1. international student enrollment procedures · south hills academy 1600 e. francisquito avenue,...

South Hills Academy 1600 E. Francisquito Ave. West Covina, CA 91791 Tel: 626-919-2000 Fax: 626-918-7730 Website: http://www.shacademy.org

Student Information Sheet

(International Student) South Hills Academy does not discriminate on the basis of race, color, nationality or ethnic origin, or sexual orientation in the administration policies, financial aid or other school matters.

Last Name Given Name English Name

Date of Birth (mm/dd/yy) □Male □Female Applied Grade

Nationality Birthplace(city/province/country) Religion

Contact Number Cell Phone Number Email Address

Name of Mother

Contact Number

Name of Father

Contact Number

Current School Time Grade

For School Use Only

Inquiry Date： Received By: Sources：

South Hills Academy 1600 E. Francisquito Ave. West Covina, CA 91791 Tel: 626-919-2000 Fax: 626-918-7730 Website: http://www.shacademy.org

Application for Admission

(International Student) South Hills Academy does not discriminate on the basis of race, color, nationality or ethnic origin, or sexual orientation in the administration policies, financial aid or other school matters.

Applicant’s Last Name Given Name English Name

Date of Birth (mm/dd/yy) □Male □Female Religion

Passport Number Identity Card Number Applied Grade

Nationality Birthplace(city/province/country)

Home Address Home Phone No.

Contact Address (Foreign Address) Contact Phone No.

List schools attended by applicant during the last three years, including his/her current school Year(s)attended School Grade

Child lives with: □Both Parents □Father □Mother □Other:

Mother & Father are

Mother

Father

Married Separated Divorced Deceased

Complete Name of Mother Occupation Cell Phone Email Address

Complete Name of Father Occupation Cell Phone Email Address

Complete Name of Guardian Occupation Cell Phone Email Address

Do you have any language result as follow?

□No □Yes (IELTS TOEFL TOEFL junior SLEP)

South Hills Academy: Our students and staff will be successful, powerful learners who will strive to be global citizens. Our professional and highly motivated staff will challenge the students thinking so that they will grow in knowledge through and quality learning program, foster the students interest and love of science, technology, and art.

Parent/Guardian Questionnaire: Please describe the applicant’s strengths and weakness, goals, and aspirations.

What are your short-term and long-term goals for your child?

Student Questionnaire (completed by student): What are your favorite academic subjects? Why? What are your least favorite academic subjects? Why?

List and describe the activities that you participate in school and after school (volunteer groups, athletics, visual arts, performing arts, hobbies, etc)

List any awards and honors in academic achievement, competition, sport or art that you have received or leadership position you have held in the past three years.

Have you ever got punishment like warning, record of demerit or expulsion in school? If you did, please describe the detail.

Have you ever attended South Hills Academy Summer or winter programs?

□No □Yes （When? ）

Signature of Mother Signature of Father

Signature of Legal Guardian (If applicable) Date of Application

FOR SCHOOL USE ONLY:

Date Received: Received By: Student ID # Finance Dept:

FamilyID#

South Hills Academy 1600 E. Francisquito Avenue, West Covina, CA 91791

Tel: (626) 919-2000 * Fax (626) 918-7730

www.shacademy.org

South Hills Academy Mission Statement: South Hills Academy provides a Christ-centered atmosphere that enables

students to be become socially engaged, effective communicators, and critical thinkers in a global setting.

POLICIES – PERMISSION AGREEMENT

Parents and teachers may look at children's learning from different perspectives, but they share a

common goal: making sure that children receive the best possible education. Nothing is more

vital in helping children develop positive learning habits and behavior than a strong home-school

relationship. It takes extra effort on both sides to build strong partnerships. The policies,

standards and expectations of South Hills Academy were established to enhance that partnership

and may be found in the Student-Parent Handbook.

Policy agreement needs to be completely filled out and signed otherwise student will not be considered fully enrolled.

Please initial next to each category and sign your name below.

Student (s) Parent

________ ________ Student-Parent Handbook

________ ________ Photo Release My child’s photo may be used on the website, on a

school brochure, newsletter, or printed materials as

long as names or personal contact information (phone

number, address, family member names) is NOT

included.

________________________________________ _________________________________

Parent Name (please print) Parent Signature

_________________________________ ____________________________ Student Name & Grade Student Signature



http://www.shacademy.org/

South Hills Academy 1600 E. Francisquito Avenue, West Covina, CA 91791

Tel: (626) 919-2000 * Fax (626) 918-7730

www.shacademy.org

South Hills Academy Mission Statement: South Hills Academy provides a Christ-centered atmosphere that enables students to

become socially engaged, effective communicators, and critical thinkers in a global setting.

Application for New Admission

School Year: 2019-2020

To apply for admission of a student, the parent or guardian must complete this form and return it to the school.

A non-refundable $100.00 application fee is required.

Applicant’s Last Name First Name Middle Initial Preferred First Name Male

Female

Street Address

Home Phone No.

City State Zip Code Child’s Birthplace

Date of Birth Grade for which applying Present Grade

Race/Ethnicity:

White, not Hispanic Hispanic African-American Other: Required by State of California – Dept.of Health Services Immunization Branch (Section 49068). South Hills Academy does not use this

information in determining eligibility for admissions.

Name(s) of Sibling(s)

Present School’s Name and Address

Child lives with: Both Parents Mother Father Other:

Mother & Father are: Married Separated Divorced Deceased Mother

Father

Complete Name of Mother Occupation Business Phone

( )

Cell Phone

( )

Complete Name of Father Occupation Business Phone

( )

Cell Phone

( )

Legal Guardian, if other than Parent

Relatives who are currently enrolled at South Hills Academy Current Grade Relationship

Relatives who are Alumni of South Hills Academy Class/Year Relationship

Signature of Mother Signature of Father

Signature of Legal Guardian (If applicable) Date of Application

Please Note: Kindergarten applicants must be 5 years old before December 1.

FOR SCHOOL USE ONLY:

Date Received: Received By: Student ID # Finance Dept:

Family ID #

http://www.shacademy.org/

South Hills Academy 1600 E. Francisquito Avenue, West Covina, CA 91791 Tel: (626) 919-2000 * Fax (626) 918-7730 www.shacademy.org

TUITIONANDFEESCHEDULE2019-2020

(ElementarySchoolGradeKto5)ApplicationFee: $100 (Fornewenrollmentonly,non-refundable)RegistrationFee: $600 ($600.00–registrationpriortoMarch31,2019) ($650.00–registrationafterApril1,2019)Note:Registrationfeesarenon-refundableGrade:Kinder-5th OnePaymentPlan TwoPaymentPlan TenPaymentPlan

1stChild $7,200 $3,750 $8252ndChild $4,320 $2,300 $5003rdChild $1,500

Item Amount NotesFieldTrip $400 GradelevelfieldtripClassFund $100 WorkBooks,EmergencyKit,Misc.Items

AthleticFee $150 Perseason

GraduationCeremony $50&$75 Kindergarten&Grade5OnlyPremiumAfterSchoolProgram TBD Variousprogramsthroughouttheyear

AMorPMCare(1hrperday) $180permonth 6:30-7:30amor5:00-6:00pmAM&PMCare(2hrperday) $300permonth 6:30-7:30am&5:00-6:00pm

EmergencyCare $40perhr Before6:30amorafter6:00pm

AdditionalInformation

• SHA will honor the tuition fees noted for all current school enrolleesthroughouttheireducationalcareersatSHA.Allnewlyenrolledstudentswillhave the same “frozen fees”policy and pay according to the fees scheduleissued in the year they first enrolled. With the exception of grade levelpromotions,betweengrades5and6;8and9;aswellas10and11,therewillbenofuturetuitionfeeincreases.

• The“notuitionfee”increaseisvalidonlyifthestudentremainscontinuouslyenrolled at SHA. It becomes null and void if the student leaves SHA andchoosestoreturnatalaterdate.

• AFreeAfterSchoolProgram(3:30pmto5:00pm)–includingaHomeworkClub,AfterSchoolTutoring,andEnrichmentClasses–areincludedwiththesetuitionfees.

• “Frozenfees”policyappliestotuitionfeesonly,nottoanyotherfees.• PleasecontactAdmissionsOfficerat(626)919-2000ifyouhaveany

questions.

StudentReferralCreditYouwill receive a $500 student referral credit after the referred student has beenenrolledfor3consecutivemonths.PaymentSchedules

OnePaymentPlanTotalamountisdueandpayableonAugust1,2019.

TwoPaymentPlanFirstpaymentisdueonAugust1,2019.SecondpaymentisdueonJanuary1,2020.

TenPaymentPlanEachpaymentisdueandpayableonthe1stofeachofthefollowingmonths–August,September,October,November,December,January,February,March,April,andMay.

LateFees$30.00willbechargedforpaymentnotreceivedwithin1weekafterduedateslistedabove.

ReturnedChecksA$25.00feewillbeimposedonallreturnedchecks.Afterasecondreturnedcheck,theaccountwillbeplacedonpaymentonlybymoneyorderorcashier’scheckforthebalanceoftheschoolyear.

DelinquentAccountsIfanaccountisdelinquentfor30days,thestudentmaybesuspendeduntiltheaccountbalanceiscurrent.

AccountChangesAwrittenrequestisrequiredpriortothe15thofthepreviousmonthregardinganychangesofthestudents’accountorprogram. Aprocessingfeeof$25.00willbechargedshouldtherebeanychangesafterthe15th.

ParentalAgreementTuitionisbasedonannualschoolcalendar.Parentsagreetogivetheschoolaminimumof60days’advancewrittennoticepriortothewithdrawaloftheirchildand theyunderstand theywillbeheld financially responsible for those60days.

TUITIONANDFEESCHEDULE

2019-2020(JuniorHighGrade6to8)

ApplicationFee: $100 (Fornewenrollmentonly,non-refundable)RegistrationFee: $600 ($600.00–registrationpriortoMarch31,2019) ($650.00–registrationafterApril1,2019)Note:Registrationfeesarenon-refundable

Grade:6th-8th OnePaymentPlan TwoPaymentPlan TenPaymentPlan1stChild $7,900 $4,050 $8302ndChild $4,600 $2,400 $5003rdChild $1,500

*Forthethirdsiblingandbeyond,Tuitionfeeswillbe$1,500perchildperschoolyearandonlyOnePaymentPlanisaccepted.Item Amount NotesFieldTrip $450 GradelevelfieldtripClassFund $100 AthleticFeeforJuniorHigh $150 Perseason

GraduationCeremony $80 Cap,Gown,Diploma&Ceremony

PremiumAfterSchoolProgram TBD Variousprogramsthroughouttheyear

AMorPMCare(1hrperday) $180permonth 6:30-7:30amor5:00-6:00pmAM&PMCare(2hrperday) $300permonth 6:30-7:30am&5:00-6:00pmEmergencyCare $40perhour Before6:30amorafter6:00pm


AdditionalInformation• Textbooks:Forjuniorhighstudents,schoolwillprovidetextbookforstudent

andalltextbookswillbereturnedtotheschoolingoodconditionattheendofsemester.Studentswillpayforanydamagedtextbooks.

• SHA will honor the tuition fees noted for all current school enrolleesthroughouttheireducationalcareersatSHA.Allnewlyenrolledstudentswillhave the same “frozen fees”policy and pay according to the fees scheduleissued in the year they first enrolled. With the exception of grade levelpromotions,betweengrades5and6;8and9;aswellas10and11,therewillbenofuturetuitionfeeincreases.


• AFreeAfterSchoolProgram(3:30pmto5:00pm)–includingaHomeworkClub,AfterSchoolTutoring,andenrichmentclasses–areincludedwiththesetuitionfees.


questions.










TUITIONANDFEESCHEDULE

2019-2020(HighSchoolGrade9to12)

ApplicationFee: $100 (Fornewenrollmentonly,non-refundable)RegistrationFee: $500 ($500.00–registrationpriortoMarch31,2019) ($600.00–registrationafterApril1,2019)Note:Registrationfeesarenon-refundableGrade:9th-12th OnePaymentPlan TwoPaymentPlan TenPaymentPlan

1stChild $8,600 $4,400 $9152ndChild $5,000 $2,600 $5403rdChild $1,500

*Books:Newlyenrolledstudentsmustpurchasetextbooksore-booksdependingontheirclassschedule.Item Amount NotesFieldTrip $450 GradelevelfieldtripClassFund $100 AthleticFeeforHighSchool(perseason) $150 Perseason

GraduationCeremony TBD Grade12PremiumAfterSchoolProgram TBD VariousprogramsthroughouttheyearAMorPMCare(1hrperday) $180permonth 6:30-7:30amor5:00-6:00pmAM&PMCare(2hrperday) $300permonth 6:30-7:30am&5:00-6:00pmEmergencyCare $40perhour Before6:30amorafter6:00pm


AdditionalInformation• SHA will honor the tuition fees noted for all current school enrollees

throughouttheireducationalcareersatSHA.Allnewlyenrolledstudentswillhave the same “frozen fees”policy and pay according to the fees scheduleissued in the year they first enrolled. With the exception of grade levelpromotions,betweengrades5and6;8and9;aswellas10and11,therewillbenofuturetuitionfeeincreases.


• AFreeAfterSchoolProgram(3:30pmto5:00pm)–includingaHomeworkClub,AfterSchoolTutoring,andenrichmentclasses–areincludedwiththesetuitionfees.


questions.











TUITIONANDFEESCHEDULE2019-2020(Pre-School)

ApplicationFee: $50 (Fornewenrollmentonly,non-refundable)RegistrationFee: $200 ($200.00–registrationpriortoMarch31,2019) ($225.00–registrationafterApril1,2019) ($250.00–registrationafterAugust16,2019)DiaperingFees: $25permonth(2&3yearoldsNotPottyTrained)Note:Registrationfeesarenon-refundable

TuitionTenPaymentPlan

2DayProgramTue,ThursBeginner/Intermediates

TenPaymentPlan3DayProgramMon,Wed,FriBeginner/Intermediates

6:30am–Pickupbetween12:00pm-12:30pm $400 $538

6:30am–Pickupbetween3:00pm-3:30pm $460 $588

Tuition OnePaymentPlan

TwoPaymentPlan

TenPaymentPlan

6:30am-12:30pm$6,260 $3,200 $665 1stChild$2,960 $1,550 $330 2ndChild



*Forthethirdsiblingandbeyond,Tuitionwillbe$1,500perchildperschoolyearandonlyOnePaymentPlanisaccepted

AdditionalInformation1. OnePaymentPlan:TotalamountisdueandpayableonAugust1,2019.2. Two Payment Plan: First payment is due on August 1, 2019. Second payment is due onJanuary1,2020.3. Ten Payment Plan: Each payment is due and payable on the 1st of each of the followingmonths–August,September,October,November,December, January,February,March,April,andMay.4. Alatepickuppenaltyof$20perhour,$40after6pmperhourwillbecharged.5. A late feeof$30willbe charged forpaymentnot receivedwithin1weekafterduedateslisted.6. A $25.00 feewill be imposed on all returned checks. After a second returned check, theaccountwillbeplacedonpaymentonlybymoneyorderorcashier’scheckfortherestoftheschoolyear.7. Iftheaccountisdelinquentfor30days,thestudentmaybesuspendeduntiltheaccountiscurrent.8. Awrittenrequestisrequiredpriortothe15thofthepreviousmonthregardinganychangesofthestudents’accountorprogram.Aprocessingfeeof$25.00willbechargedshouldtherebeanychangesafterthe15th.9. Tuitionisbasedonannualschoolcalendar.Parentsagreetogivetheschoolaminimumof60days’advancewrittennoticepriortothewithdrawaloftheirchildandtheyunderstandtheywillbeheldfinanciallyresponsibleforthose60days.10. ReferralDiscount:$500 fora5-dayprogram,$250 for3-dayprogramand$200for2-dayprogram.

May2017

SouthHillsAcademy1600E.FrancisquitoAvenue,WestCovina,CA,91791Tel:(626)919-2000Fax:(626)918-7730Website:www.shacademy.org

InternationalStudentEnrollmentProcedures

STEP1 Application✔ No. Procedures Note 1 Application for Admission Must Have 2 Student Passport / ID Copy Must Have 3 The Recent 3 Years (consecutive) Transcript Must Have *4 Proof of Current Student Status Required to replace consecutive transcript *5 Teacher’s Recommendation Letter 10th graders and above (English & Math) *6 Personal Statement 11th graders and above *7 Recent language test report (if any) 11th graders and above (TOEFL, IELTS, SLEP, SAT, etc.)

*Withallnecessarydocumentssubmitted,SHAwouldresponsewithresultand/orscheduleaninterviewwiththestudentin3businessdays.

STEP2 Interview(HighSchool)/Pre-enrollment✔ No. Procedures Note 1 Skype Interview (ID: southhillsacademy) Feedback will be provided using an evaluation form 2 Offer Letter If denied, the reason and the result will be provided. 3 Application & Tuition Deposit Payment 4 Enrollment Contract Signed by parents & students

*Onlywiththepaymentcompleted,SHAwouldproceedwiththeapplicationprocess.

STEP3 Enrollment

3.1 SignedDocuments(forparents&students)✔ No. Procedures Note 1 Emergency Contact 2 Guardianship Authorization for Minor Students Original/Copy, required for age under 18 3 Policies-Permission Agreement Original/Copy

3.2 IssuedDocuments✔ No. Procedures Note 1 Acceptance Letter 2 I-20 3 I-901 (if needed) Required for non-transfer students 4 SHA International Student Handbook Required for boarding students 5 Residence Confirmation Form (OR homestay information) Filled and submitted to SHA

STEP4 F-1VisaApplication

Follow instructions on your country’s immigration website (provided with a list of relevant websites) OR hire a visa agency.

*Pleaseinformusassoonaspossibleoncethestudent’sF-1visahasbeenapproved.ASAP.

*ChinesestudentscouldcontactouroverseasofficeinChinatocompletetheF-1visaapplication.

STEP5 Registration✔ No. Procedures Note 1 Tuition & Other Fees Payment Documents will be issued with a record of full-payment 2 On-Campus Registration