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Open Acadia

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Course Registration Form

1) Personal Information

Title
 * First or Given Names
 * Surname

*Date of Birth (MM/DD/YY)
 Sex

*Mailing Address
 *City
 *Province
 *Country
 *Postal/Zip Code

Civic Address
 City
 Province
 Country
 Postal/Zip Code

*Email Address

*Home Phone Number
 Work Phone Number
 Fax Number

Mother Tongue
 *Immigration Status
 Country of Citizenship

2) Admission Information

Acadia Student Number
 Session:

Acadia Degree/Diploma

Note: 'Independent refers to not currently enrolled in a program.		 Major (eg: History)

If you have previously applied for admission to Acadia, state when: (month/year)

If you did so under a different surname, please indicate here:

Where did you hear about Open Acadia?

*Are you applying on a letter of permission from another institution?
 Which University?

*Have you requested your transcripts from the last academic institution you attended?

*In this current academic year, are you attending

Previous Education Information - List all Institutions attended
Name of School City or Town Province Country From To
Senior High School
College or University 1
College or University 2

*What is your internet connection speed?

3) Registration Information

Course Selection (use codes given in timetables)
*Course Code *Type of Course *Prerequisites Complete Location Course Fee
$
$
$
$

An admission fee is applicable if you have not taken a course at Acadia in the last 12 months.
  • $25 if you are enrolling in undergraduate courses.
  • $50 if you are enrolling in graduate courses.
 $

Student Fees
Please note that a $5 Student Fee is required for each 3 hour course delivered on-campus.		 $

*Total Fee $

 

Contact Credit Studies

openacadia@acadiau.ca

1-800-565-6568
(902) 585-1434