Application
for Admission
01-2012-4000
Return completed application form to: Admissions Office, 515 Portage Avenue, Winnipeg, MB R3B 2E9
All applicants must answer the following questions:
1. Are you a □ NEW student or a □ RETURNING University of Winnipeg Student applying for re-admission?
Note:i) Collegiate, Continuing Education and Theology students apply as new students
ii) If you are a returning student please provide Student Number:
iii) Returning students who have not registered in more than one year must submit a $30 continuance fee.
2. Have you ever enrolled or are you currently enrolled at a university or college? □ Yes □ No
3. Have you ever been required to withdraw from studies at another university or college because of unsatisfactory performance or for
disciplinary reasons? □ Yes □ No If YES, please complete Section E.
NOTE: *indicates required information fields
Section A: Personal Information (full legal name required)
*First
*Citizenship and Immigration Status
Middle
□ Canadian Citizen
Date of entry if not born in Canada
*Last
Month
□ Permanent Resident
*Address
Country of Origin
*City
Date of entry
*Province/State
Year
Month
A notarized copy of one of the following is required:
*Postal Code/Zip
□ Landed Immigrant Papers □ Permanent Residency card (both sides)
□ Convention Refugee documentation
*Country
□ Male
Year
□ Female
□ Not Specified
*Birth date: Year
Month
Aboriginal ancestry:
The Aboriginal Student Services Centre (ASSC) offers services, events
and information on sources of funding that may be of interest to you.
By declaring your status, you will help in the development of new
services and events for First Nations, Métis and Inuit students.
Day
*E-mail
*Telephone
□ First Nations (status) □ First Nations (non-status)
□ Inuit □ Métis □ Aboriginal/Indigenous
Application Fee
The appropriate application fee must be enclosed (in Canadian
funds, payable to The University of Winnipeg) with the application.
□ New applicants
(Canadian Citizens and Permanent Residents) $80
□ Returning UWinnipeg students
(who have not registered for one or more years) $30
Accessibility:
Accessibility Services assists with confidential academic accommodation
and support plans for students who identify themselves as having a
disability or temporary health condition. If this applies to you, please
check here:
□ Contact me about the supports available in Accessibility Services.
For more information on Accessibility Services, call 204.779.UWIN
(8946) or visit http://www.uwinnipeg.ca/index/services-disability.
Payment method
□ Interac (in-person only)
□ Money Order Reference #
□ VISA
Card Number
□ Master Card
Card Holder Name
□ Cheque (payable to The University of Winnipeg)
Expiry Date Month/Year
Signature
*Primary Language (primary language refers to your first language)
□ English
□ French
□ Other (specify):
If English is not your primary language, indicate the number of years of English instruction you have received:
If you have written one of the following: TOEFL, CanTest, IELTS, Successful Completion of Academic Level 5 or University Preparation
Program of the English Language Program; Cambridge Institute of Proficiency in English (CPE), MELAB, CAEL, Pearson Test of English
(Academic), include the name and date of the last writing, or date when it is to be written. Official results are required.
Test Name
Date Written / To Be Written
Score Received
*Section B: Admission Information
In which term do you wish to begin your studies?
□ Spring (May to August) Year □ Fall (September to December) Year □ Winter (January to April) Year
For which Admission category do you wish to apply? Indicate one only.
□ High School
□ Concurrent
□ Transfer
□ Mature
□ Accelerated
□ Home School
□ Second Degree □ Mature Access
□ Visiting (credit transferring to another university)
□ Not Seeking Degree
□ After-Degree (Bachelor of Education applicants only)
See guide for definition of terms.
*Section C: Programs of Study
Instruction:
Indicate your intended program of study by completing only ONE of the following four sections. Please refer to the enclosed Application
Guide for the Application deadline dates and required documentation for your intended program of study.
*Section C1: Faculty of Arts, Faculty of Science, Faculty of Business & Economics and Faculty of Kinesiology
Are you a
□ First Year
Intended Faculty:
□ Transfer
□ Arts
Intended Degree Sought:
□ Second Degree applicant
□ Science
□ Business and Economics
□ Bachelor of Arts 3-Year
□ Bachelor of Business and Administration 3-Year
□ Kinesiology
□ Bachelor of Arts 4-Year
□ Undecided
□ Bachelor of Science 3-Year
□ Bachelor of Science 4-Year
□ Bachelor of Business and Administration 4-Year
Proposed Majors:
□ Anthropology
□ Applied Computer Science
□ Bioanthropology
□ Biochemistry
□ Biology
□ Biopsychology
□ Business and Administration
□ Chemistry
□ Classics
□ Conflict Resolution Studies
□ Criminal Justice
□ Developmental Studies
□ Disability Studies
□ East Asian Languages & Cultures
□ Economics
□ Economics & Finance
□ English
□ Environmental Studies
□ French Studies
□ Geography
□ German Studies
□ History
□ History of Art
□ Human Rights & Global Studies
□ Indigenous Studies
□ Interdisciplinary Linguistics
□ International Development
Studies
□ Kinesiology and Applied Health*
□ Mathematics
□ Philosophy
□ Physics
□ Politics
□ Psychology
□ Religion and Culture
□ Rhetoric and Communications
□ Sociology
□ Spanish Studies
□ Statistics
□ Theatre and Film:
Theatre and Film Stream
□ Theatre and Film:
Dance Program Stream
□ Urban and Inner-City Studies
□ Women’s and Gender Studies
*Are you planning on pursuing a specialization in Athletic Therapy? □ Yes □ No
*Section C2: Pre-Professional Program
Note: Admission is to the Faculty of Arts or Faculty of Science
□ Pre-Architecture
□ Pre-Chiropractic
□ Pre-Dental Hygiene
□ Pre-Dentistry
□ Pre-Engineering
□ Pre-Journalism
□ Pre-Law
□ Pre-Medicine
□ Pre-Occupational Therapy
□ Pre-Optometry
□ Pre-Pharmacy
□P
re-Medical Rehabilitation:
Physical Therapy
□ Pre-Medical Rehabilitation:
Respiratory Therapy
□ Pre-Medical Technology (Medical Laboratory
Technologist, Radiation Therapist,
Radiological Technologist)
□ Pre-Social Work
□ Pre-Veterinary Medicine
*Section C3: UW/RRC Applied and Joint Programs
Note: Some Applied and Joint programs have limited enrolments and not all qualified applicants will be offered a space.
Please indicate ONE only:
□ Aboriginal Self-Governance
□ Applied Biology
□ Applied Chemistry
□ Disability Studies
□ Applied Environmental Studies
□ Joint Communications
□ Business and Administration
□D
evelopmental Studies/Early Childhood
Education
□ Developmental Studies Stream C: Child
Development and Child Care
□ Geographic Information Systems
Section C4: Faculty of Education
Note: The Faculty of Education program has limited enrolment and not all qualified applicants will be offered a space.
Detailed information for prospective applicants can be found at http://education.uwinnipeg.ca/
* A. Please indicate the Education program for which you wish to apply.
□ Integrated Bachelor of Education/Bachelor of Arts or □ Integrated Bachelor of Education/Bachelor of Science
□ After Degree Bachelor of Education Program
Previous Degree received/to be received:
Date conferred/to be conferred: Year
□C
ertified Teacher Program (Note: Certified teachers are advised to have their documents reviewed by
Manitoba Education prior to application.)
If you selected one of the above programs, please indicate your program stream:
□ Early Years (K-4)
□ Early/Middle Years (K-8)
□ Middle Years (5-9)
□ Senior Years (9-12)
Month
□ Joint UW/RRC Program
□ Aboriginal Language ( □ 5-Year Integrated or □ After Degree)
□ Business Education ( □ 5-Year Integrated or □ After Degree)
□ Industrial Education ( □ 5-Year Integrated or □ After Degree)
□ Vocational Education
□ Winnipeg Education Centre (WEC)
□ Community Aboriginal Teacher Education Program (CATEP)
* B. Intended teaching areas: Major:
Minor:
For a complete listing of Subject Areas please refer to the course calendar (Subject Areas, Table 1, Education)
www.uwinnipeg.ca/index/calendar-calendar
* C. Do you wish to study on a part-time basis? □ Yes □ No
* D. Do you plan to enrol and complete Arts or Science courses in a term prior to September? □ Yes □ No
If yes: □ January □ April
Note: Expanded Admission Policy
The Faculty of Education has established a policy of expanded admission to aid in the recruitment of a group of education students who
generally reflect the diversity of the population of Manitoba. Categories of expanded admission include: Aboriginal Peoples in Canada,
Visible Persons, and Special Consideration.
The Expanded Admission Student Application Form and related information will be forwarded to all applicants who submit a paper copy
or on-line application form to The University of Winnipeg.
*Section D: High School Applicants
Section D1: High School (Manitoba Only)
*1. Please provide your Manitoba Education and Training identification number:
MET number
(mandatory)
*2. Please list all the high school(s) attended:
i. Name of school (Most recent):
Diploma earned? □ Yes □ No
ii. Name of school:
Diploma earned? □ Yes □ No
Date Completed/To be completed Month
Year
Date Completed/To be completed Month
Year
3. Student Type: Please indicate ONE of the following:
□ I am applying by December 1 to the Faculty of Arts, Science, Business and Economics or Kinesiology or by
March 1 for admission to the Faculty of Education. I expect to graduate in June.
□ I am applying after December 1 and before March 1 and I expect to graduate in June.
□ I am applying after March 1 for Regular Admission and I expect to graduate in June.
□ I have graduated from high school. I have enclosed an official transcript showing my final grades for all levels
and proof of high school graduation.
□ I am a Home School applicant who has completed the equivalent of Grade 12 and am seeking admission
to a program of first-year university studies.
Section D2: High School (Out of Province/Country Applicants)
1. Please list all high schools attended, beginning with the most recent.
*i. Name of school (Most recent):
Province
* Diploma received? □ Yes □ No
If other, please specify:
* Date completed/To be completed Month
ii. Name of school:
Province
* Diploma received? □ Yes □ No
If other, please specify:
* Date completed/To be completed Month
Country (if outside of Canada):
Certificate? □ Yes □ No
Year
Country (if outside of Canada):
Certificate? □ Yes □ No
Year
Section D2: High School (Out of Province/Country Applicants) continued
2. Please list all Grade 12 courses to be completed by June.
COURSE NAME
LEVEL
GRADE
Section E: Post-Secondary (University/College) Applicants
Post-Secondary applicants may be asked to submit an official high school transcript, as well as proof of high school
graduation for the purposes of determining pre-requisites and, in some cases, entry status.
Note: Previous course work must be declared at the time of application. Failure to do so may result in cancellation of admission
and any subsequent registration. Applicants must be prepared to submit detailed course information upon request.
* Have you ever enrolled or are you currently enrolled at a university or college? □ Yes □ No
1. Institution (Most recent):
Degree/Diploma/Certificate earned? □ Yes □ No
Date of last attendance: Month
Year
Program of studies:
2. Institution:
Degree/Diploma/Certificate earned? □ Yes □ No
Date of last attendance: Month
Year
Program of studies:
3. Institution:
Degree/Diploma/Certificate earned? □ Yes □ No
Date of last attendance: Month
Program of studies:
Year
Section F: Declaration
The declaration must be signed and dated before your application can be submitted.
• I declare that all statements made with respect to this application are true and complete, that all records are
complete and unaltered, and that this signed application permits The University of Winnipeg to request, confirm,
and/or share any necessary information with other educational institutions to support my application. If
enrolled in a joint program, I authorize The University of Winnipeg to share my academic record with partner
institutions. If accepted to The University of Winnipeg, I agree to follow University regulations.
• I understand that misrepresentation, falsification of documents, or the withholding of requested information
with respect to this application can result in cancellation of my acceptance and registration or dismissal from
the University and that any information on falsifications may be shared with the Association of Registrars of
the Universities and Colleges of Canada.
Date:
Signature of Applicant:
Personal information collected on this form will be utilized by The University of Winnipeg for admission, registration, scholarships,
awards, student records, alumni services, university research, housing and other activities related to being a member of the
university community. It is collected under the general authority of The University of Winnipeg Act, in conformity with,
and protected under, the Manitoba Freedom of Information and Protections of Privacy Act.
Information Release (Optional)
You may wish to authorize someone to act on your behalf with respect to application status, registrations,
financial information/activities, transcripts or graduation. If you wish to designate someone to act on your
behalf, please complete the Information Release Form available on the web:
http://www.uwinnipeg.ca/index/future-admis-application