Seneca Student ID: Date of Birth:
Last Name: First Name:
Street Address: Apt./Unit#:
City: Province: Postal Code:
Home Phone: Other Phone:
Seneca Email: Other Email:
Initial Below I confirm my understanding of the following:
I will be notified of acceptance into the program by email.
I must receive the confirmation letter of acceptance (by email) BEFORE registering for professional
Autism and Behavioural specific subjects at Seneca.
If transferring professional Autism and Behavioural Science subjects from another institution, I may
only apply for transfer credit for academic subjects and the CPI Training AFTER receiving my formal
letter of acceptance by email.
Faculty of Continuing Education
04-14-16
Seneca
Admission Request Form - ABS
Requirement Name of attached supporting document or transcript
Diploma in a related field i.e. ECE, SSW, CYW
Degree in a related field i.e. psychology, education, child
studies
Diploma or degree not in a related field must have
psychology, education or child development courses
completed in program
International degrees or diplomas must be evaluated
by one of the following: WES, Comparative Education
University of Toronto or ICAS
Faculty of Continuing Education OFFICE USE ONLY:
Date stamp and forward to:
Attention: Part-time Autism and Behavioral Science Program – Admissions
Signed:
mm/dd/yy
Listed below are entry requirements to process this application. PROOF of attained credits must be attached.
yy/mm/dd
Date:
FREEDOM OF INFORMATION AND PROTECTION OF
PRIVACY ACT
Personal information on this form is collected in accordance with sections
21, 39 and 49 of the Freedom of Information and Protection of Privacy
Act and under the legal authority of the Ministry of Training, Colleges and
Universities Act, R.S.O. 1990, and the Ontario Colleges of Applied Arts and
Technology Act, 2002, Regulation 34/03, and may be used and/or disclosed
for administrative, statistical and/or research purposes of the College
and/or the ministries or agencies of the Government of Ontario and the
Government of Canada. If you have any questionsZZcollection and use of
personal information, please contact the Privacy Office at
(416) 491-5050 extension 77846 or email privacyoffice@senecacollege.ca.
Autism and Behavioural Science Program
Ontario Graduate Certificate
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