Cape Breton University P.O

CAPE BRETON UNIVERSITY P.O. Box 5300, 1250 Grand Lake Road Sydney, NS, B1P 6L2 tel: 1-888-959-9995 (toll free) or (902) 563-1166 Fax: (902) 563-1371 [email protected] www.cbu.ca/admissions offic e u s e onl y

APPLICATION FOR ADMISSION 2018 - 19 start date applied for: Academic Year For more efficient processing Year Y Y Y Y of your admission application we recommend that you Semester:  Fall (September)  Winter (January)  Summer (May) apply online at www.cbu.ca/admissions.  Please check here if you are applying for Distance Education STUDENT STATUS Please choose one only Online application is available only to students who have never  First Year Student - Direct from high school applied to CBU before.  First Year Student - Previous high school graduate with no post-secondary studies  Transfer Student - Completed some post-secondary studies Failure to provide all required information may delay or  Returning Student - Former student ID number if known: prevent processing of an  Mature Student - Non-traditional application.  Visiting/Letter of Permission Student (please have your home institution supply a letter of permission)  Exchange Student (Please specify home institution)  Other (Please Specify)  Articulation Agreement personal information

FULL LEGAL NAME

Include your full legal name as it appears on your official identification documents, for example your birth certificate or passport

Last Name (Surname/Family Name) Previous Surname (if applicable)

First Name Middle Name(s)

Preferred Name

DATE OF BIRTH y y y y m m d d

GENDER MARITAL STATUS  Male  Female  Other  Single  Married  Other

SOCIAL INSURANCE NUMBER: – –

Optional – SIN required for processing awards and bursaries F eb 2018 MOTHER TONGUE  English  French  Mi’kmaq  Other (Please Specify)

– 1 – please continue next page contact information PERMANENT HOME ADDRESS (please print) ______Street Address Apt/PO Box Number City/Town/County

______Province/State Postal Code Country

______Telephone Cell Phone Fax uEmail______

CURRENT MAILING ADDRESS  same as above, or until y y y y m m d d Please contact [email protected] with address change. ______Street Address Apt/PO Box Number

______City/Town/County Province/State Postal Code Country citizenship status

 Canadian Citizen – If Canadian skip to next section  Permanent Resident – Landed Immigrant (copy of Landing Document must be submitted)  Study Permit – International Student  Other______If you are not a Canadian Citizen and you are residing in Canada, indicate your date of entry into Canada

y y y y m m d d Country of citizenship:______

agent representation (international students)

If you have employed an educational agent in preparing this application please indicate: ______Agent No. (if applicable) Agent Name ______Telephone Cell Phone Fax ______Agent’s Mailing Address Agent’s Email Address______

 Please check here if correspondence should be addressed to Agent. All correspondence after an offer of admission has been made will be directed to the student’s mailing address. Please see our English language proficiency policy at www.cbu.ca/admissions  First Language (If other than English)______language skills - check all that apply

 The language of instruction throughout my high school education was English  I have completed at least 30 credits of post-secondary study in English  I have taken an English language proficiency test (official marks required from test company) F

 CAEL  CanTest  IELTS  MELAB  TOEFL  Other eb

2018  I will be taking an English language proficiency test on y y y y m m d d  I will be studying English prior to academic studies at CBU and seek a conditional admission. At what institution will you be studying English?______

– 2 – please continue next page on-campus residence accommodations

If you plan to seek on-campus residence accommodations please visit www.cbu.ca/living-at-cbu.

self identification (optional)

this is for identification purposes only and will not be used for determining eligibility for admission to university.

] An aboriginal person is a North American Indian or a member of a First Nation, a Métis, or an Inuit. North American Indians or members of a First Nation include status, treaty, or registered Indians, as well as non-status and non-status registered Indians. ] Are you an aboriginal person?  Yes  No If yes, please specify:  North American Indian/First Nation  Métis  Inuit ] Are you a member of another visible minority?  Yes  No If yes, please specify______] Do you have a permanent disability?  Yes  No If yes, please specify:  Mobility  Hearing  Vision  Learning  Mental Health  Other

] Nearest relative who attended CBU______

Relationship______Approximate year attended y y y y

emergency contact

______Name Relationship ______Telephone Cell Email

Address  same as permanent home address, or: ______Street Address Apt/PO Box Number

______City/Town/County Province/State Postal Code Country

admissions application checklist ALL OF THE FOLLOWING BOXES SHOULD BE CHECKED BEFORE SUBMITTING YOUR ADMISSION APPLICATION:  Application form is complete and signed.  Non-refundable application fee is required ($36 Domestic/$103 International Student, $50 for Education programs).  Transcript of high school grades which must include courses currently registered in if currently completing high school. Final grades are required when they become available. (Ask your guidance counselor to send an official copy to the Admissions Office)  If transferring from another post-secondary institution, official transcripts must be sent from the transfer institution (University or College). If seeking transfer credits please submit a Transfer Credit Assessment application (available at F eb

www.cbu.ca/admissions) and assessment fee. 2018  Official copy of proof of English Language Proficiency Testing Score (if first language is not English or previous education was not delivered in English) must be submitted direct from the testing organization.  Your application cannot be processed until the application fee and all documentation have been received.

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for intended concentration/major *please specify if known *please specify intended concentration/major program of study (check ONE only) ONE (check study of program Post-Baccalaureate Diploma in Business Management Post-Baccalaureate Diploma in Supply Chain Management Public Administration & Management Emergency Management Elmitek (access for Aboriginal students) Kwitn Program Bachelor of Science - Human Nutrition (BSc) Bachelor of Engineering Technology Bachelor of Engineering Technology Bachelor of Health Sciences (Public Health) Bachelor of Health Sciences (Public Health) Bachelor of Science Bachelor of Science Nursing Bachelor of Arts Community Studies-Sport & Physical Activity Leadership Bachelor of Arts Community Studies-Sport Bachelor of Emergency Management - Management Bachelor of Hospitality-Tourism Bachelor of Bachelor of Arts and Science in the Environment Bachelor of Bachelor Bachelor of Business Administration of Business Administration Bachelor of Arts Community Studies/Bachelor Bachelor of Arts Studies Bachelor of Arts Community Technology Diploma in Educational Education Certificate in Science Bachelor of Education (BEd) Bachelor of Education (Curriculum) Diploma in Education MBA(CED) and Innovation Creativity, Education in Sustainability, Master of

  DIPLOMA PROGRAMS   Please specify Major/Concentration:    ACCESS PROGRAMS DEGREE TRANSFER PROGRAMS

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Calendar at Academic our Please see CURRENTLY ARE YOU ATTENDING:  High School  College  University  Other secondary school  No educational institution

SECONDARY STUDY (HIGH SCHOOL)

______Last High School Attended City/Town/County

______

______Province/State Country Years Attended (eg. 2008 - 2011) y y y y m m

Graduation Date (Expected date if currently in high school)

Is your school semestered?  Yes  No Please indicate if you will write or have written International Baccalaureate or Advanced Placement (College Board) examinations for  IB Diploma  IB Certificate(s)  AP (College Board) Are you applying as a Mature (non-traditional) student?  Yes  No

Please see admission requirements for mature students (non-traditional learners) in CBU’s Academic Calendar at www.cbu.ca/academic-calendar.

POST-SECONDARY STUDY If you have attended any post-secondary institutions other than CBU please arrange to have official transcripts from each institution forwarded directly to the CBU Admissions Office. Failure to disclose all post-secondary institutions attended may result in dismissal.

______College/University 1 ______City/Town Province/State Country Years Attended

______College/University 2 ______City/Town Province/State Country Years Attended

NOTE: If you plan to seek transfer credits or prior learning assessment credits, you must fill out the appropriate application form and pay the assessment fee. Forms are available at the Enrolment Services Office and on the Cape Breton University website atwww.cbu.ca/admissions . CBU does not guarantee that transfer credit or prior learning assessment applications submitted after August 1st can be processed by Sep- tember registration.

Have you previously applied to:  CBU or UCCB  College of Cape Breton  Xavier Junior College  N.S. Eastern Institute of Technology Were you accepted?  Yes  No If Yes, did you attend?  Yes  No If yes, years attended______Former ID No. (if known)______Have you ever been required to withdraw from any post-secondary institution, including CBU?  Yes  No

If yes, state name of institution______Year required to withdraw

F How did you hear about CBU______eb 2018

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signature Cardholder Signature Cardholder and correct. In submitting this application I consent to the sharing of the information supplied with faculty and this application I consent to the sharing of the In submitting and correct. I understand success at Cape Breton University. I enroll in a co-operative that if who are facilitating my staff prospective academic record to employers. of my program, I consent to the release I agree to abide by the regulations of Cape Breton University. I certify that the information provided is complete provided that the information I certify of Cape Breton University. I agree to abide by the regulations www.cbu.ca/scholarships/applications please refer to additional information For documentation to the Awards Office. Office. Awards documentation to the at January and bursaries each are made available Applications for entrance scholarships or directly from articulation agreement partners. It is the responsibility of the student to ensure that their most It is the responsibility agreement partners. or directly from articulation year. to Cape Breton University each prior to the deadline from his/her school recent transcript is forwarded or bursaries and submit the required supporting application for scholarships Students must also complete an Cape Breton University has an entrance scholarship program for students entering directly from high school Cape Breton Universitydirectly from high school program for students entering scholarship has an entrance Cardholder Name  canadian e  Student Signature

      ______the items listed below: you would likePlease indicate if information on CBU regarding more Please use this space to include any additional information on your interests and extracurricular activities: interests and extracurricular on your additional information any this space to include Please use