The Academic Summer Program allows students to choose to enroll in 1 or 2 courses.
The student would like to choose:
Please select a minimum of 1 course or a maximum of 2 courses.
*
Please see payment options on next page*
Student Legal First Name Student Legal Last Name
Current Grade Level Current High School Attending
Victoria International Education
Academic Summer Program
Registration Form
Grade 10
Pre-Calculus
Workplace Math
Science
Social Studies
Career Life Education
Grade 11
Pre-Calculus
Foundations of Math
Life Sciences (Biology)
Chemistry
Physics
Earth Science
Social Studies
1 course - 4 credits. Tuition $1450 + Homestay Fees $1950 = Total Cost $3400
2 courses - 8 credits. Tuition $2900 + Homestay Fees $1950 = Total cost $4850
1 course - 4 credits. Tuition $1450 + No Homestay Required = Total Cost $1450
2 courses - 8 credits. Tuition $2900 + No Homestay Required = Total Cost $2900
English Language Learning
Grade 12
Pre-Calculus
Foundations of Math
Anatomy & Physiology (Biology)
Chemistry
Physics
Law
BC First Peoples
Social Justice
Philosophy
Digital Photography
Ca
reer Life Connections
English
English Language Learning
Psychology
Please note, this form must be reviewed and signed by your high school advisor prior
to submission. Unsigned forms will not be processed.
High School Advisor Name:
High School Advisor Signature:
PAYMENT OPTIONS:
Payment
via debit, credit card, or cheque can be made in-person at the Uplands Campus (3461 Henderson Road)
Monday to F
riday from 8:30 am - 4:30 pm.
Effective January 2020, cash payments greater
than $250 CDN will no longer be accepted at the main office.
Important: please indicate Student Name and Account Number on all payments
Bank Draft or Cheque
a. Make drafts and cheques payable to Victoria International Education.
2. Wire Transfer
a. Bank information for wire transfer (please include transfer charges):
Greater Victoria School District - International Student Program
Account Number 40 12410
Canadian Imperial Bank of Commerce
1175 Douglas Street, Victoria, B.C. Canada
Bank No. 010, Transit No. 00090, Swift Code CIBCCATT
3. Credit Card
a. Visa OR m Mastercard OR UnionPay
Please complete:
AUTHORIZATION TO PROCESS:
IF YOU ARE WISHING TO PAY FEES BY VISA, MASTERCARD OR UNION PAY, PLEASE COMPLETE
THE FOLLOWING INFORMATION AND RETURN TO OUR OFFICE BY EMAIL:
STUDENT NAME:
CARD HOLDER’S NAME:
AMOUNT TO BE PROCESSED*: CAN $
I AUTHORIZE THE VICTORIA INTERNATIONAL EDUCATION TO PROCESS THE AMOUNT SHOWN ON
THE FOLLOWING DATE INDICATED:
DATE OF TRANSACTION:
CARD NUMBER 16 DIGITS:
CVV# (NUMBER ON BACK OF CARD):
EXPIRY DATE: MONTH/YEAR:
1.
PLEASE EMAIL THE COMPLETED REGISTRATION FORM WITH PAYMENT INFORMATION TO isp@studyinvictoria.com
OR SUBMIT THE REGISTRATION FORM AND MAKE PAYMENT IN-PERSON AT THE UPLANDS CAMPUS.
REFUND POLICY
Cancellation prior to the July 5th start date: full refund less $150 administration fee
Cancellation by the end of the 1st week of class (July 9th) : 50% refund on tuition
Cancellation after July 9th: refunds not provided