Please confirm the catalogue you are using is the most up-to-date version available by going to our website [ 1 ] OUR MISSION: Entrance Requirements ............................... 30 Application Procedure..................................... 30 Transfer of Credits ...................... 30 Late Registration ......................... 30 Procedure for Re-Entry ...................................... 30 Adding/Dropping or Changing a Course.......................................... 30 Mature Students and Special Privilege ..................... 30-31 ADMISSIONS Home Educated Students ........... 31 Unclassified Student Admissions ................................. 31 Applicants whose first language is not English........................................ 32 International Student Requirements.............................. 32 International Student Employment ............................... 32 Mini-Semester ............................ 32
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Last revised: July 8, 2011 Please confirm the catalogue you are using is the most up-to-date version available by going to our website [ 1 ]
Last revised: July 8, 2011 Please confirm the catalogue you are using is the most up-to-date version available by going to our website [ 7 ]
Application for Admission
I plan to enroll: September 20____ January 20___
I plan to live: On-campus Off-campus (if over age 25)
Note: you must be a full-time student to live on-campus
I plan to take: Full-time studies (12 credit hours or more)
Part-time studies (11 credit hours or less)
Note: If you are planning on applying for student loans, full-time status is 9 credit hours or more.
Have you applied to be a student at Eston College in the past?________________
If so, were you accepted into a program? Yes No
If yes, which program? ___________________________________________________
Have you attended as a student in the past? Yes No
If yes, for how long? _____________________________________
Personal Data:
Salutation: Mr. Mrs. Miss. Ms.
Name: __________________________________________________________________________________________________ First Name Middle Name Last Name (Your preferred name if other than first)
Current Address: _________________________________________________________________________________________ Street / Box No. City Prov. / State Postal Code
Home Phone:(______)_________________ Alternate Phone:(______)_________________ Fax:(______)_________________
E-mail: _________________________________________
On what date will you be leaving your current address? (mm/dd/yyyy)______________________
Permanent Address: _____________________________________________________________________________________ Street / Box No. City Prov. / State Postal Code
Home Phone:(______)_________________ Alternate Phone:(______)_________________ Fax:(______)_________________
Birthday: (mm/dd/yyyy)___________________________ Age: ________ Sex: Male Female
Citizenship: __________________ If non-Canadian: Landed Immigrant Student Visa
Social Insurance Number: ______________________________________________________
What is your first language? English Other ___________________________________________
If not English, and you intend to enroll in a college program, a TOEFL score must be submitted to the Registrar prior to
registration.
Marital Status:
Single Engaged Married Widowed Separated Divorced Common-law
Last revised: July 8, 2011 Please confirm the catalogue you are using is the most up-to-date version available by going to our website [ 8 ]
Application for Admission
Single Students: (not applicable to students over age 21)
Name(s) of Parent(s)/Guardian(s): __________________________________________________________________________ First Name Last Name
__________________________________________________________________________ First Name Last Name
Father’s Address: ________________________________________________________________________________________ Street / Box No. City Prov. / State Postal Code
Approximately how long have you been a follower of Christ? __________________________________________________
Name of church you attend: _______________________________________________________________________________
Do you attend regularly? Yes No Denomination: ___________________________________________________
Name of your pastor: ________________________________________Church phone no.: (_______)____________________
Address of church: _______________________________________________________________________________________ Street / Box No. City Prov. / State Postal Code
Are you in agreement with the doctrinal statement as stated on page 5 of this catalogue? Yes No
Have you served the Lord consistently during the past 12 months? Yes No
Are you now using, or have you used in the past 12 months, any illegal substances? Yes No
If yes, please explain: ____________________________________________________________________________________
Do you have a criminal record? Yes No
Have you had any involvement in the occult? Yes No
Which Eston College program are you pursuing?:
Foundations Certificate in Biblical Studies (1 yr) Bachelor of Arts in Christian Studies
Associate Diploma in Biblical Studies (2 yr) Bachelor of Arts in Interdisciplinary Studies
Diploma in Biblical Studies (3 yr) GoDiscipleship Program (1 or 2 yr)
Bachelor of Biblical Studies (4 yr) Martyr’s Life (1 yr)
Diploma Upgrade English as a Second Language
Last revised: July 8, 2011 Please confirm the catalogue you are using is the most up-to-date version available by going to our website [ 9 ]
Application for Admission
Previous Education and Work Experience:
Name of high school? ____________________________________________________________________________________ Please have your high school send your official transcript of marks to Eston College as soon as they are available.
Date Graduated: _____________________________________ Academic Average: _______________________________
List further post-secondary education you have taken, even if you did not complete the program.
________________________________________________________________________________________________________ University / College Location Date Attended Degree (if any) you received
________________________________________________________________________________________________________ University / College Location Date Attended Degree (if any) you received
Transcripts enclosed: High School Other (list) ________________________________________________________
Describe any special honours received for academic excellence: ______________________________________________
Have you been refused admission, dismissed from or placed on probation by an educational institution? ___________
List your work experience, including part-time work and volunteer activities:
________________________________________________________________________________________________________ Employer Location Type of Work Date (From - To)
________________________________________________________________________________________________________ Employer Location Type of Work Date (From - To)
Finances:
Do you have sufficient funds for at least one college year? Yes No
Indicate the amount of funds for your first year’s expenses from the following:
The person who gives you this form has applied for admission to Eston College and is
looking to you for a pastoral reference. Please complete all the questions to the best of
your knowledge. Your comments will be seriously considered and will have a direct
bearing on the admission of this student. For this reason we ask that you complete the
form carefully and return it to Eston College as soon as possible. All comments will be
held in complete confidence by the Admissions Committee.
Pastoral reference for:
Name of Student: ________________________________________________________________________________________
Home Address: _________________________________________________________________________________________ Street / Box No. City Prov. / State Postal Code
I authorize the release of the disclosed information by the person completing this Pastoral Reference form for the
consideration of the applicant. I waive any right or privilege to inspect or challenge the contents of this reference. I
understand that the information will be held in confidence by Eston College and will not be released to anyone (other
than to employees, agents and representatives and/or professional advisors of Eston College), without the
permission of the person giving such character reference, or in the absence of a court order, subpoena or laws
requiring the disclosure of such information.
Signature of Student: ________________________________________________________ Date: _____________________
Signature of Parent/Guardian (if applicant is under age 18): ___________________________________________________
Date: ____________________
Reference provided by:
Name of Reference: ______________________________________________________________________________________
Address: _______________________________________________________________________________________________ Street / Box No. City Prov. / State Postal Code
The person who gives you this form has applied for admission to Eston College and is
looking to you for a character reference. Please complete all the questions to the best of
your knowledge. Your comments will be seriously considered and will have a direct
bearing on the admission of this student. For this reason we ask that you complete the
form carefully and return it to Eston College as soon as possible. All comments will be
held in complete confidence by the Admissions Committee.
Character reference for:
Name of Student: ________________________________________________________________________________________
Home Address: _________________________________________________________________________________________ Street / Box No. City Prov. / State Postal Code
I authorize the release of the disclosed information by the person completing this Pastoral Reference form for the
consideration of the applicant. I waive any right or privilege to inspect or challenge the contents of this reference. I
understand that the information will be held in confidence by Eston College and will not be released to anyone (other
than to employees, agents and representatives and/or professional advisors of Eston College), without the
permission of the person giving such character reference, or in the absence of a court order, subpoena or laws
requiring the disclosure of such information.
Signature of Student: ________________________________________________________ Date: _____________________
Signature of Parent/Guardian (if applicant is under age 18): _____________________________________________________
Date: ____________________
Reference provided by:
Name of Reference: ______________________________________________________________________________________
Address: _______________________________________________________________________________________________ Street / Box No. City Prov. / State Postal Code
Last revised: July 8, 2011 Please confirm the catalogue you are using is the most up-to-date version available by going to our website [ 18 ]
Form C - Physical & Medical
Name of Applicant: ______________________________________________ Birthdate: (mm/dd/yyyy)____________________
Home Address: __________________________________________________________________________________________ Street / Box No. City Prov. / State Postal Code
In Emergency notify: ____________________________________________ Phone:(_______)__________________________
Relationship to student: _______________________________________ Alternative Phone: (_______)___________________
Family Physician: _________________________________ City: __________________ Phone: (_______)_______________
Provincial Health Care Number: _________________________________________ Prov: _____________________________
Private Insurance Medical Company: ____________________________________ Number: ___________________________
Approximate date of last Tetanus shot: (mm/dd/yyyy) _________________________
Do you have a physical handicap? Yes No Please specify: _____________________________________________
Do you have activity restrictions? Yes No Please specify: _____________________________________________
Do you have a learning disability? Yes No Please specify: _____________________________________________
Are you allergic to any antibiotics or medications? Yes No Please specify: __________________________________
Are you under treatment/medication? Yes No Please specify: ________________________________________
Do you have a special dietary need? Yes No Please specify: ________________________________________
There is an extra charge for doctor-recommended special diets.
Have you ever been counseled and/or treated for a mental, psychological, nervous or abusive disorder? Yes No
If “yes” to the above question, when? __________________________________ How long? ____________________________
Other illness ________________________________ Other illness _______________________________________
Mail or Fax to:
Eston College
Attn: Admissions
Box 579
Eston, SK S0L 1A0
ph 1.888.440.3424
fx 1.306.962.3810
This page and the top half of the next page are to be filled out by the applicant.
Please complete the form carefully and return it as soon as possible.
Please attach a copy of immunization records to this form.
All information will be held in complete confidence.* *Health records, as with all other materials submitted in application to Eston College, are considered confidential and are not
available for general use. However, in the event of a medical emergency, the administration of Eston College may release
necessary information to medical authorities, if so required.
Last revised: July 8, 2011 Please confirm the catalogue you are using is the most up-to-date version available by going to our website [ 19 ]
Form C - Physical & Medical
History of Physical Health: Please mark those which you had or have
Last revised: July 8, 2011 Please confirm the catalogue you are using is the most up-to-date version available by going to our website [ 21 ]
Unclassified Student Application for Admission
Mini-Semester or Individual Courses in Regular Semester
I plan to enroll: Mini-Semester Part-time Student Audit
Sept. 20____ Sept. 20____ Sept. 20____
Jan. 20____ Jan. 20____ Jan. 20____
Name of Course: _________________________________________________________________________________________ If more than one, please specify
Personal Data:
Salutation: Mr. Mrs. Miss. Ms. Rev.
Name: __________________________________________________________________________________________________ First Name Middle Name Last Name (Your preferred name if other than first)
Current Address: _________________________________________________________________________________________ Street / Box No. City Prov. / State Postal Code
Home Phone:(______)_________________ Alternate Phone:(______)_________________ Fax:(______)_________________
E-mail: _________________________________________
Birthday: (mm/dd/yyyy)___________________________ Age: ________ Sex: Male Female
Social Insurance Number ___________________________________________
Approximately how long have you been a follower of Christ?______________________________________________________
Name of church you attend: ________________________________________________________________________________
Do you attend regularly? Yes No
Name of your pastor: ____________________________________________________
Church phone no.: (______)_____________________
Church address: _________________________________________________________________________________________ Street / Box No. City Prov. / State Postal Code
Do you require accommodation on campus? Yes No
If yes, do you have a preference for where you would like to stay? _____________________________________________
The person who gives you this form has applied for admission to Eston College and is
looking to you for a pastoral reference. Please complete all the questions to the best of
your knowledge. Your comments will be seriously considered and will have a direct
bearing on the admission of this student. For this reason we ask that you complete the
form carefully and return it to Eston College as soon as possible. All comments will be
held in complete confidence by the Admissions Committee.
Pastoral reference for:
Name of Student: ________________________________________________________________________________________
Home Address: _________________________________________________________________________________________ Street / Box No. City Prov. / State Postal Code
I authorize the release of the disclosed information by the person completing this Pastoral Reference form for the
consideration of the applicant. I waive any right or privilege to inspect or challenge the contents of this reference. I
understand that the information will be held in confidence by Eston College and will not be released to anyone (other
than to employees, agents and representatives and/or professional advisors of Eston College), without the
permission of the person giving such character reference, or in the absence of a court order, subpoena or laws
requiring the disclosure of such information.
Signature of Student: ________________________________________________________ Date: _____________________
Signature of Parent/Guardian (if applicant is under age 18): _____________________________________________________
Date: ____________________
Reference provided by:
Name of Reference: ______________________________________________________________________________________
Address: _______________________________________________________________________________________________ Street / Box No. City Prov. / State Postal Code