Conditional Admission Application Package

Conditional Admission Application Package This application package is intended for international students seeking admission to both the English Language Certificate Program and Undergraduate degree studies at the University of Guelph. Please submit the following documents as your application package: Application for International Students (Undergraduate Admission) International Student Admissions Student Information Release Form Declaration of Activity during Gaps in Education English Language Certificate Program Application Form Academic transcripts High school Post-secondary (if applicable) Scan of your Passport Identity pages Head and Shoulders Photo (digital format) Credit Card Payment Form (Undergraduate application fee) ELCP Application fee payment We are unable to process an application until we receive a complete application package. Please note that additional information may be requested to complete your application. Please submit application to esl@uoguelph.ca. Application Checklist University of Guelph Open Learning and Educational Support 154C Johnston Hall Guelph, ON, CANADA N1G 2W1 Telephone: +1-519-824-4120 Ext 52149 Fax: +1-519-767-1114 E-mail: esl@uoguelph.ca Website: University Website: www.uoguelph.ca

INTERNATIONAL STUDENT ADMISSIONS STUDENT INFORMATION RELEASE FORM PLEASE PRINT CLEARLY Student Male Female First Name Last Name Address City Country Postal Code Telephone Email of Birth (Month/Day/Year) University of Guelph Student ID Number (if available) Person to whom release of information is authorized: My Agent Male Female Other Male Female Agent First Name Last Name First Name Last Name Company Name Address Address City Country Postal Code Telephone Email Address City Country Postal Code Telephone Email Address Relationship to student I hereby authorize the individual(s) identified on this document to act on my behalf in all matters concerning my application for admission to the University of Guelph. University of Guelph is subject to the provisions contained within the Province of Ontario s Freedom of Information and Protection of Privacy Act. As such, University of Guelph has the obligation to inform you about the collection and use of your personal information. By completing this Student Information Release Form, you are authorizing University of Guelph to release your personal information to the person(s) you have authorized to act on your behalf concerning your application for admission to University of Guelph, including, if necessary, all international admission matters. Your signature on this form confirms your acknowledgement and understanding of notification. University of Guelph assumes no responsibility or liability for the use of your personal information by those you have authorized. For further information email: esl@uoguelph.ca. Student Signature City, Country

DECLARATION OF ACTIVITY DURING GAPS IN EDUCATION Name: of completion of Secondary School: Projected start date of English Study at University of Guelph: Projected start date of Academic studies at University of Guelph: If there is a gap between the completion of Secondary School and the start of English studies, please list your activities during this time and the corresponding dates. (e.g. work, travel, university, study, English classes, care for family.)

How did you hear about this program? Education Agent Canadian Embassy/Consulate Friend or Family Former Guelph Student Name: Website Name: Education Fair (please specify): Other (please specify): Government Sponsorship I currently have sponsorship from my government I have applied for sponsorship from my government I do not have sponsorship from my government Applicant Signature By signing below I agree that I have read and understood the following statements: The ELCP is an intensive academic program for university preparation. The ELCP has an English only policy in classrooms, labs and activities The ELCP has a strict attendance policy. Students who do not attend class will be required to withdraw without refund. The $150 ELCP application fee is non-refundable. It is my responsibility to read the Student Information posted online at I have read and understood the current published refund policies at I confirm that the ALTE rating is based on my own personal assessment of my ability, and not that of my agent or other persons. I understand that I may be required to complete pre-arrival language testing without assistance of any kind. I understand that I will take an English language placement test when I arrive on campus at the University of Guelph. I understand that if my language level is lower than that required to participate in the program, the University of Guelph also reserves the right to refuse my registration without refund of tuition paid. Signature of Applicant

PAYMENT FORM Undergraduate Application Fee $70 Secondary School/High School $140 Transfer/Advanced standing Fee Summary: English Language Program Application Fee $150 I hereby authorize the University of Guelph to charge $ CAD as indicated above for the undergraduate application fee in payment for. (Name of student) I hereby authorize the University of Guelph to charge $150 CAD as indicated above for the English Language Program application fee in payment for. (Name of student) Credit Card Payment By completing this form, I authorize the University of Guelph to charge my credit card for the amount above. Applicant Name: Card Type Visa Master Card (The University does not accept American Express) Card Number Card Expiry (mm/yy) 3-digit Security Code Card Holder Name Card Holder Signature Relationship to Applicant

Application for International Students Undergraduate Admission Winter Spring Fall MR. MRS. MISS MS. OTHER SPECIFY LEGAL LAST NAME/FAMILY NAME/SURNAME ALL LEGAL GIVEN OR FIRST NAMES SINGLE MARRIED, MALE FEMALE DIVORCED, SEPARATED YR MTH DAY WIDOWED GENDER DATE OF BIRTH MARITAL STATUS FAX NUMBER (COUNTRY, CITY CODES & FAX #) APT. NUMBER NUMBER & STREET TELEPHONE NUMBER (COUNTRY, CITY CODES & TEL. #) MAILING ADDRESS CITY PROVINCE OR STATE COUNTRY POSTAL OR MAILING CODE HOME ADDRESS CHECK IF SAME AS ABOVE APT. NUMBER CITY NUMBER & STREET TELEPHONE NUMBER (COUNTRY, CITY CODES & TEL. #) PROVINCE OR STATE COUNTRY POSTAL OR MAILING CODE E-mail BUSINESS NUMBER (COUNTRY, CITY CODES & TEL. #) STUDENT VISA/STUDY PERMIT CANADIAN CITIZEN AND PERMANENT RESIDENT OTHER (SPECIFY) DEGREE PROGRAM 1 DEGREE PROGRAM 2 STATUS IN CANADA FROM: YR MO SCHOOL NAME Program Selections MAJOR MAJOR SECONDARY SCHOOLS ATTENDED TO DATE (OR EQUIVALENT INSTITUTION) COUNTRY OF CITIZENSHIP GRADE/YEAR LEVEL ENGLISH OTHER (SPECIFY) FIRST LANGUAGE DIPLOMA AWARDED (PRINT IN FULL) TO: YR MO SCHOOL ADDRESS FROM: YR MO SCHOOL NAME TO: YR MO SCHOOL ADDRESS ALL POST-SECONDARY INSTITUTIONS ATTENDED OR BEING ATTENDED YEAR LEVEL PROGRAM DIPLOMA/ DEGREE FROM: YR MO NAME OF INSTITUTION TO: YR MO ADDRESS OF INSTITUTION FROM: YR MO NAME OF INSTITUTION TO: YR MO ADDRESS OF INSTITUTION FROM: YR MO NAME OF INSTITUTION TO: YR MO ADDRESS OF INSTITUTION IF YOU HAVE NOT BEEN ENROLLED IN SCHOOL FULL-TIME PLEASE INDICATE WHY BY DESCRIBING YOUR ACTIVITIES AND THEIR CORRESPONDING DATES ON A SEPARATE SHEET OF PAPER. I HEREBY CERTIFY THAT ALL STATEMENTS ARE CORRECT AND COMPLETE. I UNDERSTAND THAT I MAY HAVE TO PROVIDE DOCUMENTATION AT SOME FUTURE DATE TO SUSTANTIATE MY CLAIM AND THAT ANY MISREPRESENTATION OF THIS DATA MAY RESULT IN CANCELLATION OF MY ADMISSION OR REGISTRATION STATUS. I UNDERSTAND THAT IN THE CASE OF SSUPECTED MISREPRE- SENTATION OF APPLICATION INFORMATION, OTHER ACADEMIC INSTITUTIONS MAY BE CONTACTED. I AUTHORIZE THE UNIVERSITY TO VERIFY ANY INFORMATION PROVIDED AS APART OF THIS APPLICATION AND UNDERSTAND THT AN ADMISSION GRANTED ON THE BASIS OF THIS APPLICATION OR SUPPORTING DOCUMENTS WILL BE REVOKED IF THE INFORMATION GIVEN IS UNTRUE IN ANY MATERIAL RESPECT. I ACCEPT THAT INFORMATION ON FALSIFIED DOCUMENTS IS SHARED BETWEEN THE ASSOCIATION OF UNIVERSITIES AND COLLEGES OF CANADA AND OTHER UNIVERSITIES. APPLICANT S SIGNATURE The Application Service Fee Must Accompany this Application Form Applications will not be Processed without Application Service Fee Payment DATE

AP 2016 Telephone: +1-519-824-4120 Ext 56463 University of Guelph Fax: +1-519-767-1114 Open Learning and Educational Support E-mail: esl@uoguelph.ca 160 Johnston Hall Website: Guelph, ON, CANADA N1G 2W1 University Website: www.uoguelph.ca English Language Certificate Program Application Form Please fill in this application form as completely as possible. Incomplete forms will delay the processing of your application. We recommend you apply well in advance of your start date. This will allow you enough time to make visa and travel arrangements. Student Information Alternate Contact Agent Family Friend Family Name Contact Name First Name Agency Name Permanent Mailing Address Address City Province /State Country Postal Code City Province /State Country Postal Code Telephone: Fax: Cell: Birth (day/month/year) Male Female Email Home Telephone Number Cell Number Relationship to student Mail package to: Alternate Contact Student Applicant s personal email for advance placement testing (required) I allow my alternate contact to communicate with you about my application: Yes No Nationality Native Language Signature Status in Canada Applying for a student visa Have a student visa Expiry : Tourist/working holiday Visa Expiry : Canadian citizen or Landed immigrant Other (Please specify): How did you hear about this program? Education Agent Canadian Embassy/Consulate Friend or Family Former Guelph Student Name: Website Name: Education Fair (please specify): Other (please specify): ELP Guelph Accommodation Do you require accommodation services? No, I will find my own accommodation Yes, I would like information about the University of Guelph campus residence. Yes, I would like to live in homestay with a Canadian family. Please send me information about family housing (for students travelling with family members) Please send me information about all accommodation options. If you have any questions, please email ELP Homestay Service at homestay@uoguelph.ca

Academics - Current Status Family Members Secondary School: Have you graduated from high school? Yes No Name & location of school: of completion: University: Have you graduated from university? Yes No : Degree Name of institution: Major area of study: Have you attended any other university or college? Yes No Name of institution: Major area of study: English Classes: Do you currently attend English Classes? Yes No Name of institution: s of study: Academic Goals Program requirements are subject to change without notice. It is the responsibility of the student to ensure they meet the admission requirements for admission to degree programs. Undergraduate Studies at University of Guelph I will apply for admission to the University of Guelph: Undergraduate ELCP + Open Learning program Bachelor of Arts Bachelor of Commerce I will apply/have already applied for admission to the University of Guelph through the Ontario Universities Application Centre Program/Major: U of G ID number: U of G email: Graduate Studies at University of Guelph I have already applied for admission to graduate studies at the University of Guelph. Program/Major: U of G ID number: U of G email: I will apply for admission to graduate studies and will request admission conditional upon completion of the Advanced level of the English Language Certificate Program. Program/Major: Undergraduate Studies at Wilfrid Laurier University I will apply for undergraduate admission to Wilfrid Laurier University Program/Major: Wilfrid Laurier University ID number: Other Academic Goals I will apply for admission to another university. I will return to study at a university in my home country. I do not plan to study at university. I will enter Canada alone. I will be traveling with my spouse. I will be traveling with my spouse and children. I will be travelling with a parent. I will be traveling with my brother or sister. Program Selection and Fees English Language Certificate Program Start s (please select one) Winter A 2016 Jan. 4 to Feb. 26, 2016 Winter B 2016 Mar 1 to Apr. 21, 2016 Summer A 2016 May 2 to June 24, 2016 Summer B 2016 June 27 to Aug. 18, 2016 Fall A 2016 Aug. 29 to Oct. 21, 2016 Fall B 2016 Oct. 24 to Dec. 15, 2016 Intended Length of Study 7 weeks only 14 weeks or longer Program Fees Fees are listed in Canadian dollars. The application fee is non-refundable. 14 Weeks 7 Weeks Application Fee $150 $150 Tuition $4280 $2200 Student Service Fee $650 $500 Medical Insurance $200 $100 Total fees $5280 $2950 Government Sponsorship I currently have sponsorship from my government I have applied for sponsorship from my government I do not have sponsorship from my government Application Checklist By signing below I agree that I have read and understood the following statements: The ELCP is an intensive academic program for university preparation. The ELCP has an English only policy in classrooms, labs and activities The ELCP has a strict attendance policy. Students who do not attend class will be required to withdraw without refund. The $150 application fee is non-refundable. It is my responsibility to read the Student Information posted online at I have read and understood the current published refund policies on the website Applicant Signature ELP Guelph

2016 Telephone: +1-519-824-4120 Ext 56463 University of Guelph Fax: +1-519-767-1114 Open Learning and Educational Support E-mail: esl@uoguelph.ca 160 Johnston Hall Website: Guelph, ON, CANADA N1G 2W1 University Website: www.uoguelph.ca University of Guelph Fax: +1-519-767-0758 English Language Proficiency / ALTE Self-Assessment If applicable, please indicate your current score on one of the following English proficiency tests: TOEFL PBT TOEIC TOEFL ibt IELTS Using the table at the bottom of the page, please rate yourself in the following areas: Listening / Speaking Reading Writing Level 0 Level 1 Level 2 Level 3 Level 4 Level 5 I confirm that this ALTE rating is based on my own personal assessment of my ability, and not that of my agent. I understand that I may be required to complete pre-arrival language testing without assistance of any kind. I understand that I will take an English language placement test when I arrive on campus at the University of Guelph. I understand that if my language level is lower than that required to participate in the program, the University of Guelph also reserves the right to refuse my registration without refund of tuition paid. Signature of Applicant Association of Language Testers in Europe: Skill Level Summaries (Can-Do statements) Listening/Speaking Reading Writing 0 1 2 CAN understand basic instructions or take part in a basic factual conversation on a predictable topic. CAN express simple opinions or requirements in a familiar context. CAN express opinions on abstract/cultural matters in a limited way or offer advice within a known area, and understand instructions or public announcements. CAN understand basic notices, instructions or information. CAN understand straightforward information within a known area, such as on products and signs and simple textbooks or reports on familiar matters. CAN understand routine information and articles, and the general meaning of non-routine information within a familiar area. CAN complete basic forms, and write notes including times, dates and places. CAN complete forms and write short simple letters or postcards related to personal information. CAN write letters or make notes on familiar or predictable matters. 3 CAN follow or give a talk on a familiar topic or keep up a conversation on a fairly wide range of topics. CAN scan texts for relevant information, and understand detailed instructions or advice. CAN make notes while someone is talking or write a letter including non-standard requests. 4 5 CAN contribute effectively to meetings and seminars within own area of work or keep up a casual conversation with a good degree of fluency, coping with abstract expressions. CAN advise on or talk about complex or sensitive issues, understanding colloquial references and dealing confidently with hostile questions. CAN read quickly enough to cope with an academic course, to read the media for information or to understand nonstandard correspondence. CAN understand documents, correspondence and reports, including the finer points of complex texts. CAN prepare/draft professional correspondence, take reasonably accurate notes in meetings or write an essay which shows an ability to communicate. CAN write letters on any subject and full notes of meetings or seminars with good expression and accuracy.