OFFICE OF THE UNIVERSITY REGISTRAR
Mailing Address: P.O. Box 1796 • Edmonton, Alberta, Canada T5J 2P2
Phone: 780-497-5000 • Toll Free: 1-888-497-4622
Website: www.MacEwan.ca • E-mail: info@macewan.ca
FREEDOM OF INFORMATION & PROTECTION OF PRIVACY
Protection of Privacy - The personal information requested on this form is collected and protected under the authority of Part 2 of the Alberta Freedom of Information and Protection of
Privacy Act and the Post-Secondary Learning Act. It will be used for the enrollment process and student management consistent with that purpose. This information will be entered into and
retained in the ofcial university student information system database. Direct questions expressly related to the collection and use of this information to the Associate Registrar, Records,
Ofce of the University Registrar, MacEwan University, 10700-104 Avenue, Edmonton, AB, T5J 4S2, telephone 780-633-3110.
APPLICATION TO AUDIT FORM
NOTE: PLEASE READ UNIVERSITY REGULATIONS CONCERNING COURSE AUDITORS ON SECOND PAGE
PART 1 -
PART 3 -
PART 2 -
STUDENT ID NO.: FAMILY (LAST) NAME: FIRST NAME: MIDDLE NAME:
PROGRAM: TERM: FALL WINTER SPRING SUMMER
YEAR: ________ ________ ________ ________
AUDIT STATUS ENTERED ON THE SYSTEM BY: (EMPLOYEE’S NAME) _____________________________________________________________________________ DATE: ____________________________________
INITIALS: ________________________ RECEIPT # ____________________________________ DATE:________________________________________
THIS IS TO CERTIFY THAT _______________________________________________________________________ FROM ___________________________________________ IS AUTHORIZED TO ATTEND
STUDENTS FULL NAME PROGRAM
COURSE # ________________________________ SECTION # ____________________________________ COURSE NAME: ____________________________________________________________________________
AS AN AUDITOR DURING THE ____________________________________________________________________TERM AT MACEWAN UNIVERSITY
LOCATION _________________ / _________________ / __________________ DATE: ______________________________________________________________________________________
DAY TIME ROOM
SIGNATURE: _______________________________________________________________________________
PROGRAM CHAIR / DESIGNATE / INSTRUCTOR
TO BE COMPLETED BY PROGRAM CHAIR/ INSTRUCTOR
TO BE COMPLETED BY THE STUDENT
Course Audit Fee is assessed at 50% of the course tuition
I WISH TO AUDIT THE FOLLOWING COURSE # _________________________________________________ SECTION # ____________________________________ COURSE NAME: __________________________
I HAVE READ THE UNIVERSITY REGULATIONS CONCERNING COURSE AUDITORS ______________________________________________________________
STUDENT’S SIGNATURE
TO BE COMPLETED BY THE OFFICE OF THE UNIVERSITY REGISTRAR