Guide: Victoria VIE (SD61) Summer Camp Application Online Form

If your child has not been vaccinated or is behind in their vaccination schedule, please have them vaccinated prior to coming to BC. In the event there is an outbreak of a vaccine-preventable disease at your child’s school and your child is unprotected or there is no record of their vaccination, your child may be asked to stay home until it is safe to return. They may miss several days or weeks of school. This is to protect your child and their classmates.

The information you provide is collected, used and disclosed in accordance with the Freedom of Information and Protection of Privacy Act.

• Q: Is Student Vaccinated: [Yes/No]

We recommend that your child be vaccinated to protect their health and other people around them. If you choose not to have your child receive one or more vaccines, please indicate the reason below.

• Q: Reason For Not Vaccinating:
  • My child cannot be vaccinated because of a medical condition
  • I chose not to have my child receive one or more vaccines
  • Other (please explain, 2000 available characters)
• Q: Covid19 Vaccination:
  • Unvaccinated
  • Partially Vaccinated
  • Fully Vaccinated
  • Vaccination Declined
• Upload Covid19 Vaccination Records
  • Record 1 [Must be in PDF or JPG Format]:
  • Record 2 [Must be in PDF or JPG Format]:

Section 10 Custodianship / Privately Arranged Homestay

Immigration, Refugees and Citizenship Canada (IRCC) requires that each student have a custodian (guardian) in the community.  Victoria International Education (VIE) is willing to accept this responsibility should you wish.  If you require homestay placement from VIE you must answer YES to the Require Custodianship question.

If you answer NO, the student must have an adult custodian who is either a Canadian citizen or permanent resident living in Victoria and will make private arrangements for homestay.  Please provide custodian information in the spaces below and submit a notarized declaration of custodianship to the program office.  Homestay needs to be with a responsible adult who is 25 year of age, or older.

• Would you like VISP (SD 61) to be your custodian? (Y/N)

Section 11 Homestay Information/Preferences

NOTE:

• Students accepted into an elementary school (under age 12) are expected to live with at least one natural parent.
• Any special dietary requests (Celiac, gluten-free, vegetarianism, veganism, etc.) will result in an additional fee and depends on the VIE Hometay Program having a family that can accommodate.

 

• Require VISP (SD 61) Homestay Placement: Yes/No

Please fill out this section completely.

• Describe personality (Select from the following list 1500 available characters):
  • shy
  • outgoing
  • organized
  • like to talk
  • quiet
  • like to be active
  • like to study
  • independent
  • friendly
• Describe Family and lifestyle preferences from the following list (2,000 available characters):
  • like small children and babies
  • grandparents in home are okay
  • single-parent family is okay
  • prefer other young people in home
  • like children aged 6 to 12 years old
  • prefer a quiet home
  • prefer an interactive family
  • like pets
• Special Diet (May result in an additional fee payable to the homestay family):
  • Food Allergies
  • Gluten Free
  • Halal
  • Lactose Free
  • Other
  • Vegan
  • Vegetarian
• Special Diet Requirements (Pleas provide information on the student’s current dietary needs, 1000 available characters):
• Favourite Foods (Describe your favourite foods, 1500 available characters):
• Least favourite foods (Describe your least favourite foods, 1500 available characters):
• Additional information (Any additional information that will help with homestay family selection, 1500 available characters):
• Hobbies/interests outside of school (What hobbies/interests would you like to pursue outside of school? 2000 available characters):

Section 12 Admission Documents

Please scan documents into PDF or JPG format and upload as indicated below.

File size limit 5 megabytes per document (IN PDF OR JPG FORMAT)

1. Upload Passport bio-page
2. Upload Student ID photo
3. Upload Custodian Document (if not in VISP Homestay Program)
4. Upload Parental Consent and Liability Waiver Form- MUST BE INITIALED

(For The Parental Consent Form, please have the parent read, initial and sign the form and return. If not completed, the student will not be able to participate on one or more activities).

1. Upload Photo album (optional – max 5 pictures)
2. Upload Other documents (if applicable)

Section 13 Consent

By indicating “Yes” below, I give consent for Victoria International Student Programs to share student name, school placement, grade level and student and parent email addresses with our third party service providers.  Vital English and Survey Monkey require this information to administer our language proficiency assessment and satisfaction survey respectively.  This data is stored on a server located outside of Canada.