Conseil scolaire francophone de la Colombie-Britannique
100 13511 Commerce Parkway, Richmond, (C.-B.) V6V 2J8
T. 1-604-214-2600 | 1-888-715-2200 | F. 604-214-9881 |info@csf.bc.ca | http://www.csf.bc.ca
MEMBERSHIP TO CONSEIL SCOLAIRE FRANCOPHONE DE LA COLOMBIE-BRITANNIQUE
AFFIRMATION
( reference : policy P-301 )
Last name:
Given name:
Address:
Town:
Province:
Postal Code:
Telephone no.:
Email address:
By submitting your email address, you consent to receiving from CSF consultations regarding its policies, surveys regarding its operations, information bulletins, including information about
candidates during School Board elections. The CSF does not share email addresses and personnal information with other organizations.)
Section for Canadian Citizen
Section for NON-Canadian Citizen
I, undersigned , affirm that
(check the appropriate box/es))
a) I am a Canadian citizen
b) I reside in British Columbia since (date)
(year/month/day)
c) The following provision or provisions apply (check):
My first language learned and still understood is French
I received my primary school instruction in French in Canada or
another country (excluding immersion):
Name of school
Name of town
Name of country
A child of mine has received or is receiving primary or secondary
instruction in French in Canada or another country (excluding immersion):
Name of school
Name of town
Name of country
I, undersigned , affirm that
(check the appropriate box/es)
a) I am a permanent resident
b) I have a work permit
c) I have a higher education student permit
d) I am a refugee
e) I reside in British Columbia since (date)
(year/month/day)
f) The following provision or provisions apply (check):
My first language learned and still understood is French
I received my primary school instruction in French in Canada or
another country (excluding immersion):
Name of school
Name of town
Name of country
A child of mine has received or is receiving primary or secondary
instruction in French in Canada or another country (excluding immersion):
Name of school
Name of town
Name of country
Signed at (town): Province:
Date:
Signature:
Witness signature:
**Only fill in the section below if you have a child/ren**
Child’s given name
Child’s last name
Date of birth
School of registration
Signature of school secretary
Signature of school principal
Date