DAWSON COLLEGE, ADMISSIONS OFFICE 3040 SHERBROOKE ST. WEST, WESTMOUNT, QC H3Z 1A4

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1 APPLICATION INSTRUCTIONS A.E.C. Program Applications received after the deadline will only be considered, if space permits. (Please refer to the Dawson website for application deadlines) All applicants must proceed with the following steps: (Students who have submitted these documents in previous applications must submit them again. Applications which do not include all the appropriate documents and/or fee(s) will be returned.) 1. Complete all sections clearly and legibly. Please note that your family name and given names should be entered exactly as they appear on your birth certificate. However, if you studied in Quebec, your names should be entered exactly as they appear on your MEQ bulletin (Relevé de notes). Please enter a valid address as we may be contacting applicants by Enclose a money order or certified cheque for $30.00 (non-refundable) made to the order of DAWSON COLLEGE. Applicants presenting academic credentials from outside Canada will be required to pay an additional non-refundable fee of $50.00 for the evaluation of their credentials (for internal use only); or to obtain an official attestation of equivalence from the Ministère des relations avec les citoyens et de l immigration (MRCI). Please call (514) to arrange an appointment. 3. If born in Canada, enclose a clear photocopy of birth certificate that includes your place of birth. If not born in Canada, enclose a clear photocopy of your official birth certificate issued by the state, accompanied by the original of an official English or French translation (if necessary) and also a clear photocopy of proof of status in Canada. 4. Enclose the completed Education and Employment Summary form or current resume. 5. Enclose proof of completion of the Secondary V diploma or equivalent. 6. Enclose photocopy of ALL academic transcripts (High School, CEGEP, University) translated into English or French, if necessary. 7. Enclose a letter of intent indicating the following: Reasons for applying to your chosen program; Relevant information regarding your academic record, if you have had difficulties; e.g. problems that have affected your academic performance and how these have been resolved, medical certificates, proof of employment and working hours; A brief description of your personal situation or principal occupation since leaving school; Any work or volunteer experience related to your program. International students must also provide: Visa valid throughout the program duration; Official translations of educational documents, in English or French; A course description for Mathematics, Chemistry, and Physics, if applying to Sciences. Please return the completed application form, with all required documents to: DAWSON COLLEGE, ADMISSIONS OFFICE 3040 SHERBROOKE ST. WEST, WESTMOUNT, QC H3Z 1A4 TUITION FEES NON-RESIDENTS OF QUEBEC: Once you are accepted, a fee of $1,124 per semester will be charged if you are unable to prove that either you or your parent/legal guardian is a Quebec resident. If you were born in Quebec, you are exempt from the fee (your birth certificate will confirm this). The College will determine whether you need to submit proof of status in Quebec. INTERNATIONAL STUDENTS: International students will be charged tuition fees according to a governmentregulated scale. The fee varies from $4,644 to $7,198 per semester depending on the program and is subject to change. Note: If application is not complete, i.e. missing information or documents, your chances of being accepted into the program will be jeopardized.

2 APPLICATION FOR ADMISSION TO AN AEC PROGRAM DAWSON COLLEGE PLEASE PRESS FIRMLY AND PRINT CLEARLY Application Number PLEASE READ THE APPLICATION CAREFULLY AND ANSWER EVERY QUESTION A. PERSONAL INFORMATION Write your name and permanent code as they appear on your Quebec report card, otherwise refer to your birth certificate. Québec Permanent Code Letters Family name at birth Numbers First name Other name(s) Sex M F Date of Day Month Year Birth Mother tongue Choose one - Box only French English Other Language spoken at home Choose one box only French English Other B. ADDRESS Number Street / Rural route/p.o. Box Apartment City / Town Province Postal Code (important) Country Telephone Area Code Number Alternate Area code Number Extension Valid address: (write clearly) Phone number: C. PARENT INFORMATION Father s family name (even if deceased) Mother s family name (even if deceased) Father s first name Mother s first name D. LEGAL STATUS OF RESIDENCE IN CANADA Place of Birth: Quebec Elsewhere in Canada, indicate Province: Outside Canada, indicate Country: City of Birth: Legal Status in Canada: Canadian Amerindian Permanent Resident (landed immigrant) Member of Diplomatic Family (Specify) Convention Refugee Parent s Work Authorization Student Authorization (Visa) Other, E. ACADEMIC BACKGROUND 1. Place of high school studies Quebec In Canada: Province Outside Canada: Country Name of High School Name of School Board (if applicable) High School Studies status Graduated Currently attending Previously attended but not graduated Never attended 2. Adult Education studies status Graduated Currently attending Previously attended Never attended Name of Adult Education Center 3. College/Cegep Studies status Graduated Currently attending Previously attended Never attended Place of College/Cegep Studies Name of College/Cegep 4. University Studies Graduated Currently attending Previously attended Never attended Place of University Studies Name of University F. COLLEGE/PROGRAM REQUESTED CEGEP AND PROGRAM READ THE APPLICATION INSTRUCTIONS FOR PROGRAM TITLES & NUMBERS Name of College Title of Program Corresponding Number 1 st Choice DAWSON I am applying for full-time studies in the program above, starting on: Have you applied or will you be applying to another collegial level or post-secondary institution other than the choice indicated above? If yes, name the institution (s): 1 Yes 2 No I hereby declare that the information above is correct. I authorize the College to verify the documents included. I also authorize the Ministère de l Éducation, du Loisir et du Sport to forward official school results to the College. Date Signature of candidate

3 Name: Phone Number: EDUCATION AND EMPLOYMENT SUMMARY FORM Important: this form does not replace the letter of intent. Part One: Education Summary List all secondary (high schools) and post-secondary (e.g. university, cegep) schools attended, including those outside of Quebec or Canada. DATES NAME LOCATION PROGRAM AND/OR CERTIFICATION Part Two: Employment Summary Please be sure to list all your work experience, including experience gained outside of Quebec or Canada DATES EMPLOYER BRIEF JOB DESCRIPTION Please see over

4 Name: Part Three: Supplemental Information Phone Number: Please complete the following where applicable. (Failure to do so may result in delays in the processing of your application and/or may jeopardize your chances of admission to the program) If you have already completed a program similar to the one for which you are applying, please explain how you feel admission to this particular full-time program will benefit you. If your educational record indicates that you have had difficulty successfully completing courses and/or programs in the past, please explain and address what has changed since then and why you now feel that you are now ready to successfully pursue your studies. If you have no formal documented high school, college, or university education, please explain how you think your past experience (paid or volunteer work, personal projects or endeavors, etc.) has prepared you for this program. Please attach a separate sheet if you need more space. Please see over

5 APPLICATION CHECKLIST A.E.C. Program HAVE YOU ENCLOSED THE FOLLOWING? APPLICATION FORM, SIGNED BIRTH CERTIFICATE INCLUDING NAMES OF PARENTS AND PLACE OF BIRTH IF NOT BORN IN CANADA, PROOF OF LEGAL STATUS IN CANADA COMPLETED EDUCATION AND EMPLOYMENT SUMMARY FORM LETTER OF INTENT FOR NON EMPLOI - QUÉBEC PROGRAMS APPLICATION FEE OF $30.00 (CERTIFIED CHEQUE OR MONEY ORDER) PAYABLE TO: DAWSON COLLEGE DOCUMENT FEE OF $50.00 IF PRESENTING ACADEMIC CREDENTIALS FROM OUTSIDE CANADA. STUDIES COMPLETED IN QUÉBEC CUMULATIVE REPORT OR TRANSCRIPT FROM COLLEGES OR UNIVERSITIES ATTENDED STUDIES COMPLETED OUTSIDE QUÉBEC CUMULATIVE REPORT FROM THE LAST TWO YEARS OF SECONDARY STUDIES AND POST-SECONDARY STUDIES IF APPLICABLE CERTIFIED TRANSLATION IN ENGLISH OR FRENCH OF THE ABOVE DOCUMENTS IF APPLICABLE COMPARATIVE EVALUATION OF STUDIES COMPLETED OUTSIDE OF QUEBEC (OFFICIAL ATTESTATION OF EQUIVALENCE FROM MCRI) ON THE FRONT OF THIS ENVELOPE, HAVE YOU? INDICATED YOUR NAME, RETURN ADDRESS AND CHOICE OF PROGRAM? (THIS MUST BE FILLED OUT EVEN IF IT IS SUBMITTED IN PERSON) VERIFIED THE POSTAGE WITH THE POST OFFICE IF MAILING? OTHERWISE, YOU MAY HAND IN YOUR APPLICATION, ON OR BEFORE THE APPLICATION DEADLINE. APPLICATIONS RECEIVED AFTER THE APPLICATION DEADLINE WILL ONLY BE CONSIDERED, SPACE PERMITTING. Family Name : First Name : Address : AEC PROGRAM EDUCATION IN QUÉBEC EDUCATION OUTSIDE QUÉBEC DAWSON COLLEGE ADMISSIONS OFFICE (room 2D.6) 3040 SHERBROOKE STREET WEST WESTMOUNT, QUÉBEC CANADA H3Z 1A4