How to Apply Application for Admission Education Assistant Certificate

Application for Admission
Education Assistant Certificate
4825 Mount Royal Gate SW, Calgary AB T3E 6K6
T: 403.440.6867
W: conted.mtroyal.ca/edassistant
How to Apply
1. Submit the following documentation with completed application:
Official High School Transcript and/or Post-Secondary Transcript
A high school diploma or equivalent is a prerequisite for the program. All applicants are required to submit an
official high school transcript.
Students 21 years of age or older who do not have a high school diploma are considered on an individual basis
pending space availability.
Successful completion of English 30-1 or English 30-2 with 50% is necessary for admittance to the program.
An official transcript must come directly to MRU from the issuing institution or remain in the original sealed
envelope if submitted by the applicant
2. Include a non-refundable $100 application fee.
Provide credit card number or make cheque payable to Mount Royal University. Do not send cash through the mail.
3. Submit the application package in one of the following ways:
In Person:
Mount Royal University, Lincoln Park Campus
Continuing Education and Extension Registration Services
4825 Mount Royal Gate SW; Kerby Hall (East Gate)
Room A101, Wickets 9 & 10
Call 403.440.3833 or toll free 1.877.287.8001 for current hours
Mail:
Mount Royal University
Continuing Education and Extension Registration Services
4825 Mount Royal Gate SW, Calgary, AB, T3E 6K6
Fax:
Continuing Education and Extension Registration Services
403. 440.6743
When to Apply
Early Admission
Fall Semester
December 1 - April 30
Enrolment is limited. It is to your advantage to apply during the early admission period. Applicants who apply for early
admission will be considered within 4-6 weeks of their date of application. Applications may be accepted after the early
admission period, pending space availability. Visit the website for updates.
Contact Information
Website:
Telephone:
Toll-free:
E-mail:
conted.mtroyal.ca/edassistant
403.440.6867
1.866.616.3606
cehealth@mtroyal.ca
Statement of Career Investigation
4825 Mount Royal Gate SW, Calgary AB T3E 6K6
T: 403.440.6867
W: conted.mtroyal.ca/edassistant
Education Assistant Certificate
Please discuss the following topics in the space available.
NAME:
DATE:
Why are you interested in becoming an education assistant?
Why do you feel that being an education assistant would be a good career fit for you?
What research have you done in order to adequately prepare yourself for this career?
What experience have you had in education?
Additional Comments (please attach an additional page if required):
4/3-/14
Application Form
Education Assistant Certificate
4825 Mount Royal Gate SW, Calgary AB T3E 6K6
T: 403.440.6867
W: conted.mtroyal.ca/edassistant
PLEASE PRINT CLEARLY AND ANSWER ALL QUESTIONS COMPLETELY
Have you previously applied to or have you ever attended Mount Royal University?
 Yes
 No
If Yes, your Student ID number:
Personal Information
Last Name (family name)
First Name (legal)
Middle Name (legal)
Previous Name (if applicable)
Gender
 Male
Birth date
dd
mm
yy
 Female
Mailing Address (Street/PO Box #)
City/Town
Province/Country
Postal Code
Telephone - Home
Telephone - Business
Fax (if available)
(
(
(
)
Citizenship Status
 Canadian Citizen
 Landed Immigrant
 Student Visa
 Work Permit
 Other
)
Expiry date of your
Visa
(if already issued)
dd
mm
yy
)
Country of Citizenship
_________________________________________
First Language (mother tongue)
_________________________________________
English Language Proficiency requirement may apply
E-mail
Alberta Student Number (if available)
Emergency Contact
Name
Telephone (
-
-
)
Previous Education
Most recent High School Attended / Credential Earned
City/Province
From
mm
Post-Secondary Institution Attended / Credential Earned
City/Province
To
yy
mm
From
mm
yy
To
yy
mm
yy
Other
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Method of Payment ($100 application fee)
 Cash/Debit (in person only)
 Cheque (Mount Royal University)
 VISA
 MasterCard
Card Number
Expiry Date
Cardholder's Name
Cardholder's Signature
 Money Order
Applicant Survey
How did you hear about the program?
 Print (please specify):_____________________________________________________________________________________
 Referral (please specify):__________________________________________________________________________________
 Online (please specify):___________________________________________________________________________________
 Other (please specify):
______________________________
____
Why did you choose our program?
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
Declaration
Have you included:
 Transcript
 Statement of Career Investigation
 Application Fee
I certify that I have read all of the instructions and information accompanying this application form and that the information I have provided on the
application form is true.
Signature of Applicant _________________________________________________ Date ____________________________________________________
Freedom of Information and Protection of Privacy The information that you provide to Mount Royal University when you register for Continuing Education courses is
collected under the authority of the Post-Secondary Learning Act and Freedom of Information and Protection of Privacy Act in the Province of Alberta, Section 33(c). This
information will be used for academic administration, the administration of Mount Royal support services, scholarship and financial aid awards, marketing and recruitment
activities. Your personal information is protected and can be reviewed upon request. The complete statement and further contact information is available at
conted.mtroyal.ca/cefoip.
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