport #*

Emergency Contact:*

First NameLast Name
Email*
example@example.com
Phone Number

Country CodeArea CodePhone Number
Relationship*
NoYes
Please explain:
YesNo
Name of the agency*
Contact Person*
Agent's Phone*
Agent's Email*

YesNo
YesNo
If you were referred by a marketer or staff member from the school, please provide their name or contact information.
Voluntary Disclosures

You many voluntarily provide the personal information below:
YesNo
If you answered "Yes," please indicate whether you are First Nations, Métis, or Inuit:
YesNo
The following information relates to vacation programs.
Parent Information

First NameLast Name
Parent Contact Information - Home

Country CodeArea CodePhone Number
Phone Contact Information - Mobile

Country CodeArea CodePhone Number
Parent E-Mail Address
example@example.com
Please read the following policies:

Policies, Procedures and Student Rights : Click Here
PARENT(S) MUST AGREE:
- I allow my son/daughter (the Student) to participate in the selected SSLC Vacation Program.
- I agree that SSLC Language College will not be held responsible for any personal injury which may occur to the Student or for any damage to his/her personal property.
- SSLC Language College is not liable for any phone bills or other related charges incurred by the Student throughout the duration of their stay.
- I agree that photographs and videos, in which the Student’s image(s) is included, that are taken during the program,may be used for SSLC Facebook pages, blogs, promotional presentations, or any other marketing-related materials in digital, printed or other forms.
- I hereby accept that the assigned host organizations, SSLC staff, and / or program leaders may act as responsible guardians for the Student and may decide on emergency medical treatment including surgery, without personal liability. I hereby release the sending and hosting organizations and any of their staff, and any of the host campus members of all manner of actions, and financial or other responsibilities, and of claims and demands which I may have arising out of the Student’s participation in your program.
I ( Parent ) agree that I will provide MANDATORY Travellers Insurance for the Student along with a copy of that Insurance for Sprott Shaw Language College’s records.
I ( Student ) have read and understood, and will follow the rules.
STUDENT MUST AGREE:
- In applying to be a participant of this program, I agree to abide by the SSLC school and program policies stated in this document. I will abide by the rules and the directions of the SSLC staff, my group leader, the sending and host organization(s) and host campus, and understand that by not obeying I may be sent back home at my parent’s expense BEFORE the end of the program.

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How did you hear about us?
This is to inform that The Ministry of Post-Secondary Education and Future Skills (the Ministry) and the federal department of Immigration, Refugees and Citizenship Canada (IRCC) are signing an Information Sharing Arrangement related to the BC Study Permit Attestation Letter (BCSPA) system. Under this agreement, this is to notify that the personal information in your application to attend SSLC Language College will be incorporated in the PAL and will be shared with IRCC and the Ministry for operational and program evaluation purposes. If you don’t want your personal information to be shared with IRCC and the Ministry, please inform SSLC Language College before requesting your PAL.*

Yes, I agree.No, I do not want my information shared with IRCC.
For the SSLC application, please review the SSLC Student Policy here. For the VIC application, please review the Student Policy here.
YesNo
Should be Empty:

Accommodation Questions

Notice:

Voluntary Disclosures