IPSF and AdvancED® Registration – Page 2 INDEPENDENT AND PRIVATE SCHOOL FORUM For verification purposes, please re-enter the name of the school or institution as it appears on your IPSF application: Grades Number of Students per Grade: Junior kindergarten Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12 Decisions are made by: OwnerBoard of GovernorsPrincipal Curriculum Provincial curriculum: Other curriculum: Diploma: Have you applied with AdvancED in the past? YesNo If yes, please provide the date of application District or Corporation Information (if applicable) District or Corporation Name District or Corporation Mailing Address District or Corporation Billing Address (if different from mailing address) Name of CEO or Relevant District/Corporation Telephone Number Fax Number E-mail Address Web Address AdvancEd membership renewal must be submitted at the one year anniversary of initial application and as per AdvancED requirements. Please note: Your application forms to IPSF and AdvancEd will be reviewed and a final decision made as to your membership status. Schools not meeting application requirements will not be accepted as members. Campuses: A separate application form must be completed for each school campus (please see fee structures) for both IPSF and AdvancED. IPSF applications will be considered only after full payment has been received. The funds paid for a denied application will be fully refunded to the applicant with the letter of refusal. IPSF membership renewal must be submitted with full payment by August 31 of each calendar year. AdvancEd membership renewal must be submitted at the one year anniversary of initial application and as per AdvancED requirements.