REGISTRAR AND ENROLLMENT SERVICES
SFU
STUDENT SERVICES
TERM YOU WISH TO ENTER SIMON FRASER UNIVERSITY
Fall (September to December)
Spring (January to April)
APPLICATION DEADLINES
Summer (May to August)
Note: Your application is only valid for the one term for which you are applying. You must reapply if
you do not attend the term for which you first applied
Have you previously attended SFU?
NO
YES: If you have attended SFU, what is
your 9 digit SFU ID number? ________________________________________________________
NO
Have you previously applied to SFU?
YES: If you have applied to SFU,
for which term and year did you apply? ________________________________________________
YOUR INFORMATION
Title
Mr
Ms
Dr
Other: __________________________
Legal last or family name ____________________________________________________________
Legal first or given name ___________________________________________________________
Preferred first or given nam _________________________________________________________
Other given or middle names ________________________________________________________
Former last name (if applicable)_______________________________________________________
Gender
Male
Female
Date of Birth (month/day/year) REQUIRED___________________________________________
What is your primary language?
English
APPLICATION FOR ADMISSION
AND READMISSION TO
FIRST NATIONS STUDIES NEP
ADMISSION, PAGE 1 of 5
Other (specify) _________________________
Social Insurance Number (Canada only)________________________________________
New students and returning students
normally must apply by our application
deadlines:
• April 30 for admission to the Fall term
• September 30 for admission to the
Spring term
• January 31 for admission to the Summer
term
LATE APPLICATIONS
Applications for admission or readmission
received after an application deadline may
be evaluated selectively, at the discretion of
the Associate Director of Admissions. Such
late applications must be completed on this
form, as online application to each term
is not available after that term's deadline
has passed. You will need to include the
following documentation with this late
application for admission or readmission:
• a letter explaining why you are applying
after the deadline for your term
• official transcripts of your academic
record for all institutions you have
attended
• VISA or MasterCard information
indicated on this form, for the
application fee (or an enclosed cheque
or money order made payable to Simon
Fraser University).
CITIZENSHIP
Are you a Canadian citizen?
YES
Mail this application form, your fee
payment, and all official documents to:
NO: my country of citizenship is___________________________________________________
Do you have Permanent Resident status in Canada?
YES: please provide your date of landing (you must submit documentary proof):
____________________________________________
ADDRESS AND EMAIL
Unit number __________ Street address _____________________________________________
_________________________________ City _________________________________________
Province/State_____________ Postal/Zip code________________ Country _______________
Undergraduate Admissions
Department of First Nations Studies
Attention: FNEP Admissions
8888 University Drive, Saywell Hall 9091
Burnaby BC
Canada V5A 1S6
Your Personal Education # (BC, Canada
only) ____________________________
Your OUAC # (Ontario, Canada only)
_________________________________
Email __________________________________________________________________________
(Please provide your email so we can send you important and timely admissions-related information.)
Contact Info: Department of First Nations Studies • FNEP Community Academic Admission
Saywell Hall 9091, 8888 University Drive, Burnaby BC V5A 1S6
TEL 778.782.4774
FNEP Cohort Students Inquiry Line (Toll Free BC 1 800 399 5565)
FAX 778.782.4989
www.sfu.ca/fns/community
first_nations@sfu.ca
Summer 2013
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and readmission to first
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reg istrar and e nrol l m e nt se rvi c e s
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telephone numbers (canada and U.S. only)
OFFICIAL TRANSCRIPTS
Daytime: area code_ __________ number_________________________ extension_______________
You must arrange to have sent to SFU
official transcripts of academic records from
all schools and colleges you have attended:
official or attested transcript(s) bearing the
original institutional seal and/or signature,
in the original language, confirming all
academic studies, must be sent directly
to SFU from the granting institution.
NOTE that replaceable documents will
not be returned to you; other irreplaceable
documents will be returned by mail or to
you personally, upon request.
Evening: area code____________ number_________________________ extension_______________
telephone numbers (international only)
Please provide all applicable country and area codes:
Daytime:_ ________________________________ Evening:_ ________________________________
EMERGENCY CONTACT
In case of emergency, person we should contact:
Name_____________________________________ Email_ _________________________________
Daytime: area code_ __________ number_________________________ extension_______________
Evening: area code____________ number_________________________ extension_______________
International: Please provide all applicable country and area codes:
Daytime:_ ________________________________ Evening:_ ________________________________
ACADEMIC HISTORY
Attendance at ALL previous educational institutions MUST be reported below.
All HIGH SCHOOLS you attended for the last TWO years of your secondary schooling (official transcripts required):
School name
location
date attended
FROM month/year
date attended
TO month/year
grade completed
or in progress
__________________________________ ________________________ ___________________ ___________________ ________________
__________________________________ ________________________ ___________________ ___________________ ________________
__________________________________ ________________________ ___________________ ___________________ ________________
All POSTSECONDARY institutions you have attended (official transcripts required):
Institution name
location
date attended
date attended
FROM month/year TO month/year
student
number
credential awarded
date
or credits completed awarded
_______________________ _________________ _______________ _______________ __________________ ______________ ___________ _______________________ _________________ _______________ _______________ __________________ ______________ ___________ _______________________ _________________ _______________ _______________ __________________ ______________ ___________ _______________________ _________________ _______________ _______________ __________________ ______________ ___________ Has your education been interrupted for longer than six months?_If YES, include a brief outline below of your activities during that period:
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
Have you been required to withdraw, been academically suspended, or failed a year at another
university?
NO YES: If YES, the name of that institution____________________________
____________________ and date of withdrawal, suspension or failure:_ ______________________
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Admission category
Translations of transcripts
Indicate the category of admission under which you are applying:
Photocopies (including notarized
photocopies) of documents or English
translations will NOT be accepted.
If your documents are not in English
or French, SFU requires an official
translation produced by the granting
institution. English translations will
also be accepted if certified by an
educational official of your country,
or an official of a Canadian Education
Centre, or a Canadian consular or
embassy official, or by an accredited
translator in Canada (see the website
www.atio.on.ca for information). For
international students residing in BC,
translations must be completed by a
member of the Society of Translators
and Interpreters of British Columbia
(www.stibc.org) or by MOSAIC
Translation Services (www.mosaictrans.com). Translations made by
yourself, by relatives or by friends will
not be accepted.
high school student: Canadian secondary school attendee, International Baccalaureate, or
international high school; have completed no more than 23 transferable postsecondary credits.
transfer student: transferring from college or technical school, and/or university, within Canada and/
or other countries.
mature student: a BC resident and a Citizen or Permanent Resident of Canada, at least 23 years of
age, and with no postsecondary education.Your application must be under SFU’s Diverse Qualifications
Admission Policy—see page 4.
university graduate: already holds or shortly will hold a bachelor’s or higher degree from a
recognized university or other recognized degree-granting institution.You may choose a special program
for university graduates (Post Baccalaureate Diploma) or you may choose to attend as a non-degree
student who is not seeking an SFU certificate, degree, or diploma. SFU bachelor’s degrees are available
to university graduates as further undergraduate degrees with reduced course requirements.
visiting student: wish to attend SFU as a visitor, taking credit earned at SFU back to a “home”
institution. As a non-degree student you are not formally admitted to an SFU program, and will
have low class enrollment priority: as well, space in upper level classes in often limited. Admission is
competitive and all normal admission requirements apply. An exception is made for those visitors who
attend on a formal exchange program with SFU.
INTENDED PROGRAM OF STUDY
SFU offers more than 100 programs across eight faculties, and you can combine programs from any
faculty to create a unique degree.
See students.sfu.ca/programs for further information. Select a program of study: first choose a faculty, then indicate your intended program.
FACULTY
Applied Sciences
Intended program_ ______________________
Education
Intended program_____________________
Arts and Social Sciences
Intended program_ ______________________
Environment
Intended program_____________________
Business Administration
Intended program_ ______________________
Health Sciences Intended program_____________________
Communication, Art and
Technology
Intended program_ ______________________
Science
Intended program_____________________
I will not be seeking a university degree.
If you are not admitted to your chosen program of study, do you wish to be considered for an alternate program of study?
If YES, indicate alternate:
NO
YES
Faculty/Program___________________________________________________________________
Self-reported academic average (example 2.75 Grade Point Average, where 4.33 is excellent):_ ___________________________________________
mode of study
Distance Education
Off-campus only at:_ _________________________ SFU Now
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diverse qualifications
PROTECTION OF PRIVACY
Do you wish to apply under the Diverse Qualifications Admission Policy?
YES
NO
Each term, we receive many more applications that we can accept. Academic performance is the
main criterion for admission and is used exclusively in 90% of cases. However, we recognize that
some candidates have other attributes and achievements which should be recognized in determining
admission. Therefore, we seek to admit not only applicants who are academically very well-qualified but
also those who meet minimum admission standards and have:
• demonstrated commitment and/or excellence in other endeavours, or
• presented a clear and valid reason for attending the University, or
• succeeded in their studies in spite of difficult circumstances.
Visit students.sfu.ca/admissionrequirements to find out how to apply to SFU under Diverse
Qualifications.
CO-OPERATIVE EDUCATION PROGRAM
In future, do you intend to apply to a Co-operative Education Program at SFU?
NO
YES
CERTIFIED TEACHERS
Are you a certified teacher?
NO
YES
LITERACY & QUANTITATIVE SKILLS ADMISSION REQUIREMENTS
Literacy skills
I meet (or I plan to meet) the SFU Literacy Skills Requirement in one of the following ways:
High school: obtain a grade of 75% of higher in an eligible English 12/English Literature 12 course,
or an English 12 First Peoples course, OR obtain a grade of 60 to 74% in an eligible English 12/
English Literature 12 course, and satisfy additional literacy requirements within my first three tersm
enrolled at SFU.
Postsecondary: meet the high school requirements, OR obtain a grade of C- or better in an English
course (three credits or more) that transfers to SFU, OR obtain a grade of C- or better in a certified
W (writing intensive) course that transfers to SFU, OR graduate from a bachelor’s or higher degree
program at a recognized university with a C- or better grade in a course that transfers to SFU as an
English (ENGL) or W transfer credit.
Primary language is not English: SFU’s preference is that you obtain a minimum score of 6.5 on the
Academic Modules of the IELTS (English Language Testing System). Alternatively, you may achieve
the following on TOEFL (Test of English as a Foreign Language): TOEFL iBT (internet based test)
with an overall score of 88 or better with a minimum score of 20 in each of the four components
(listening, speaking, writing, reading), OR TOEFL CBT (computer based test) with a minimum
score of 230 including a minimum essay score of 4.5, OR TOEFL CBT with a minimum score of
250, OR successful completion of SFU’s English Bridge program.
Simon Fraser University gathers and
maintains information used for the
purposes of admission, registration and
other fundamental activities related to being
a Simon Fraser University community
member and to attending a public post
secondary institution in the Province
of British Columbia. In submitting an
application for admission, all applicants
are advised that the information they
provide and other information placed in
the student record will be protected and
used in compliance with British Columbia’s
Freedom of Information and Protection
of Privacy Act (RSBC 1996, c.165). The
information on this form is collected
under the authority of the University Act
(RSBC 1996 c.468 s.27[4a]) and is needed
to process your application for admission.
The personal information you provide on
this form may be provided to the Minister
of Education and will be used to verify
your British Columbia Personal Education
Number (PEN) or assign one to you. The
personal information you provide and your
PEN are used for authorized statistical and
research purposes only. Upon admission
and enrollment, this information will form
part of your student record and will be used
to document your progress in an academic
program. If you have any questions about
the collection and use of this information
contact the Director of Enrollment Services,
Burnaby campus, 778.782.3108.
QUANTITATIVE skills
I meet (or I plan to meet) the SFU Quantitative Skills Requirement in one of the following ways:
High school: obtain a grade of 70% or higher in BC high school courses Principles of Math 11 or Principles of Math 12 or Application of Math 12,
or their equivalents from other provinces or countries, OR obtain a grade between 60 and 69% in BC high school courses Principles of Math 11
or Principles of Math 12 or Application of Math 12 AND (a) achieve a grade of at least 20 our of 30 in the SFU Quantitative Placement Test taken
within your first term at SFU or (b) take the SFU course Foundations of Analytical and Quantitative Reasoning (FANX99-4) within your first
three terms at SFU and achieve at least a C grade.
Postsecondary: meet the high school requirements OR obtain a grade of C- or better in a transferable math or certified Q (quantitative) course
from a recognized college or university.
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APPLICATION FOR ADMISSION
AND READMISSION TO
FIRST NATIONS STUDIES NEP
ADMISSION, PAGE 5 of 5
REGISTRAR AND ENROLLMENT SERVICES
SFU
STUDENT SERVICES
ABORIGINAL INDENTITY
The collection of this information is voluntary and refusal to provide this information will not affect
service eligibility. Information will be kept confidential and is protected under the Freedom of
Information/Protection of Privacy Act.
NOTE: the following questions regarding Aboriginal Identity apply only to persons of Canadian
Aboriginal Ancestry.
1 Do you identify yourself as an Aboriginal person, that is, First Nations, Métis or Inuit?
YES
PERMISSION TO RELEASE APPLICATION
INFORMATION
If you anticipate that a family member,
friend or representative will be inquiring
on your behalf about your application and
you wish that person to have access to your
information, we require your permission
before any personal information is released.
NO
If you identify yourself as an Aboriginal person, are you: First Nations
Are you registered under the Indian Act of Canada (i.e. a Status Indian)?
If you identify yourself as a First Nations person, do you live on a reserve?
2 Métis
YES
NO
3 Inuit
YES
NO
YES
YES
YES
NO
NO
NO
"For the period from today until the
start of the term to which I am applying,
I hereby consent to the release of
information concerning my application for
admission to:"
NAME
(You can belong to multiple Aboriginal identity groups. Select all that apply.)
__________________________________
RELATIONSHIP TO YOU
APPLICATION FEE
You must pay an application fee of $75 Canadian funds each time you apply. Fill out your fee payment
information below.
Your application fee is non-refundable and does not apply toward your tuition.
Do not mail cash. We are not responsible for payment lost in the mail.
__________________________________
If you have sponsorship:
NAME OF BAND OR EDUCATION
SPONSOR:
Indigenous Student Sponsorship Authorization
If you have fees and tuition sponsorship, please have your band or education sponsor complete the
Indigenous Student Sponorship Authorization. Download the sponsorship authorization form for
First Nations Studies-FNEP from the website: http://www.sfu.ca/fns/community/students_assistance/
__________________________________
Admission Deposit for New Students
New students must pay a non-refundable admission deposit to confirm acceptance of the offer of
admission to undergraduate studies given by the University.
The deposit will be applied to the cost of tuition. The deposit is not an additional charge to the tuition
fee assessment. The amount is $250 for Domestic Students. ($750 for International Students.)
I certify that all statements on this
application are true and complete. I consent
to the disclosure of the information on this
form to other educational institutions
when necessary to verify my qualifications.
New students may pay the admission deposit by credit card through the Student Information System
(http://go.sfu.ca) under “Finances.” This is the only regular fee payable by credit card.
If the authenticity of the information
I have submitted cannot be verified, I
consent to the notification of this fact to
member institutions of the Association
of Universities and Colleges of Canada. I
understand failure to provide my consent
or any misrepresentation may result in
cancellation of my admission or enrolment
status.
For information on SFU fees and tuition, please visit http://www.sfu.ca/students/fees.html.
MY FEE PAYMENT
I have enclosed the application fee of $75 Canadian funds.
Enclosed is a
cheque or
DECLARATION OF APPLICANT
money order made payable to Simon Fraser University.
OR
YOUR SIGNATURE
below is information from my Visa or MasterCard:
Visa or MasterCard number __________________________________ Expiry date ____________
_________________________________
Name on card ____________________________________________________________________
Cardholder's signature ______________________________________________________________
RETURN COMPLETED
APPLICATION TO:
DATE ___________________________
Department of First Nations Studies • Attention: FNEP Community Academic Admission
Saywell Hall 9091, 8888 University Drive, Burnaby BC V5A 1S6
FNEP Cohort Students: 1 800 399 5565 Fax 778.782.4989 Email: first_nations@sfu.ca
Summer 2013