Application for Admission

Application for Admission

NOTE: If you are interested in applying to Booth UC’s School for Continuing Studies, please click here.

By submitting this application form I am agreeing to receive print and electronic communications from Booth University College.

Personal Information
Salutation:*
First Name:*
Last Name:*
Birth Date:*
Gender:*
Accessibility Services - Learning Disability:*

Student Services assists with confidential academic accommodation and support plans for students who identify themselves as having a learning disability. If this applies to you, please check YES. Student Services will contact you about the supports available. For more information call 204-924-4876 OR 877-942-6684 FREE extension 876 (toll-free) or send an email to StudentServices@BoothUC.ca.
Mailing Address
Street Address*
City / Town:*
Province / State*
Postal Code / ZIP Code:*
Country:*
Phone and Email
Best phone number to reach you at:*

Please enter the phone number including country code and area code (Please complete cell phone number as it will be used for time sensitive school closures and emergencies.)

The above number is:*

Email:*
Business Phone:

Please enter the phone number including country code and area code
Other Phone:

Please enter the phone number including country code and area code

The above number is:

Business Fax:

Please enter the fax number including country code and area code
Other Information
Social Insurance Number / Social Security Number:
Church Affiliation:
Citizenship Information
Citizenship & Immigration Status:

Other:

Entry Date:

Is a notarized copy of your Landed Immigrant paper in the mail to Booth University College (Required):

If you are of Aboriginal Ancestry, please specify:

By declaring your status, you will help in the development of new services and events for First Nations, Métis and Inuit students)
Admissions Information
High School - Secondary School
Name of 1st Secondary School:*
Location of 1st Secondary School:*
Date of Graduation from 1st Secondary School:*
Name of 2nd Secondary School:
Location of 2nd Secondary School:
Date of Graduation from 2nd Secondary School:
University or College - Post-Secondary School
Name of 1st Post-Secondary School:
Location of 1st Post-Secondary School:
Date of Graduation from 1st Post-Secondary School:
Name of 2nd Post-Secondary School:
Location of 2nd Post-Secondary School:
Date of Graduation from 2nd Post-Secondary School:
English Proficiency

Applicants whose primary language is not English must provide verification of proficiency in the use of English by providing (TOEFL) or equivalent testing. Official test results must be forwarded to Booth University College. (Please see www.toefl.org for more details. Booth University College's code is 7951). If you have written or are planning to write the TOEFL test, enter the date and test score below.
Date Written / to be Written :

Test Score Received:

Enrollment Plan
Select your program of interest:*
In which term do you wish to begin your studies?*
What is your expected course load?*
For which Admission category do you wish to apply?*
Grade 12 courses yet to be completed Course #1


Course #2


Course #3


Course #4


Course #5


Course #6


How did you hear about Booth University College? Bus AdRadio AdParents / Family / FriendsCareer SymposiumIn the NewsOn Campus EventBillboardPastor / Clergy / ChurchStudentWeb SearchYouth Councils (Youth Together)AlumniFaculty / StaffAgentOther
Tell us about yourself:

Tell us about yourself such as volunteer work, interests, etc.
Campus Life
If you intend to live on campus then you must also submit the Housing Form at the same time as this form.
Do you intend to live on campus? YesNo
Have you already submitted your Housing Form? YesNoI will not be living on campus
What opportunities would you like to be involved in at Booth University College?:* Student Recruiter (Ambassador)Urban MissionSpiritual Life TeamStudent GovernmentEducational TravelIntramurals / RecreationTheatre ArtsWorship ArtsNone
Financial Plan
How are you planning on funding your studies? Canadian and USA Students:
PersonalBand fundingStudent LoanOther

International Students:
PersonalOtherSponsor (fill in sponsor name below)

Sponsor Name:

Declaration
Booth University College is a Christian University College, owned and operated by The Salvation Army. As such, its ethos is shaped by its Christian heritage and identity. Students applying for admission to Booth University College should understand that as a Christian University College we expect our students to comply with the faith and lifestyle standards of the University College. These faith and lifestyle standards are enumerated in our Student Handbook (http://www.boothuc.ca/campus-life/residence). By signing this application you are confirming that you have read the Student Handbook and agree to abide by its policies and standards.

I hereby apply for admission to Booth University College and certify that the statements contained herein are true and complete. I understand that all parts of my Application for Admission become the property of the University College once submitted and will not be returned to me. I authorize Booth University College to verify all information submitted with my Application for Admission (including transcripts and information submitted by my designate).

I understand that misrepresentation, falsified documents, or the withholding of requested information with respect to this application may result in the cancellation of my acceptance and enrollment, or dismissal from the University College.

I accept that any information on falsified documents may be shared with the Association of Registrars of the Universities and Colleges of Canada. I give permission to Booth University College to use any photograph or video footage I am in for promotional purposes.

I authorize my high school/university to release my academic record(s) should the need arise to accelerate the processing of my application.

The personal information collected will be used for admission and enrollment purposes at Booth University College and Heartland International English School (if applicable) and may be used for determining eligibility for student awards. Information regarding graduation and awards may be made public. This information will be used in discussions with agents and for statistical reporting as required of the University College by accrediting and government agencies. If you have any concerns, wish to opt out, or for more information on our Privacy Policy, please contact our Privacy Officer at Privacy@BoothUC.ca, call 204.947.6701, or visit our website BoothUC.ca/privacy.

By submitting this application form I am agreeing to receive print and electronic communications from Booth University College.

Declaration Acceptance:*
I accept the DeclarationI do not accept the Declaration