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APPLICATION FORM UNIVERSITY

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Page 1: UNIVERSITY APPLICATION - Geebee Educationgeebeeworld.com/wp-content/uploads/St.-Francis-Xavier-University... · 2. _____ Relationship _____ 3. _____ Relationship _____ StFX provides

APPLICATIONFORM

U N I V E R S I T Y

U N I V E R S I T Y

Page 2: UNIVERSITY APPLICATION - Geebee Educationgeebeeworld.com/wp-content/uploads/St.-Francis-Xavier-University... · 2. _____ Relationship _____ 3. _____ Relationship _____ StFX provides

3 An application fee of $40 is required for processing to be completed.

3 It is the responsibility of the applicant to ensure that all supporting documents are received by the StFX Admissions Office. Applications cannot be processed until all official high school, university, or college transcripts are received.

3 For mature students, an employer’s letter and statement of activities since leaving high school are required.

3 For re-entry students (those wishing to return to StFX after an absence), completion of the Applicant Résumé found within the Consideration for Scholarship section is required. Applicant reference section of this application is not required.

3 For international students not from an English speaking country, an IELTS combined score of 6.5 or a TOEFL score of at least 580 (or equivalent from another standardized test of English language proficiency) is required.

3 The enclosed Consideration for Scholarships section is not mandatory to apply for admission to StFX University. However, the section is mandatory if you wish to be considered for an entrance or major scholarship from StFX.

3 The Consideration for Scholarships section can be submitted at a later date should you wish. Note that all students who provide a complete application (application form, résumé, references, and 1st semester grade 12 transcripts) by March 1 with an 85% or above average, are guaranteed an entrance scholarship as well as consideration for major scholarships.

3 For all students wishing to be considered for scholarship opportunities, the applicant reference sheets may be used in place of a traditional reference letter. Two will be required. Faxed copies will also be accepted and can be sent to 1 902.867.2329.

completion guide—in order to help us process your application as efficiently as possible, please ensure that you complete all sections.

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applicantm Mr. m Ms. m Mrs. m Other ___________________________________________Last Name: _________________________________________________________First Name: _________________________________________________________Middle Name: ______________________________________________________Preferred First Name: __________________________________________________Previous Last Name: ___________________________________________________m New m Re-entry m Transfer m Mature

Current mailing addressStreet Address/PO Box/Rural Route #: ___________________________________City: ________________________________ Province/State:__________________Postal Code/ZIP: __________________ Country: ___________________________Phone: (______)____________________ Fax: (______)_______________________Email: _____________________________________________________________

Permanent mailing address (if different from above)Street Address/PO Box/Rural Route #: ___________________________________City: ________________________________ Province/State:__________________Postal Code/ZIP: __________________ Country: ___________________________Phone: (______)____________________ Fax: (______)_______________________Email: _____________________________________________________________

Personal informationm Male m Female m Married m SingleDate of birth: Day ____________ Month ____________ Year ____________Citizenship: _______________________ SIN/SSN: _________________________

emergency Contactm Mr. m Ms. m Mrs. m Other ___________________________________________Last Name: _________________________________________________________First Name: _________________________________________________________Relationship to Applicant: _______________________________________________

StFX has a variety of student advisors (Aboriginal, Black, International, etc.) as well as religious and chaplaincy services. Although this information is optional, please feel free to provide us with details of your individual situation in terms of religion, ethnic or cultural background if you would like your name passed on to an advisor.________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Language skillsLanguages spoken (please indicate first language) m English m French m Other ________________________________________

Languages written (please indicate first language) m English m French m Other ________________________________________

alumni in FamilyIf either of your parents or other family members have attended StFX, please list their names and approximate year of graduation.___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ______________________________________________________________________________________________________________________________________________________

Post-secondary studyIn addition to high school transcripts, all applicants must submit transcripts from any other post-secondary institutions attended. Failure to do so could result in the application being denied or academic dismissal upon a later disclosure.

Have you attended another post-secondary institution? m No m Yes

If yes, please list all institutions attended and indicate year(s) of attendance. You must also arrange to have official transcripts sent to the Admissions Office at StFX.___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________

If you have applied to StFX previously, please indicate below. Were you accepted? m No m Yes Did you attend? m No m Yes

Last High school attendedName: ________________________________________________________________City: ____________________________________Province/State:_________________Year of Graduation: ______________________________________________________Are you an IB Candidate? m Yes m NoIf yes, please indicate m Diploma m Certificate

Personal informationpleaSe ForwarD or Fax CompleteD FormS to:StFX Admissions Office · 5005 Chapel Square · St. Francis Xavier UniversityAntigonish, Nova Scotia · Canada B2G 2W5 Fax: 1.902.867.2329

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a Other Preferencesm Would you like to live on a floor designated only for first-year students? m Do you prefer order and neatness in your space? m Do you prefer to go to bed after midnight? m Do you smoke? m Would you live with a smoker? (all StFX residences are smoke-free)

designate your roommate (optional)(Request must be mutual and StFX student ID number must be provided)Name: ______________________________________________________________StFX Student Number:__________________________________________________

medical Condition m I have a medical condition that may affect my room assignmentWhen you check this box the Residence Office will send you a form to bring to your physician to document your condition before accommodation will be considered.

statement of Understanding Room assignments will be made exclusively to students who have been accepted to the University and have paid the $100 academic confirmation along with the $400 residence deposit. First-year students who complete this process by May 15 will be guaranteed a room in residence. Once residences are full, students will be offered a place on a waitlist. Students who withdraw their residence application and contract prior to June 1 will receive a full refund ($400). Cancellation after June 1 will result in forfeiture of the $400 deposit. I understand that, to the extent possible, my residence hall assignment will consider the preferences noted on this application, and I understand further that specific assignments are not guaranteed. I also understand that room and roommate assignments are not assigned or reassigned according to race, color, religion, national or ethnic origin, sexual orientation, age

or disability.

__________________________________________ ________________________Sign DateComplete details on the room assignment process are available at www.mystfx.ca/services/residence

residence application—be part of canada’s finest residential campus community

residence Preferences If you are applying for residence, please indicate below your 1st, 2nd, & 3rd preferences for residence living. More information on residences can be found at www.mystfx.ca/prospective/residence/choose. residenCes rOOm tYPe gender nOtes Choose your 1st, 2nd, 3rd PreFerenCe

Cameron Hall Double Single (M/F) Traditional residence centrally located. Consists of TnT, MacPherson, MacDonald houses.

MacKinnon Hall Double Single (M/F) Traditional residence centrally located. Consists of Chillis and MacNeil houses.

Bishops Hall 90% Single Co-ed Renovated in 2007. Consists of Burke, Plessis, Fraser houses.

Lane Hall 90% Single Single (M/F) Popular with first year students. Consists of Lane A and B houses

MacIsaac Hall Double Co-ed Largest double rooms on campus. 5th floor reserved for Humanities Colloquium students

Mount Saint Bernard Single Co-ed/Female Mostly single rooms in co-ed. One floor of female only single rooms.

Governors Hall Single/Double Co-ed Single and shared suites. Reserved for returning and transfer students

Power & Somers Halls Shared Co-ed Four bedroom units. Reserved for returning and transfer students

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desired Program of study (check one) An applicant may choose to apply for up to two programs using one application.

Should this be your intent, please indicate which program is your first choice and

which is your second choice.

artsm Bachelor of Arts—Humanities Colloquium m Bachelor of Arts m Bachelor of Arts in Human Kineticsm Bachelor of Arts in Music Instrument: ______________________________m Diploma in Jazz Studies Instrument: ______________________________ sCienCem Bachelor of Sciencem Bachelor of Science, Aquatic Resourcesm Bachelor of Science in Human Kineticsm Bachelor of Science in Nursingm Accelerated Post Degree, Nursingm Bachelor of Science in Human Nutrition m Co-op Optionm Diploma in Engineering BUsinessm Bachelor of Business Administration m Co-op Optionm Bachelor of Information Systems m Co-op Option

OtHerm Non-Degreem Visiting Student—Letter of Permission from another university

term applying form Full-time (September) m Summer m Intersession (Spring)

What were the important factors in your decision to apply to stFx?1. ____________________________________________________________________

2. ____________________________________________________________________

3. ____________________________________________________________________

What person(s) if any were influential in your decision to apply to stFx?1. _________________________________ Relationship _________________________

2. _________________________________ Relationship _________________________

3. _________________________________ Relationship _________________________

StFX provides assistance to various groups of students. If you have a physical or learning disability, the Program Coordinator for Accessible Learning would be pleased to discuss any special needs you may have. Please call (902) 867.5349.

I hereby agree to abide by all the rules and regulations which apply to students of StFX University and acknowledge that my right to remain at StFX is subject to them. The information in this application is complete and correct to the best of my knowledge. I acknowledge that StFX adheres to the Freedom of Information and Protection of Privacy legislation as it applies to universities.

St. Francis Xavier University gathers and maintains records of personal information, including but not limited to the information on this form, for the purposes of admission, registration, provision of educational services, ongoing contact with students and alumni, and soliciting support for these and other university activities. The collection, use and disclosure of personal information by the university is governed by the Nova Scotia Freedom of Information and Protection of Privacy Act, S.N.S. 1993, c5. The information provided by applicants on this form, and other information provided to the university from time to time, will be maintained in the university’s records. The personal information provided may be used by university personnel and disclosed to third parties as required or permitted by applicable legislation or in accordance with the purposes for which it is collected. By signing this Application for Admission, you indicate your consent, pursuant to the Freedom of Information and Protection of Privacy Act, to the collection, use and disclosure of your personal information as described above.

____________________________________ ______________________________Signature Date

Program of study

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consideration forscholarship

Page 7: UNIVERSITY APPLICATION - Geebee Educationgeebeeworld.com/wp-content/uploads/St.-Francis-Xavier-University... · 2. _____ Relationship _____ 3. _____ Relationship _____ StFX provides

interested in receiving a scholarship from stFX?

If so, we’d like to learn a bit more about you—about your goals, passions,

visions and experiences. Simply complete the next few pages and send to our

Admissions Office.

it is important to know:

· All applicants who have an average of at least 85% are GUARANTEED a

scholarship award of at least $3,500.

· The enclosed Consideration for Scholarships section is not mandatory to apply

for admission to StFX University. However, the section is mandatory if you wish to

be considered for an entrance or major scholarship from StFX.

· We encourage you to send along your StFX Application at first opportunity.

Should you decide to submit the Consideration for Scholarships section at a later

date than your StFX Application Form, please include your contact details so we

can follow up with you effectively.

· Finally, we encourage you to send in your Consideration for Scholarships form at

first opportunity as all students who provide a complete application (application

form, résumé, references, and 1st semester grade 12 transcripts) by March 1

with an 85% or above average, are guaranteed an entrance scholarship as well

as consideration for major scholarships.

stFx admissions Office:

5005 Chapel Square · St. Francis Xavier University

Antigonish, Nova Scotia, Canada B2G 2W5

Fax: 902.867.2329

Email: [email protected]

Tel: 902.867.2219

IF SUBMITTING SEPARATELY from your StFX Application form, please complete the information below:

applicantm Mr. m Ms. m Mrs. m Other ___________________________________________Last Name: _________________________________________________________First Name: _________________________________________________________Middle Name: ______________________________________________________Preferred First Name: __________________________________________________Previous Last Name: ___________________________________________________m New m Re-entry m Transfer

Current mailing addressStreet Address/PO Box/Rural Route #: ___________________________________City: ________________________________ Province/State:__________________Postal Code/ZIP: __________________ Country: ___________________________Phone: (______)____________________ Fax: (______)_______________________Email: _____________________________________________________________

Permanent mailing address (if different from above)Street Address/PO Box/Rural Route #: ___________________________________City: ________________________________ Province/State:__________________Postal Code/ZIP: __________________ Country: ___________________________Phone: (______)____________________ Fax: (______)_______________________Email: _____________________________________________________________

Personal informationm Male m Female m Married m SingleDate of birth: Day ____________ Month ____________ Year ____________Citizenship: _______________________ SIN/SSN: _________________________

Have you already submitted your stFx application Form? m Yes m No

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What interests you the most about the program to which you are applying? _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Once completed, what do you hope to do with the degree you receive? _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Volunteer and/or employment experience

Dates Description ____________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ________________________________________________________________________________________

applicant résumé

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extracurricular activities (sports, committees, organizations, etc.)Dates Activity ___________________ ______________________________________________________________________________________________________________ ______________________________________________________________________________________________________________ ______________________________________________________________________________________________________________ ______________________________________________________________________________________________________________ ___________________________________________________________________________________________

awards received (athletic, humanitarian, academic, etc.) Dates Name or Description of Award ___________________ ______________________________________________________________________________________________________________ ______________________________________________________________________________________________________________ ______________________________________________________________________________________________________________ ______________________________________________________________________________________________________________ ___________________________________________________________________________________________

Please use the following space to include any additional information which you feel would be of help to us in making a scholarship decision. If you are not currently attending high school or a post-secondary institution, please state what you have done since leaving school.__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

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scholastic ability

integrity

initiative

Oral expression

Written expression

leadership

Judgement

Problem-solving abilities

Organizational abilities

enthusiasm

commitment to excellence

interpersonal skills

concern for Others

excellent very good satisfactory Unsatisfactoryno Basis forJudgement comments

How long and in what capacity have you known the applicant? ___________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________

Name of Applicant: ______________________________________________________________________________________________

Kindly rate the applicant on each of the following qualities:

The APPLICANT REFERENCE sheets are provided for your convenience.

Please provide this sheet to the person whom you have chosen to act as a reference on your behalf. Once complete, the referee should forward this reference directly to the stFx admissions Office at the following mailing address:

admissions Office, st. Francis xavier University, PO Box 5000, antigonish, nova scotia, Canada B2g 2W5

For all students wishing to be considered for scholarship opportunities, the applicant reference sheets may be used in place of a traditional reference letter. Two will be required. At least one reference letter must be from a teacher. Faxed copies will also be accepted and can be sent to 1.902.867.2329.

first name middle name last name

applicant reference

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Based on your knowledge of the individual, do you recommend him/her for admission to StFX? m No m Yes

What do you consider to be the applicant’s strongest assets? _____________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________

What particular attributes and skills does the applicant possess that prepare him/her for university-level study? __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Please note any contributions you may be aware of that the applicant has made to his/her community or school: _________________ _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Please elaborate on previous comments or provide additional ones (use a separate sheet if required): _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

________________________________________________________ _____________________________________________Signature Date

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scholastic ability

integrity

initiative

Oral expression

Written expression

leadership

Judgement

Problem-solving abilities

Organizational abilities

enthusiasm

commitment to excellence

interpersonal skills

concern for Others

excellent very good satisfactory Unsatisfactoryno Basis forJudgement comments

The APPLICANT REFERENCE sheets are provided for your convenience.

Please provide this sheet to the person whom you have chosen to act as a reference on your behalf. Once complete, the referee should forward this reference directly to the stFx admissions Office at the following mailing address:

admissions Office, st. Francis xavier University, PO Box 5000, antigonish, nova scotia, Canada B2g 2W5

For all students wishing to be considered for scholarship opportunities, the applicant reference sheets may be used in place of a traditional reference letter. Two will be required. At least one reference letter must be from a teacher. Faxed copies will also be accepted and can be sent to 1.902.867.2329.

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How long and in what capacity have you known the applicant? ___________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________

Name of Applicant: ______________________________________________________________________________________________

Kindly rate the applicant on each of the following qualities:

first name middle name last name

applicant reference

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Based on your knowledge of the individual, do you recommend him/her for admission to StFX? m No m Yes

What do you consider to be the applicant’s strongest assets? _____________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________

What particular attributes and skills does the applicant possess that prepare him/her for university-level study? __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Please note any contributions you may be aware of that the applicant has made to his/her community or school: _________________ _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Please elaborate on previous comments or provide additional ones (use a separate sheet if required): _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

________________________________________________________ _____________________________________________Signature Date

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Generaldegree

Bachelor of Arts

Bachelor of Arts in Humanities Colloquium

Bachelor of Arts in Music Diploma in Jazz Studies

Bachelor of Arts in Human Kinetics

Bachelor of Science

Bachelor of Science in Human Kinetics

Bachelor of Science in Nursing

Bachelor of Science in Human Nutrition

Diploma in Engineering

Bachelor of Business Administration

Bachelor of Information Systems

Please note that some courses that meet the stFx admissions criteria may not be displayed in the section above. For inquiries regarding specific courses and their eligibility for admission, please contact the admissions Office at 902.867.2219 or [email protected].

admission requirements

English 12 and four other university preparatory courses

English 12 and four other university preparatory courses

English 12 and four other university preparatory courses English 12 and four other university preparatory courses

English 12, one of (Academic Math 12, Chemistry 12, Biology 12, Physics 12), and three other university preparatory courses

English 12, Pre-Calculus Math 12, two of (Chemistry 12, Biology 12, Physics 12), and one other university preparatory course

English 12, two of (Academic Math 12, Chemistry 12, Biology 12, Physics 12), and two other university preparatory courses

English 12, Academic Math 12, Chemistry 12, one of (Biology 12 or Physics 12), and one other university preparatory course

English 12, Academic Math 12, two of (Chemistry 12, Biology 12, Physics 12), and one other university preparatory course

English 12, Pre-Calculus Math, Chemistry 12, Physics 12, and one other university preparatory course

English 12, Academic Math 12, and three other university preparatory courses

English 12, Academic Math 12, and three other university preparatory courses

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admission reqUirements

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