SCHOOL OF CONTINUING
EDUCATION
SCHOOL OF CONTINUING EDUCATION
Mailing Address: P.O. Box 1796 • Edmonton, Alberta, Canada T5J 2P2
Phone: 780-497-4400 • Toll Free: 1-855-797-4400
Website: MacEwan.ca/SCE • E-mail: SCE@macewan.ca
CONTINUING EDUCATION
ENROLMENT FORM
PERSONAL INFORMATION
PAYMENT INFORMATION
ENROL IN THE FOLLOWING COURSES...
PLEASE FILL IN ALL INFORMATION IN FULL (PLEASE PRINT)
HAVE YOUR PREVIOUSLY ATTENDED OR APPLIED AT MACEWAN UNIVERSITY? YES NO
STUDENT ID NO.: PROGRAM:
FAMILY (LAST) NAME: FORMER NAME(S) (IF APPLICABLE)
FIRST NAME (LEGAL): MIDDLE NAME (LEGAL):
STREET ADDRESS: CITY/TOWN:
PROVINCE: POSTAL CODE: COUNTRY
BIRTH DATE:
MM __________ DD __________ YY___________
EMAIL ADDRESS:
HOME PH.: CELL: WORK PH.: EXT.
COUNTRY OF CITIZENSHIP
_______________________________
RESIDENCY STATUS
CANADIAN CITIZEN
PERMANENT RESIDENT/
LANDED IMMIGRANT
STUDY PERMIT
OTHER VISA
INDIGENOUS APPLICANTS
IF YOU WISH TO DECLARE YOUR
INDIGENOUS ANCESTRY FOR THE PURPOSE
OF DEVELOPING SUPPORT SERVICES,
PROGRAMS, AND STATISTICAL PURPOSES,
PLEASE INDICATE:
FIRST NATIONS – STATUS
FIRST NATIONS – NON STATUS
MÉTIS INUIT
NOTE
A NON-REFUNDABLE $10.00
STUDENT ID CARD FEE WILL
BE ASSESSED FOR ALL NEW
STUDENTS ENROLLING IN THEIR
FIRST CREDIT COURSE.
CHEQUES OR MONEY ORDERS
SHOULD BE MADE PAYABLE TO
MACEWAN UNIVERSITY. FEES
MUST BE PAID AT THE TIME
OF ENROLMENT. SPONSORED
STUDENTS MUST SHOW PROOF
OF SPONSORSHIP WHEN THEY
ENROL.
FALL (SEPT-DEC) WINTER (JAN-APR) SPRING/SUMMER (MAY-AUG)
COURSE # SECTION # COURSE TITLE START DATE END DATE START TIME
EXAMPLE
OP01 THE BASICS OF EDITING OCT 22 OCT 29 9 a.m.WRIT 0141
BY THE ACT OF APPLYING TO A PROGRAM AND/ OR ENROLMENT INTO COURSES, EACH STUDENT AGREES TO BE BOUND BY THE POLICIES AND PROCEDURES OF THE UNIVERSITY.
STUDENT SIGNATURE: DATE:
PERSONAL INFORMATION COLLECTION NOTICE
The personal information requested on this form is collected under Section.33(c) of the Freedom of Information and Protection of Privacy Act for the purpose of one or all of the
following: to determine eligibility for admission and nancial assistance, to advise students about academic programs and to provide university services at MacEwan University.
Questions concer
ning this collection should be directed to the Lead, Privacy and Information Management at privacy@macewan.ca
MacEwan values the security of your personal information. In accordance with the Payment Card Industry standards, MacEwan is no longer processing credit card data received over
the phone or by email. The receipt of credit card information via email is strictly prohibited by the University. Data contained in the email is unencrypted and susceptible to theft by
fraudulent individuals. If emails are sent for the payment of registration fees, your payment will not be processed
.
You must contact the appropriate person to arrange for payment using an alternative method.
Payment should be made as soon as possible after enrollment and is required before the start of the scheduled course or
students may be subject to repayment. Payment cannot be made over the phone or through email.
1. Students can pay online by signing into the MacEwan University Student System at http://myportal.macewan.ca/ Please
note: new students will not have access until 24 hours after registration.
2. You can also pay for the course(s) by cheque, debit or credit card in person at Allard Hall, 5th floor at the Student Support
Centre 11-521.
