Fillable UGuelphELCP 2019 Conditional-Admission-Application ELCP Conditional Admission Application

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UGuelphELCP 2019 Conditional-Admission-Application ELCP Conditional Admission Application

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Country of origin: CANADA
File type: PDF

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www.eslguelph.ca
AP
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
English Language Programs Telephone: +1-519-824-4120 Ext 52149
University of Guelph Fax: +1-519-767-1114
Open Learning and Educational Support E-mail: esl@uoguelph.ca
160 Johnston Hall Website: www.eslguelph.ca
Guelph, ON, CANADA N1G 2W1 University Website: www.uoguelph.ca
ELCP + CONDITIONAL APPLICATION TO UNDERGRADUATE STUDIES
English Language Programs
04/04/2019
www.eslguelph.ca
PLEASE PRINT CLEARLY
Student Male Female
________________________________________________________________________________
First Name Last Name
Address City
_______________________________________________________________________________
Country Postal Code
Telephone Email
________________________________________________________________________________
Date of Birth (Month/Day/Year) University of Guelph Student ID Number (if available)
Person to whom release of information is authorized:
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 Date
___________________________
City, Country
INTERNATIONAL STUDENT ADMISSIONS
STUDENT INFORMATION RELEASE FORM
My Agent Male Female
Agent First Name Last Name
Company Name
Address
City Country Postal Code
Telephone
Email Address
Other Male Female
First Name Last Name
Address
City Country Postal Code
Telephone
Email Address
Relationship to student
English Language Programs
04/04/2019
www.eslguelph.ca
Name: ______________________________________
Date 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.)
DECLARATION OF ACTIVITY DURING GAPS IN EDUCATION
English Language Programs
04/04/2019
www.eslguelph.ca
English Language Certificate Program
2016 Start Dates (please select one)
Applying for a student visa
Have a student visa Expiry Date: ________________________
Tourist/working holiday Visa Expiry Date: ________________________
Canadian citizen or Landed immigrant
Other (Please specify): ______________________________________
I will enter Canada alone.
I will be traveling with family members Please Specify:_____________________
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.
Please send me information about accommodation options.
For information about accommodation please email Homestay at homestay@uoguelph.ca.
Class Dates
Application Deadline
Jan 7 – Feb 22 Nov 30, 2018
March 4 – Apr 18 Feb 8, 2019
May 6 – Jun 21 Apr 12, 2019
July 2 – Aug 15 June 7, 2019
Sept 5 – Oct 18 Aug 9, 2019
Oct 28 – Dec 12 Oct 4, 2019
Status in Canada
Accommodation
Family Members
Program Selection
ENGLISH LANGUAGE CERTIFICATE PROGRAM
APPLICATION FORM
English Language Programs
04/04/2019
www.eslguelph.ca
Please answer Question 1 OR Question 2
Question 1
If applicable, please indicate your current score on one of the following English proficiency
tests:
TOEFL iBT ___________ IELTS _______________ Other (Please Specify)______________________
Question 2
Association of Language Testers in Europe: Skill Level Summaries (Can-Do statements)
Please rate yourself on the following table below.
Select one “Can Do Statement” per column that describes your ability
ALTE
Level
Listening/Speaking
(select one)
Reading
(select one)
Writing
(select one)
ALTE Level
0
CAN understand basic
instructions or take part in
a basic factual
conversation on a
predictable topic.
CAN understand basic notices,
instructions or information.
CAN complete basic forms, and
write notes including times,
dates and places.
ALTE Level
1
CAN express simple
opinions or requirements
in a familiar context.
CAN understand
straightforward information
within a known area, such as
on products and signs and
simple textbooks or reports on
familiar matters.
CAN complete forms and write
short simple letters or postcards
related to personal information.
ALTE Level
2
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 routine
information and articles, and
the general meaning of
non-routine information within
a familiar area.
CAN write letters or make notes
on familiar or predictable
matters.
ALTE Level
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.
ALTE Level
4
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 read quickly enough to
cope with an academic course,
to read the media for
information or to understand
non- standard
correspondence.
CAN prepare/draft professional
correspondence, take
reasonably accurate notes in
meetings or write an essay
which shows an ability to
communicate.
ALTE Level
5
CAN advise on or talk
about complex or
sensitive issues,
understanding colloquial
references and dealing
confidently with hostile
questions.
CAN understand documents,
correspondence and reports,
including the finer points of
complex texts.
CAN write letters on any
subject and full notes of
meetings or seminars with good
expression and accuracy.
English Language Proficiency
English Language Programs
04
/04/2019
Application for International Students
Undergraduate Admission
MR. MRS. MISS MS.
OTHER
STUDENT VISA/STUDY PERMIT
CANADIAN CITIZEN AND PERMANENT RESIDENT
OTHER (SPECIFY)
SINGLE MARRIED,
DIVORCED, SEPARATED
WIDOWED
MALE FEMALE
SPECIFY
LEGAL LAST NAME/FAMILY NAME/SURNAME ALL LEGAL GIVEN OR FIRST NAMES
GENDER DATE OF BIRTH
MARITAL STATUS
FAX NUMBER (COUNTRY, CITY CODES & FAX #)
YR MTH DAY
MAILING
ADDRESS
APT. NUMBER
CITY
NUMBER & STREET TELEPHONE NUMBER
(COUNTRY, CITY CODES & TEL. #)
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. #)
BUSINESS NUMBER
(COUNTRY, CITY CODES & TEL. #)
ENGLISH
OTHER
(SPECIFY)
FIRST LANGUAGE
PROVINCE OR STATE COUNTRY POSTAL OR MAILING CODE
E-mail
STATUS IN CANADA COUNTRY OF CITIZENSHIP
DEGREE PROGRAM
FROM: YR MO SCHOOL NAME
TO: YR MO SCHOOL ADDRESS
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
FROM: YR MO SCHOOL NAME
TO: YR MO SCHOOL ADDRESS
1
DEGREE PROGRAM
MAJOR
MAJOR
2
SECONDARY SCHOOLS ATTENDED TO DATE (OR EQUIVALENT INSTITUTION)
ALL POST-SECONDARY INSTITUTIONS ATTENDED OR BEING ATTENDED
GRADE/YEAR LEVEL
DIPLOMA AWARDED
(PRINT IN FULL)
YEAR
LEVEL
DIPLOMA/
DEGREE
PROGRAM
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 DATE
Program Selections
The Application Service Fee Must Accompany this Application Form
Applications will not be Processed without Application Service Fee Payment
Winter
Spring
Fall
www.eslguelph.ca
Education Agent
Canadian Embassy/Consulate
Friend or Family
Former Guelph Student Name: ___________________________________________________
Website Name: ________________________________________________________________
Education Fair (please specify): ___________________________________________________
Other (please specify): __________________________________________________________
I currently have sponsorship from my government
I have applied for sponsorship from my government
I do not have sponsorship from my government
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 www.eslguelph.ca
I have read and understood the current published refund policies at www.eslguelph.ca
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 Date
How did you hear about this program?
Applicant Signature
Government Sponsorship
English Language Programs
04/0
4/2019
www.eslguelph.ca
Fee Summary:
Undergraduate Application Fee
English Language Program Application Fee
$80 Secondary School/High School
$160 Transfer/Advanced standing
$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)
Card Type
Visa Master Card (The University does not accept American Express)
Card Number
Card Expiry Date (mm/yy)
3-digit Security Code
Card Holder Name
Card Holder Signature
Date
PAYMENT FORM
Credit Card Payment
English Language Programs
04/04/2019
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UGuelphELCP 2019 Conditional-Admission-Application ELCP Conditional Admission Application

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Completed 19 November 2019

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