Application for Admission Form - Toronto West Academy

Student Name *

First

Last

Preferred Name

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone *

Email *

Email

Confirm Email

Date of Birth *

Gender *

Citizenship *

Is English the student's first language? *

Parent/Guardian Name

First

Last

Address

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone

Email

Confirm Email

Relationship to Student

Is the student currently attending an Ontario high school? *

Current or last attended school name *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone

Desired Course 1