TRU Start Programs Student Application APPLICATION CHECKLIST

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School District No. 73 (Kamloops/Thompson) TRU Start Programs Student Application Name: Last First Middle Present School: School District No: Present Grade: Transition Coordinator: Student PEN: APPLICATION CHECKLIST For assistance or more information, please contact your TNT Coordinator or Counsellor. Deliver completed Application, no later than February 21, 2018 to your TNT Coordinator All items below are required: Page(s) Completed & Attached 1 Completed Application Checklist this page (1 signature required at bottom) 1 2 Completed SD 73/TRU Start Information and Declaration (1 signature required at bottom) 2 3 Completed SD73 / TRU Start Application and Letter of Intent (3 signatures required) 3 4 Completed Application for Admission (1 signature required on page 2) 4-5 5 $28.68 Non-Refundable Deposit to be included with this Application (Please make cheque payable to Thompson Rivers University) -- 6 TRU Start Program Offerings (kept by applicant) 6 Student to keep 7 Secondary School Transcript to be attached (See TNT Coordinator or Counsellor to obtain) 8 Completed Dual Credit Student / Parent Statement form 7 9 Completed Student Education / Transition Plan (3 signatures required) 8 10 Completed Research Activity 9 I verify that all required items above have been completed and/or attached to this checklist. Applicant s Signature Keep a Copy You are strongly encouraged to keep a copy of your application as well as, all future forms, paperwork, and emails for your personal records TRU Start Programs Application Package Page 1 of 9

SD 73/TRU Start Information & Declaration TRU Start is a unique partnership between Thompson Rivers University (TRU) and School District No. 73 (SD73) which provides high school students an opportunity to earn university credits while still in high school. With TRU Start students can: o Start their university journey early o Take a one-year university certificate program tuition-free o Experience university life while in secondary school for TRU on-campus course(s) and programs. Admission Criteria In addition to meeting the TRU program requirements prior to the start date of classes, students are required to meet the following TRU Start Admission Criteria as documented on their high school report card: o Minimum overall average of B o Exemplary attendance record o Exemplary attitude towards learning i.e., no N s in the effort column Application Process Interested students should discuss TRU Start options with their school based Transition Advisor. Applications are available from their Advisor. Applications must be received by the student s TNT Coordinator prior to February 21, 2018. Only a fully completed application package will be reviewed and ranked by the District/TRU Start Committee. Student Application Checklist o o o o TRU Start Application & Letter of Intent TRU paper Application for Admission form www.tru.ca/admissions/apply.html $28.68 Application Fee payable to TRU Current High School Transcripts Note: Accepted students will be required to pay a $100 ancillary fee deposit at the time of admission. Please contact your school-based TNT Advisor or Ron Collins, District Vice Principal Trades and Transitions at 250-318-7492 for further information. *International students are not eligible for TRU Start programs. Declaration: I agree to allow TRU to share information about my application, fees and registration status with School District 73 and to forward transcripts directly to School District 73 and my current high school upon their request. Student Signature Date TRU Start Programs Application Package Page 2 of 9

SD 73/TRU Start Application Date of application: Applicant Name: High School Principal (or designate): High School Principal (or designate) signature: Parent/Guardian Name: Parent/Guardian Signature: TRU Program Selection: Fall 2018 LETTER OF INTENT Please outline your interest in the program you have applied for, including how this program might relate to future post-secondary and career goals, and explain why you should be considered for admission. TRU Start Programs Application Package Page 3 of 9

Please Print Clearly Application for Admission For Undergraduate, Diploma, Certificate, Post-Baccalaureate, Trades and Apprenticeship programs only. Not for Graduate programs or Faculty of Law PEN ID New Student Returning Student TRU ID Campus applying to Kamloops Williams Lake Regional Centers: Lillooet/Lytton Ashcroft/Cache Creek Barriere Clearwater 100 Mile House Last/Family Name Male Female Former Last/Family Name (if applicable) First/Given Name Birthdate Mailing Address (Apt#, Street or Box#) Email (City/Town) Postal Code Country Home Phone (_ - Business Phone (_ - Cell Phone (_ ) - Permanent Address is the same as above. If no, please complete below: Apt#, Street or Box# City/Town Postal Code First Language English French Other Province of Residence British Columbia Another Province/Territory Outside Canada Canadian Citizen Permanent Resident Country of Citizenship Date of Entry (Day) (Year) Permanent Resident # Expiry Date Student Visa # Expiry Date Aboriginal Ancestry & Affiliation An Aboriginal person is identified in accordance to the Constitution Act of 1982, Part II, Section 35(2), as an Indian, Metis or Inuit person of Canada. If you wish to identity yourself as an Aboriginal person, for statistical purposes, we invite you to select one or more of the three options that best describe your Aboriginal identity. First Nation (Status, Treaty and non-treaty) Metis Inuit Emergency Contact Name Email Home Phone (_ - Business Phone ( Cell # (_ - Program Choice Indicate the program of study to which you would like to apply (see page 2 for a list of program options). Applicants who do not gain entry into a Limited/Selective program will be offered a 2 nd choice in Arts, Business, or Science. Program Choice Kamloops Williams Lake Have you received a Program Information package? YES NO Would you like to receive a Program Information package? YES NO Which semester do you wish to begin your studies Fall 2018 Winter 2019 Summer 2019 Fall 2019 Winter 2020 EDUCATION BACKGROUND High School name ( most recently attended) City/Prov./Country Attended from (day/month/year) Attended to (day/month/year) Grade completed to date Have you Graduated High School? YES NO Anticipated or Graduation date (day/month/year) ****** APPLICANTS SIGNATURE REQUIRED ON REVERSE ****** TRU Start Courses and Programs Application Package Page 4 of 9

POST-SECONDARY EDUCATION Have you attended a Post-Secondary Institution? Yes No (If Yes, provide details below) POST-SECONDARY EDUCATION YOU MUST DECLARE ALL POST-SECONDARY INSTITUTIONS ATTENDED (Please list starting with most recently attended) Institutions Name City/Prov./Country Program/Degree Credential Rec d Date From (mm/yy) Date to (mm/yy) Have you ever been required to withdraw from any post-secondary institution? YES NO If yes, give name of institution and date: Institution Name DATE (mm/yy) Declaration: By signing this Application, I understand and agree that: (i) this is an application for a TRU program only and is subject to the limitation of available resources; (ii) any misrepresentation of information in this application may result in the cancellation of my admission or registration and such misrepresentation may be shared with other post-secondary institutions; (iii) information placed in my student record will be used for the purpose of admission, registration, record keeping, statistical research, or program evaluation and for purposes consistent with the administration of the University and its programs and services including the programs of student societies/student unions, alumni associations and the Thompson Rivers University Foundation; (iv) my personal information will be reported as required by provincial or federal authority; (v) my admission information may be shared with my current high school as needed and applicable; and (vi) if I am admitted to a program, I am subject to the policies and rules of TRU. I certify that all statements on this application are true and complete and I authorize TRU to verify them. Applicant Signature: Date: Thompson Rivers University collects information about students ( personal information ) under the authority of the Thompson Rivers University Act, the University Act and in accordance with the Freedom of Information and Protection of Privacy Act (British Columbia), for the purposes of administration, registration and other decisions on students academic status, and for the purposes consistent with the administration of the University and its programs and services, including the programs of student societies/student unions, alumni association and the Thompson Rivers University Foundation. Any misrepresentation made by a student in the application/registration process may be shared with other post-secondary institutions. If you wish further information, please contact the Office of the Registrar. Last update October 2014 TRU Start Courses and Programs Application Package Page 5 of 9

TRU Start Program Offerings For more details program information see tru.ca/programs Early Childhood Education Diploma The two year Early Childhood Education Diploma program provides an exemplary model of innovative practice and opportunities for classroom-based research so that students can acquire the necessary knowledge and skills to become effective educators of young children. Areas of learning include: developing relationships with children, child development, child guidance, interpersonal relations, educational theories, designing and developing curriculum content, reflective practice, working with families, and program management. Practical fieldwork experience is a component of each semester. *Only offered in September with 4 seats available. Health Care Assistant Certificate Program This 27 week program is designed to prepare the graduate to function, under supervision, as a Health Care Assistant. Learned skills will be applied in the community utilizing care facilities, assisted living facilities and private homes. The focus will be on training the health care worker to assist the older adult in meeting his/her basic physical, emotional, environmental and social needs. Students learn to provide practical assistance to help maintain the client's maximum independence within the limits of his/her ability. *Only offered in September with 4 seats available. TRU Start Programs Application Package Page 6 of 9

Kamloops/Thompson School District No. 73 Dual Credit Student/Parent Statement Form Student Statement of Commitment Student Name: Date: 1. What is your specific career goal or job that you are pursuing? 2. What have you done to prepare yourself for study and work in this dual credit program? (e.g., related jobs, volunteer experience, extra-curricular activities, courses, reading, interviews with people, job shadows). 3. Explain the skills and talents that you have that will help you to succeed in this university program? 4. With limited seats available, please describe why you are a good candidate for this dual credit program? Parent Statement of Readiness Parent Name: Date: The applicant has indicated an interest in enrolling in a dual credit program. Keeping in mind that they would be studying in an adult learning environment in which they are expected to be self-motivated, self-directed and not reliant on others to assist in the organization of their learning activities, we ask you to comment on the following: *Students must participate in a practice component in a health care setting in the community if they are taking the Health Care Assistant program. 1. Why do you think your son or daughter should participate in the dual credit program? 2. Please comment on your son or daughter s suitability for a program that requires consistent attendance, effort and ability to follow instructions? TRU Start Programs Application Package Page 7 of 9

Student Education / Transition Plan Date: Student Name: Secondary School: Student Grade: Grade 10: English / Socials / Science / Math / PE / Planning and all electives Semester One Semester Two Grade 11: English / Socials / Science / Math and all electives Semester One Semester Two Grade 12: English 12 or Communications 12 and all electives Semester One Semester Two *Must be filled out by the school: Transition Courses (e.g. PV---2A) When Taken (e.g. September YYYY) Location (e.g. Kamloops) Institution / Employer (e.g. TRU/NorKam Trades Center) Parent / Guardian Signature Date Student Signature Date Counsellor Signature Date TRU Start Courses and Programs Application Package Page 9 of 9 Audit Document #4D

Dual Credit Application: Research Activity My Career goals are: Based on your university plans and career goals, please research the following questions. 1. Describe the career you are interested in? 2. Please list the first year courses required for that career or program at a University or College: 3. Which 1 st year course are you hoping to take at Thompson Rivers University? 4. Describe the career that the course(s) or program you have chosen would lead into? For example Economics 1900 may lead towards a career as a financial advisor. 5. What high school courses would help you get into this career? 6. What salary can you expect to get from this career? 7. What is the future potential of this career in terms of employment? For example, will there be many jobs in this trade in the future? 8. Based on your research, are you still interested in this career? Why? TRU Start Courses and Programs Application Package Page 9 of 9 Audit Document #4D