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Island Pacific School Application – Middle School Matters

Application for Admission to Island Pacific School

IMPORTANT:

1. This form can be saved at any time and a link will be emailed to you (valid for 30 days) so that you can return to the form.

2. When you submit the application: Before you navigate away from this page make sure you see the confirmation message. If you do not receive a Confirmation Message, there are likely errors on the form that need correcting before it can be successfully submitted. Please review all fields carefully to find the missing information or error and then resubmit.

3. Once submitted, you will receive an email confirmation. Please check your email before navigating away from this page to ensure it has been properly submitted and that there are no errors or missing information.

Requested Enrollment Year*
Requested Entry Grade*
Student's FULL LEGAL Name*
First Middle Last
Student's Usual Name
Only complete if name differs from Legal Name
First Middle Last
STUDENT'S Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Birthdate*
Format: yyyy/mm/dd
Citizenship*
Sex*
The Ministry of Education requires that we collect data on the legal sex of all students. Please report the sex currently listed on your chid's birth certificate.
- Male
- Female
Gender Identity
Please attach a recent photo of the student (maximum file size 100KB)*
Accepted file types: jpg, gif, png, pdf, Max. file size: 64 MB.
Siblings
Please tell us how many and the ages of the applicant's siblings.
Parent/Guardian Information
Mother/Guardian
Mother's Name*
First Middle Last
Employer and occupation*
Home Phone*
Business Phone
Mobile Phone
Mother/Guardian Email*
MOTHER/GUARDIAN Mailing Address*
Same as student's address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Father/Guardian
Father's Name*
First Middle Last
Employer and occupation*
Home Phone*
Business Phone
Mobile Phone
Father/Guardian Email*
FATHER/GUARDIAN Mailing Address*
Same as student's address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Custodial Information
Who Is Submitting This Application*
Please confirm who is submitting this application and that the application is being made by agreement and consent of both parents or legal guardians. In the case of where one parent may be deceased, or the applicant has sole custody, please provide details and attached any relevent legal documentation below.
- Mother/Father
- Mother
- Father
Legal custody of the student belongs to:*
If custody is joint between separated parents, or sole custody by one parent or a guardian, please use the "Other" selection and explain the structure of custody of the child.
- Mother/Father
- Mother
- Father
Student resides with:*
If the student resides part time between parents or legal guardians, please use the "Other" option and provide details.
- Mother/Father
- Mother
- Father
Are there any court or restraining orders the school should be aware of?*
- Yes
- No
If yes, please explain and attach relevant documentation below
Relevant Legal Documentation
Please attached relevent custodial or other legal documentation.
Max. file size: 2 MB.
Student's Educational History
Current School*
Name From (mm/yyyy) to (mm/yyyy)
Previous School
Name From (mm/yyyy) to (mm/yyyy)
Previous School
Name From (mm/yyyy) to (mm/yyyy)
Has the student ever been suspended or asked to leave a school*
- Yes
- No
Student's extra curricular activities*
Medical Information
Please describe any medical conditions which may have an impact on the student while at school:
Please describe any medication the student is currently taking:
Has the student ever been counseled by a psychiatrist, psychologist or counselor*
- Yes
- No
Special Education Needs
Please list any psycho-educational assessments done for the student
Date Assessment
If yes, please attach copy of report here:
Max. file size: 2 MB.
Date Assessment
Does the student currently have an Individual Education Plan (IEP)?*
- Yes
- No
If yes, please attach copy of IEP here:
Max. file size: 2 MB.
Report Cards
Please attach the most recent end of year (June) report card and the most recent term report card available.
Note: If this application is being submitted as an Advance Application (i.e. more than 1 year prior to requested enrollment year), the supporting documents do not need to be submitted at this time. Supporting documents will be required once the application is in process, in the year prior to the requested enrollment year.
Last Year's Final Report Card 1*
Max. file size: 2 MB.
Most Recent Term Report Card
Max. file size: 2 MB.
Letters of Reference
Please attach 2 letters of reference from the student's recent or current teacher, a coach, tutor or community leader.
*We are aware that some schools have a policy that does not allow teachers to provide reference letters for students applying to another school. If that is the case, please ask a music instructor, coach or tutor for a letter.
You may submit this application without these letters and follow up to submit the letters when you receive them.
Letter of Reference 1
Max. file size: 2 MB.
Letter of Reference 2
Max. file size: 2 MB.
Family Profile: Educational engagement and support
What do you regard as your role and responsibility in the education of your child?*
What specific things do you do to support your child's education within your family environment?*
What concerns, if any, do you have regarding your child's educational experience or learning?*
List the four most important reasons why you want your child to attend IPS.*
PLease rank each reason on your list. 1=highest importance.
*
*
*
In order to keep IPS tuition costs as low as possible, many school related activties and services are supported by parent volunteers. What sort of contribution, in terms of your own skills, abilities and time, can you make to assist in the delivery of the program and/or the operation of the school? Please be specific.
Are there any other comments you wish to share with us?
How did you research Island Pacific School
Please check all that apply:*
- Article or ad in the Undercurrent
- Article or ad in the North Shore News
- Ad in the Bowen Bulletin
- Word of mouth from an IPS parent
- From a friend
- From an IPS student
- Through an event at IPS
- Email
- Poster on the Bowen Island Ferry
- Brochure
- Facebook
- From an Online Search (i.e. Google)
- Other
Which of the following have you seen? Please check all that apply:*
- IPS website
- IPS Facebook page
- IPS Twitter feed
- IPS Youtube channel
- IPS Linkedin Page
- IPS Google Ad
- IPS email newsletter
- None of the above
Signature
Confirmation*
- By checking this box and submitting this form, I am indicating that: (1.) All information provided in this application is true and complete to the best of my knowledge; (2.) I understand that the application fee is non-refundable; (3.) I understand that while submission of this application does not guarantee placement in the requested class/year.
Electronic Signature*
Please type your full name
Date*
MM slash DD slash YYYY
Application Checklist
Your application will be processed once the following are completed & received.
- Select All
- Completed Application Form
- Payment of Application Fee
- Recent Report Cards Received
- Letters of Reference Received
- Individual Education Plans (IEP's) for students who have one
- Pysch-Ed Assessment Report, if applicable
- Student Full Day Visit
- Student Interview Completed
- Academic Interview Completed
- Parent Tour & Interview Completed
Financial Aid
Please note applications are submitted to a third party, Apple Financial, for analysis. The deadline to apply is January 31st of each year. Financial Aid awards are communicated in early March of each year. We recommend you review the tuition page of our website for more details on fees and the Financial Aid program. https://islandpacific.org/tuition/
- I intend to apply for Financial Aid & understand the deadline is to apply is January 31st for the following school-year.
Application Fee
Payment: Non-Refundable $400 Application Fee*
The payment must accompany the submission of this application form.
Please be sure to complete the fee payment process when you submit the form.
Should you encounter any issues with processing your payment, please contact admissions@islandpacific.org
- I will pay by PayPal. (You will be redirected to PayPal, please contact us should you encounter any issues)
- I will send payment by eTranfer to admissions@islandpacific.org, or I will submit a cheque payable to Island Pacific School
- We have a child currently enrolled. (Application Fee is waived.)
Payment Option: Non-Refundable $400 Application Fee*
In the Quantity box below:

Enter in "1" to pay by PayPal & be redirected to the secure PayPal site.

Enter "0" to submit a cheque or e-transfer for the application fee. Please remit email e-transfers to "accounting@islandpacific.org".

Enter "0" if a sibling is currently enrolled in the school. The application fee is waived.
Price: $ 400.00 CAD
Thank You
If you need to submit additional documentation, please email it to admissions@islandpacific.org or mail to:
Island Pacific School
671 Carter Road, Box 128
Bowen Island, BC V0N 1G0
Attn: Admissions

We appreciate your time in filling out our application form and look forward to connecting with you in person.

Save and Continue Later

Welcome to the Island Pacific School application for admission process. We look forward to getting to know you and your family.

TIP: Browse through the form before beginning. There are a few long answer questions, and some supporting documents required (a picture of your child, report cards, etc.) You may wish to write the long answer responses in a document on your own machine, then cut and paste the answers into this form. That way you will have a back up of the information in case of technical difficulty.

Please use the Save and Continue Later option for partially completed forms. It is at the bottom of the page.

After you submit this application for admission form, you will receive a confirmation email (or a re-direct to PayPal). Please check your email before navigating away from this application page. If you do not find the email, please return to this page and scroll through the form as there may be required information missing.

Admissions Timelines

We are now accepting applications for the 2025-26 school year. Applications are reviewed on a rolling basis, with our next intake scheduled for early December. Seats fill quickly—apply soon to secure your spot.

2024

December 2

Recommended application deadline

December 16

Admissions outcome letters issued
Tuition deposit for new accepted students due (requires a $400 deposit)

2025

January 31

Bursary Application Deadline

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Apply Now

Island Pacific School Application – Middle School Matters

Application for Admission to Island Pacific School

Parent/Guardian Information

Mother/Guardian

Father/Guardian

Custodial Information

Student's Educational History

Medical Information

Special Education Needs

Report Cards

Letters of Reference

Family Profile: Educational engagement and support

How did you research Island Pacific School

Signature

Application Checklist

Application Fee

Thank You

Admissions Timelines

2024

December 2

December 16

2025

January 31

Book a Parent Tour

Book a Student Visit

Book a Student Assessment

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604 947 9311

info@islandpacific.org