SFU FNEP Application – Supplementary Information Form (for admission/readmission/reactivation application) PLEASE PRINT CLEARLY. Return completed and signed form to the Department of First Nations Studies, SFU. Student Full Name Surname First Name Date of birth (MM/DD/YYYY): Contact details: ( ) Daytime Phone Middle SFU Student ID number (if readmission/reactivation) /( ) / Mobile Please indicate the academic term you are applying under FNEP: email □Spring □Summer □Fall Please provide a description of your aboriginal cultural knowledge and activities, special accomplishments (including awards received), special situation, hardships or difficulties, community service, etc., that you feel should be considered for your application. (Be as detailed and explicit as possible, to a maximum of 250 words) Please provide a clear description of your educational goals and the connection between your proposed program at SFU and the attainment of those goals. (Be as detailed and explicit as possible, to a maximum of 150 words). “I certify that all information I have provided is true and complete and was prepared entirely by me. I consent to the disclosure of information I have given to the referees I have named, when necessary to verify my statements. I understand that any misrepresentation may result in cancellation of my admission or enrollment status.” Signature of applicant Return form to: Department of First Nations Studies Simon Fraser University Saywell Hall 9091 8888 University Drive, Burnaby, BC, V5A 1S6 Date Fax 778-782-4989 / email first_nations@sfu.ca