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Application Form-1-1

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0% found this document useful (0 votes)
44 views6 pages

Application Form-1-1

Uploaded by

bmahamat725
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Master of Business Administration (MBA)

Agreement

• By submitting this application form, you confirm that you are requesting admission to a UCW educational program
(“Program”) and are providing the above information about you (your “personal data”) for these purposes. UCW requires
this information for legitimate business purposes, and, at your request, in order to make decisions about your admission
to the Program.
• Your personal data will be collected, used and disclosed only for these purposes and, in the event you are admitted to
the Program, to manage your enrollment and attendance at UCW, including registration, maintenance of your student
records, the provision of related services to you; and for other purposes related to your participation in the Program and
our evaluation and improvement of the Program.
• Failure to provide complete or accurate information may result in UCW’s inability to process your application.
• Your personal data may be shared with federal and provincial regulatory or government bodies as required or permitted
by law.
• UCW processes admission applications in cooperation with its parent company, Global University Systems (GUS),
which is based in the United Kingdom and the Netherlands. GUS may access and use your personal data outside of
Canada for these purposes.
• Further information about the retention of your data, how it is collected, used and disclosed by UCW, and your rights to
seek access to, correction or the destruction of your personal data are available in UCW’s Privacy Policy. Our Privacy
Policy also sets out the circumstances in which we may share information about you with our service providers based
within and outside of Canada.
• Questions or complaints about this notice or the collection, use, disclosure or protection of your personal data should be
directed to our Privacy Officer at 604-915-9607. In Canada, UCW complies with the Personal Information Protection Act
and the Personal Information Protection and Electronic Documents Act. For the purposes of this legislation, by
submitting this application you consent to the collection, use and disclosure of your personal data as described above
and in accordance with our Privacy Policy.

v I have read, understood and agree to all the above statements.

Program Information
Program of study: Master of Business Administration (MBA)

Preferred campus: Vancouver (on campus)

Preferred start term (campus): April, 2022


*A "visiting student" must submit a copy of the Letter of Permission from their home institution.
**Students may be considered for the University Pathway Program, University Access Courses and/or MBA Foundation courses if
they do not fully meet degree admission requirements. Please see the Admissions Policy for further information.

Consent to Authorize a Third Party


Do you have an agency/representative that you wish to authorize as a 3rd party recipient for information pertaining to
this application with UCW?

Third Party Authorization Conditions

University Canada West Page 1 of 6


Suite 100-626 West Fender Street, Vancouver BC V63 1V9 November, 2021
T: +1-604-915—9607 E: [email protected] W: ucanwest.ca
Prospective Student Inquiry Line: +1-778-655-1563
Master of Business Administration (MBA)

• The authorized representative is permitted to represent me up to your first day of your first term at UCW.
• You must have obtained the representative’s authorization to provide their personal/contact information to UCW.
• It is your responsibility to submit a new Consent for Authorized Representative form to UCW should you wish to extend
the authorization period, or to change the authorized representative.
• Submission of the above information overrides any consent to authorize a third party representative that may have been
submitted previously.
• Any request to cancel this authorization before the end date (i.e. your first day of your first term) must be submitted in
writing to the Registrar’s Office.

v I have read, understood and agree to all of the above statements.

Applicant Information
First name: Emmanuel

Surname: Nguirabé Menoudji

Personal email: [email protected]

Middle/other name(s): NGUIRABÉ

Preferred name: EMMANUEL

Date of birth: 25/08/1999

Gender: Man

Citizenship: Chad

v Attach passport

Residency status in Canada: Study Permit

Expiration date: 04/12/2021

Primary language: French

Do you have a physical and/or learning disability/condition that you wish to disclose?: No

Street address: Dschang

City: Dschang

State / province: Menoua

Country: Cameroon
*All correspondence will be sent to this address. You must notify Admissions of any address change.

Postal code: BP66

University Canada West Page 2 of 6


Suite 100-626 West Fender Street, Vancouver BC V63 1V9 November, 2021
T: +1-604-915—9607 E: [email protected] W: ucanwest.ca
Prospective Student Inquiry Line: +1-778-655-1563
Master of Business Administration (MBA)

Is your permanent address different from the one listed above?: No

Primary phone number: +237680107864

Alternate phone number: +23566568780

Emergency Contact
This person will only be contacted in the event that you are involved in an emergency incident on campus.

First name: MENOUDJI

Surname: PAUL

Relationship to applicant: Parent

Phone number: +23566568780

Email: [email protected]

Education History
Please provide all post-secondary school qualifications.

Country Level of study Completed Name of institution Year of first enrolment Year of last enrolment Attach transcript

Chad Master Degree No Université de Dschang 2018 2021 v

Have you ever been required to withdraw or received an academic suspension/probation?: No

Standardized Tests
All applicants are required to demonstrate their level of English proficiency.

How have you demonstrated your level of English proficiency?: Post-Secondary English Course

Which, if any, standardized admissions test for graduate studies have you taken?: None

Employment History
Do you possess any volunteer / internship or professional work experience: No

University Canada West Page 3 of 6


Suite 100-626 West Fender Street, Vancouver BC V63 1V9 November, 2021
T: +1-604-915—9607 E: [email protected] W: ucanwest.ca
Prospective Student Inquiry Line: +1-778-655-1563
Master of Business Administration (MBA)

Additional Documents
If you wish to include additional supporting documents that have not been specifically requested, you may attach these
below.

v CV

v Degree certificate

v Other certification

Awards

Your application will be reviewed automatically for entrance awards, scholarships and grants that are based on your
nationality and/or previous academic achievements. Applicants are only entitled to receive one award, scholarship or
grant. Applicants who meet multiple eligibilities will be given the award, scholarship or grant that provides them the
highest monetary value.

If admitted to UCW, you will receive a Confirmation of Award letter along with you offer letter into your program.

A complete list of awards, scholarships and grants can be found at https://ucanwest.ca/admissions/awards-scholarships

The MBA Foundation Study Grant is on offer to any applicant who is required to take foundation level courses before
being permitted to commence their regular MBA courses. You will be notified in an offer letter if you are required to take
the foundation level courses.

In the event that you are required to take the foundation level courses:

Would you like to apply?: N/A

Would you like to apply?: No

Declarations

v The information I have submitted in this application for admission is true, correct, and complete to the best of my
knowledge.
v I understand that misrepresentation of information may result in the cancellation of my admission and registration.
v I understand that completion of this signed application permits UCW to request and/or confirm any information
necessary to support my application for admission.
v I understand and acknowledge that it is my responsibility to be aware of, and comply with, all UCW policies and
procedures.
v I understand that it is my responsibility to provide up-to-date contact information to UCW when changes occur.

Terms and Conditions

University Canada West Page 4 of 6


Suite 100-626 West Fender Street, Vancouver BC V63 1V9 November, 2021
T: +1-604-915—9607 E: [email protected] W: ucanwest.ca
Prospective Student Inquiry Line: +1-778-655-1563
Master of Business Administration (MBA)

1. Institution Policies

All students are responsible for understanding and adhering to UCW policies and procedures as outlined in the UCW
Academic Calendar and policy documents available on the UCW website.

2. Tuition Refunds

Refer to Policy 3001 Student Tuition Refunds for complete details. The policy includes the following:

Written notification is required for all cancellations and withdrawals. Refunds will be based on the date of receipt of the
official written notification. Refunds may take up to 30 business days to process.

2a. Domestic Students

Prospective domestic students who decide not to start their program or withdraw from course(s) up to the DROP/ADD
deadline of the term receive a 100% refund of all monies paid, excluding:

• non-refundable application fees;


• non-refundable program or registration fees;
• withdrawal processing fee; and,
• any other non-refundable fees as identified in the UCW Calendar.

2b. International Students

Prospective international students who have been issued a Letter of Admission (LOA) or a Conditional Letter of
Admission (CLOA) and who decide not to start their program or who withdraw from their registered course(s) on or before
the drop/add deadline for the term will receive a refund ONLY if their student visa or study permit is denied by
Immigration, Refugees, and Citizenship Canada (IRCC). Any refund of a required initial deposit (first term’s tuition and
compulsory fees), will exclude:

• non-refundable application fees;


• non-refundable program or registration fees;
• withdrawal processing fee;
• wire transfer fee; and,
• any other non-refundable fees as identified in the UCW Calendar.

Prospective International students will NOT be eligible for a refund and the initial deposit fee (first term’s tuition and
compulsory fees) will be forfeited and retained by UCW if:

• their student visa is denied by IRCC due to misrepresentation (directly or indirectly misrepresenting or withholding
material facts) or by providing false or misleading information or documentation.
• the student or his/her representative misrepresents (directly or indirectly misrepresenting or withholding material facts)
or provides false or misleading information or documentation to the University Canada West.

3. Wire Transfers

Any refunds to International students which are provided via wire transfer will have a $35 processing fee deducted from
the refund total.

4. University Limited Financial Liability

The University’s financial liability in relation to the student’s enrolment is strictly limited to the tuition paid by or on behalf

University Canada West Page 5 of 6


Suite 100-626 West Fender Street, Vancouver BC V63 1V9 November, 2021
T: +1-604-915—9607 E: [email protected] W: ucanwest.ca
Prospective Student Inquiry Line: +1-778-655-1563
Master of Business Administration (MBA)

of the student and the refund policy. For greater certainty, the University is not liable for any other cost or loss (direct or
indirect) of any kind whatsoever, including, but not limited to, the result of the cancellation or delay in the offering of a
course or program, except as provided for through the applicable tuition refund policy. Students should note that any
tuition payments received by the University from a government program, an agency, or a person other than the student
will be refunded, on behalf of the student to that government, agency, or other person.

5. Medical Insurance

All on-campus UCW students are required to have current medical insurance while registered at University Canada West.
International students must obtain private medical coverage for at least their first three (3) months in BC before they are
eligible for coverage through the Medical Insurance Plan of BC.

6. Published Programs

University Canada West reserves the right to alter published programs, course dates, timetables, faculty, course
specifications, the content of lectures and/or study materials and locations. The availability of all programs is subject to
student demand.

7. Dates of Programs

University Canada West reserves the right to alter start dates of programs. All course timetables are subject to change.

8. Access to Online Resources

University Canada West does not guarantee availability of the online resources and other added-value services due to
reasons beyond University Canada West’s control, including technical faults and limitations.

9. Limit of the University’s Responsibility

The University accepts no responsibility for the interruption or discontinuance of any class or course of instruction
because of natural disasters/an act of God, fire, riot, strike, or any cause beyond the control of the University.

10. University’s Right to Limit Enrolment

The University reserves the right to limit enrolment or registration in courses, to revise or cancel the curricula, or to cancel
or revise any of the programs or courses listed.

11. Exclusion

To the extent permitted by law, we, other members of our group of companies and associated parties exclude all
conditions, warranties and other terms which might otherwise be implied by statute, common law or the law of equity.

v I have read, understood and agree to all of the above statements.

University Canada West Page 6 of 6


Suite 100-626 West Fender Street, Vancouver BC V63 1V9 November, 2021
T: +1-604-915—9607 E: [email protected] W: ucanwest.ca
Prospective Student Inquiry Line: +1-778-655-1563

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