Fillable GENERAL REQUEST FOR INDIVIDUAL STUDIES COURSE REGISTRATION This (Royal Roads University)

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GENERAL REQUEST FOR INDIVIDUAL STUDIES COURSE REGISTRATION This (Royal Roads University)

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Country of origin: CANADA
File type: PDF

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life.changing
Admissions & Enrolment Services | Royal Roads University
2005 Sooke Road Victoria, BC, Canada V9B 5Y2
TF 1.877.778.6227 T 250.391.2528 F 250.391.2548 royalroads.ca | admissions@royalroads.ca
GENERAL
STUDIES
REQUEST FOR INDIVIDUAL
COURSE REGISTRATION
PERSONAL INFORMATION
RRU Student ID (if applicable)
Personal Education Number (PEN) (if known)
Legal/First Name
Middle Name(s)
Family/Surname
Former Family/Surname (if applicable)
Preferred First Name (optional)
Gender
Male
Female Other
Date of Birth (mm/dd/yyyy)
Primary Language English
Other
(if not English, students will be required to submit evidence of English competence)
Country of Birth
Country of Citizenship
Immigration Status Permanent Resident
(if not Canadian Citizen)
Student Visa
Other (specify)
Entry Date to Canada
This form may be used to request permission to enroll in individual courses.
A separate form must be used for each course request. It is strongly
recommended that requests be submitted a minimum of 90 days prior
to the course start date.
Once all required sections are complete, this form should be submitted to
Admissions to initiate the approval process. Failure to complete all required
sections may result in processing delays.
The program area responsible for course delivery may request additional
information which may include any or all documentation or information
that might otherwise be required for admission to a program. If permission
is granted, students will receive a conrmation e-mail upon registration
and an invoice from Student Accounts.
If you have any questions about individual courses or the use
of this form, please contact an Enrolment Advisor at 1.877.778.6227
or learn.more@royalroads.ca.
CONTACT INFORMATION
Address
City Prov Country
Postal Code Home Ph
Cell Ph (optional) Work Ph (optional)
Email
OTHER INFORMATION (optional)
Do you identify yourself as an Aboriginal person, that is, First Nations, Metis or Inuit?:
Yes
No
If you identify yourself as an Aboriginal person, are you:
Metis
Inuit First Nations
If you have a permanent disability, please review Royal Roads University’s
Accessibility Services https://student.myrru.royalroads.ca/student-services/
accessibility-services
COURSE INFORMATION
Course Code
Course Name
Start Date
life.changing
Admissions & Enrolment Services | Royal Roads University
2005 Sooke Road Victoria, BC, Canada V9B 5Y2
TF 1.877.778.6227 T 250.391.2528 F 250.391.2548 royalroads.ca | admissions@royalroads.ca
GENERAL
STUDIES
REQUEST FOR INDIVIDUAL
COURSE REGISTRATION
PAGE 2
REGISTRATION DECLARATION
I hereby declare that the information I have submitted in this
registration form is true and correct to the best of my knowledge.
I understand that completion of this signed registration form permits
Royal Roads University to request and/or conrm any information
necessary to support my registration. The submission of false
statements and documents will result in the immediate and permanent
cancellation of registration to Royal Roads University and that
information on falsications will be shared with the Association of
Registrars of Universities and Colleges of Canada.
I understand that successful completion in courses as a General Studies
student does not guarantee acceptance into certicate, diploma, or
degree programs at the University.
I understand Royal Roads University collects, uses and discloses
personal information for the purposes of admission, registration and
other activities related to management of a British Columbia public post-
secondary institution pursuant to the University Act (RSBC 1996), the
Royal Roads University Act (RSBC 1996) and the Freedom of Information
and Protection of Privacy Act (RSBC 1996). I have read and understand
details of the use of this information (www.royalroads.ca/about/
personal-information-applicants-and-students).
SIGNATURE DATE
TUITION AND FEES
Course fees will be determined upon approval and invoiced 30 days prior
to the course start date. At the time of registration, students will be
i
nvoiced a non-refundable registration fee along with course fees.
Students will not be permitted to participate in any course(s) until all
fees have been received and processed.
Refund Policy: For information on the refund policy please see
https://student.myrru.royalroads.ca/policies/refund-policy
INTERNAL USE ONLY
Request Approved Request Denied
Name
Position
Signature
EDUCATION HISTORY
All for-credit post-secondary courses and/or programs previously attended or completed must be declared.
Institution Name
(include country if not Canada) Program Name completed (yes/no)
EMPLOYMENT HISTORY
Provide an overview of your most recent employment history.
employer position duration
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GENERAL REQUEST FOR INDIVIDUAL STUDIES COURSE REGISTRATION This (Royal Roads University)

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Completed 5 February 2021

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