1. No category

Be Ready 2015
PERSONAL INFORMATION
Family Name
First Name(s)
Date of Birth (day/month/year)
Gender (please indicate with an X)
Citizenship
First Language
Male Female
Student Address *for Visa/Study Permit and Acceptance Letter purposes*
Street:
City/Town and Province:
Country:
Postal/Zip Code:
Phone:
Email:
Status in Canada:
Canadian Citizen/Permanent Resident
Student Authorization (Study Permit)
Agent (if applicable)
Name:
Address:
Phone:
Email:
LANGUAGE TEST SCORE *must submit copy of test*
IELTS
Overall 6.0 Required
(6.0 in Writing with no section below 5.5)
TOEFL
Overall 60 required
(19 in Writing with no section below 15)
CHOOSE YOUR UNIVERSITY PROGRAM:
Arts & Humanities
English Language & Literature
French Language
Health Science Community Rural Health Development
Health Science
Management & Organizational Studies
Accounting
Non-for-Profit Management
Science
Foods & Nutrition
Family Studies
Philosophy
Religious Studies
Kinesiology
Consumer Behaviour
Food Management
Food Science & Technology
Social Science
Community Development
Crime & Communities
Dimensions of Leadership
Family Studies, Families & Communities, Nutrition & Families
History
Political Science
Psychology
Sociology
March 2015
BUC App
Page 1 of 2
Be Ready 2015
EDUCATIONAL BACKGROUND
Highest level of education completed:
High School or Secondary Education
Name:
City:
Country:
From (month/year):
To (month/year):
Graduation certificate awarded:
Yes
No
Post-secondary Education (College/University)
Name:
City:
Country:
From (month/year):
To (month/year):
Program of study:
Diploma/degree awarded:YesNo
I certify that I have disclosed all educational institutions I attended. During any period of time not accounted for, I was/am not in attendance at any educational schools. I understand that any misrepresentation of this information may result in the cancellation of my application, admission or registration at
the University.
Student Signature
Date (day/month/year)
Please email your completed application to our Registrar at
london.registrar@cultureworkstheschool.com
March 2015
BUC App
Page 2 of 2