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Application for Undergraduate Program Admission

Who should submit this form? APPLICATION DEADLINES FALL WINTER SPRING/SUMMER
All new applicants for admission to
undergraduate faculties, schools, Priority deadline for ALL programs1
federated colleges and programs at (except Education and those listed below) March 15 November 1 N/A
the University of Regina.
Application deadline for ALL programs 2

(except Education and those listed below) June 1 December 1 April 1


International Students (require a Study Permit) March 1 September 1 January 31
Application Fee: There is a one-time Visual Arts or Indian Fine Arts (Portfolio only) April 1 December 1 N/A
undergraduate application fee of $100
that must be submitted with the Journalism, Social Work
application form. Payment may be made (excludes Social Work qualifying program) January 15 N/A N/A
by cash, cheque, money order, Visa, Continuing Education August 31 December 15 N/A
Mastercard or American Express. 1
The PRIORITY DEADLINE is the recommended deadline to ensure best course selection and opportunities for enrolment and other university services such as
scholarships, residence and parking.
2
Programs may stay open beyond above-stated deadlines until they have reached capacity.

Program Information and Admission Requirements: A complete list of University of Regina programs and information regarding admission
requirements can be found in the University of Regina viewbook or at www.uregina.ca/admissions.

Who should not submit this form? Supporting Documents which may be requested:
x International applicants who are attending
the University of Regina on a Study Permit Current high school applicants who Official post-secondary transcripts must
should contact UR International, Room 109, expect to graduate in June can apply be sent directly from each institution
College West, (306) 585-6260.
during their Grade 12 year for conditional that the applicant has attended directly
x Faculty of Education applicants: complete the admission to the next Fall term. At the to the Admissions Office. An official
Teacher Education Application and Profile time of admission, these applicants English translation of any documents
found on the main Admissions website. should submit a school certified not in English or French must
transcript showing all final grades to accompany the transcript.
Education deadlines: March 15 (applicants with
date and a schedule or list of all grade
high school only); February 1 (applicants with
post-secondary). 12 courses planned (these may also be Proof of English Language Proficiency
listed on the application form). A final, must be supplied (if applicable) and
x Centre for Continuing Education applicants official high school transcript will be sent directly from the testing centre.
including Accelerated and Casual students: required by August 1 upon completion Further information is available on the
contact the Credit Studies Division, Room
of grade 12. Admissions website
104, College Building, (306) 585-5807.
www.uregina.ca/admissions.
x School of Journalism applicants: contact the An official high school transcript should
School, Room 105, Administration- be submitted by all applicants with
Humanities Building, (306) 585-4420. fewer than 24 credit hours of recognized
post-secondary work or by applicants
x Graduate Studies applicants: contact the
applying to Faculties such as Engineering
Faculty of Graduate Studies and Research,
Room 110.2, North Residence, (306) and Applied Science or Science that have
Realize. Your future.
585-4161. high school admission requirements. An
official English translation of any
x Visiting Students: contact the Registrar’s
documents not in English or French
Office, Room 210, Administration-Humanities
Building, (306) 585-4127. must accompany the transcript.
APPLICATION FOR UNDERGRADUATE U OF R STUDENT I.D. NUMBER (office use only)
PROGRAM ADMISSION

READ INSTRUCTIONS/GUIDE AND ANSWER QUESTIONS IN FULL. PRINT CLEARLY USING UPPER AND LOWER CASE LETTERS.
1. WHEN & WHERE DO YOU WANT TO BEGIN CLASSES?:

FALL (Sept.–Dec.) WINTER (Jan.-Apr.) SPRING (May.-Aug.) YEAR

REGINA SOCIAL WORK SASKATOON FN UNIV SASKATOON

FN UNIV NORTHERN CAMPUS OTHER (please specify): ________________________________________________________________

2. PERSONAL INFORMATION
LAST/FAMILY NAME FIRST/GIVEN NAME MIDDLE NAME
Mr. Ms. Miss Mrs. Other

PREFERRED NAME (IF DIFFERENT THAN FIRST) PREVIOUS NAME (IF APPLICABLE) PHONE: HOME (INCLUDING AREA C ODE)

MAILING ADDRESS – APT #, STREET OR BOX # PHONE: BUSINESS (INCLUDING AREA C ODE) EXT.

CITY/TOWN PROVINCE POSTAL CODE C ELLULAR: (INCLUDING AREA C ODE)

COUNTRY GENDER BIRTHDATE E-MAIL:

Male Female DD - MON - YEAR


Permanent Address is the same as above If not, please complete the following:
PERMANENT ADDRESS – APT #, STREET OR BOX # CITY/TOWN PROVINCE POSTAL CODE COUNTRY

3. FIRST LANGUAGE 4. ABORIGINAL ANCESTRY & AFFILIATION


English French Other ________________________________________________________ Status Indian Métis Inuit

5. CITIZENSHIP
Country of If not born in Canada, Date of Entry
Canadian Citizen Permanent Resident ________________________
Citizenship DD - MON - YEAR

6. UR GUARANTEE Actively participate in the UR Guarantee program and, if you cannot find a job within six months of graduation, we will
waive your tuition for up to one year (30 credit hours) of additional undergraduate study at the University. Check here if you would like
to learn more.

7. FACULTY, PROGRAM, AND FEDERATED COLLEGE


Please indicate your first and second choice Faculty. Your Faculty choice determines the undergraduate degree you will attempt. Then indicate your
registration choice. Your registration choice determines where your academic services (academic advising, academic records, fees processing, etc.)
will be coordinated. The possible programs of study and majors for each Faculty and/or Colleges can be found on the back cover.

FIRST CHOICE FACULTY REGISTRATION CHOICE PROGRAM OF STUDY/MAJOR


(Check only one)

U OF R CAMPION
FN UNIV LUTHER

Second CHOICE FACULTY REGISTRATION CHOICE PROGRAM OF STUDY/MAJOR


(Check only one)

U OF R CAMPION
FN UNIV LUTHER

OFFICE USE ONLY

COMMENTS:
8. PREVIOUS AND CURRENT EDUCATION

MOST RECENT HIGH SCHOOL ATTENDED (If you did not attend high school, please state last elementary school attended.)

NAME OF SCHOO L CITY / PROV. / COUNTRY ATTENDED FROM ATTENDED TO G RADE C OMPLETED TO DATE

MON / YEAR MON / YEAR

CURRENT HIGH SCHOOL APPLICANTS ONLY - LIST ALL GRADE 12 CLASSES PLANNED (current and future)

POST-SECONDARY EDUCATION - LIST ALL POST-SECONDARY INSTITUTIONS ATTENDED.

POST-SECONDARY INSTITUTION CITY / PROV. /C OUNTRY PROGRAM /DEGREE DEGREE REC 'D FROM TO

MON / YEAR MON / YEAR

MON / YEAR MON / YEAR

MON / YEAR MON / YEAR

MON / YEAR MON / YEAR

Have you ever been required to withdraw from any post-secondary institution? YES NO
If yes, give name of institution and date.
INSTITUTION DATE
MON / YEAR

9.
DECLARATION - I certify that all the questions have been answered in full and the information provided is correct and complete. I understand that
completion of this signed application permits the University of Regina to request and/or confirm any information necessary to support my application
for admission; that submission of any false statements or documents will result in the immediate and permanent cancellation of admission or registration
to the University of Regina; and that failure to disclose attendance at another post-secondary institution may lead to cancellation of this application. I agree
to abide by University of Regina rules and regulations. I understand that otherwise my admission to or registration in this University may be revoked.

The University of Regina collects and creates information about students (“personal information”) under the authority of The University of Regina Act,
and in accordance with The Local Authority Freedom of Information and Protection of Privacy Act (Saskatchewan) and the Personal Information
Protection and Electronic Documents Act (Canada), for purposes of admission, registration, and other decisions on students’ academic status, and the
administration of the University and its programs and services. Some of this information may be disclosed to the relevant students’ society and alumni
association, and will be reported as required by federal or provincial authority. Information regarding the admission of current high school students may
be shared with the student’s current high school as needed. Any misrepresentation may be shared with other post-secondary institutions. By submitting
this application to the University of Regina, students consent to the collection, use, and disclosure of personal information as described above.

APPLICANT’S SIGNATURE DATE

10. CREDIT CARD PAYMENT - Use the following if you wish to pay the application fee by:
CARD NUMBER EXPIRY DATE
VISA
MON / YEAR
MASTERCARD

AMEX

SIGNATURE OF CARDHOLDER

OFFICE USE ONLY


A DMIT A VG A DMIT TYPE D ECISION C ODE D ATE A DMITTED

DD – MON – YEAR
Questions? Student Recruitment
Admissions (including Campus Tour Requests)
Phone: (306) 585-4591 Phone: (306) 585-4791 or 1-800-644-4756
Email: admissions@uregina.ca Email: student.recruitment@uregina.ca
In person: Administration-Humanities
Building, Room 108 UR International
Phone: (306) 585-6260
Email: international.admissions@uregina.ca

Arts Education Nursing


(U of R, Campion, Luther, FN Univ) (U of R) (Students apply for this program
Anthropology Arts Education** through SIAST)
Arts and Culture Baccalauréat en éducation**
Classical and Medieval Studies Dance**
Economics Elementary Education** Science
English Indigenous Education (FN Univ only) (U of R, Campion, Luther, FN Univ)
Environmental Studies Saskatchewan Urban Teacher Education Actuarial Science
Francophone Studies (apply through SUNTEP) Biochemistry
French Secondary Education** Biology
Geography Chemical Technology
Health Studies (**Students applying to these programs must Chemistry
History complete the Teacher Education Application Computer Science
Human Justice and Profile) Economics
Indian Communication Arts (FN Univ only) Environmental Biology
Indian Languages and Literature Geography
Linguistics Engineering and Applied Science Geology
Indigenous Studies (U of R) Mathematics
International Languages Electronic Systems Engineering Medical Imaging
International Studies Environmental Health and Science (FN Univ only) Medical Laboratory Science
Journalism Environmental Systems Engineering Physics
Justice Studies Industrial Systems Engineering Pre-Agriculture
Philosophy Petroleum Systems Engineering Pre-Chiropractic
Police Studies Software Systems Engineering Pre-Dentistry
Political Science Pre-Medicine
Prairie Studies Pre-Nutrition
Pre-Journalism Fine Arts Pre-Occupational Therapy
Pre-Law (U of R, Campion, Luther, FN Univ) Pre-Optometry
Pre-Medicine Art History Pre-Pharmacy
Psychology Film and Video Production Pre-Physical Therapy
Religious Studies Film and Video Studies Pre-Veterinary Medicine
Resource and Environmental Studies Indian Fine Arts Software Systems Development
Sociology Music Statistics
Urban History Music Education
Women and Gender Studies Theatre
Visual Arts Social Work
(U of R)
Business Indian Social Work (FN Univ only)
(U of R) Kinesiology and Health Studies Social Work
Accounting (U of R)
Administration (FN Univ only) Adapted Movement Science
Entrepreneurship Athletic Therapy
Finance Gerontology
General Management Health Promotion (U of R or FN Univ)
Human Resource Management Health Studies
International Business Human Kinetics
Marketing Pre-Chiropractic
Pre-Dentistry
Pre-Medicine
Pre-Nutrition
Pre-Occupational Therapy
Pre-Optometry
Pre-Pharmacy
Pre-Physical Therapy Applications and supporting
Pre-Veterinary Medicine documents can be mailed to:
Sport and Recreation Management
Therapeutic Recreation Undergraduate Admissions
University of Regina
3737 Wascana Parkway
Regina SK S4S 0A2

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