Sass academic application Application For Student Academic Success Strategies Service in CanadaWe, the parents/legal guardians of the child named below, hereby appoint a representative of Student Academic Success Strategies Inc to monitor our child’s academic study process and provide academic counseling in Canada.Student’s Last Name(Required) Student’s First Name(Required) Gender F M Birth date dd/mm/yyyy(Required) MM slash DD slash YYYY Name and address of the school in Canada(Required) The period of Student Academic Success Strategies Service required(Required) From Until Mother’s Information Mother’s Full Name(Required) Date(Required) MM slash DD slash YYYY Home Address(Required) Home Phone/Work phone:(Required)Mother’s Email:(Required) Father’s InformationFather’s Full Name(Required) Date(Required) MM slash DD slash YYYY Home Address(Required) Home Phone/Work phone:(Required)Father’s Email:(Required) Student’s Full Name(Required) Address in Canada(Required) Student’s Email/Skype contact/Phone number(Required) By signing this application form we confirm that we read and we understood the Statement of Terms and Conditions for the Student Academic Success Strategies Service in Canada and agree to the terms and conditions as indicated. We agree to pay the associated service fees as indicated in the SASS fee schedule.Signature of the Student’s Mother(Required)Signature of the Student’s Father(Required)Signature of the Student(Required)Date Signed:(Required) MM slash DD slash YYYY Date Signed:(Required) MM slash DD slash YYYY Date Signed:(Required) MM slash DD slash YYYY Please read the attached Terms and Conditions and then sign and send it along with completed Student Academic Success Strategies Service application to Student Academic Success Strategies office email [email protected]
