College Application Form A

Fields marked with an * must be filled in.

Please note issues concerning hotmail.com, outlook.com, live.com email accounts may affect responses to your application from staff.

Personal Info

Legal First Name: *	required.Invalid format.	Preferred Name:
Middle Name:*	required.	Legal Last Name:*	required.Minimum number of characters not met.
Former Surname: (if any)
Date Of Birth:*	required.Invalid format.
Citizenship:*	required.	Gender:* Female Male Please make a selection.
Marital Status:	Please select a valid item.Please select an item.

Contact Info

Address:*	required.
Address 2:
City:*	required.
Country:*	Please select a valid item. Please select an item.
Province/State:	Please select a valid item.
Postal/Zip Code:*	Invalid format. (e.g. A1B 2C3) Exceeded maximum number of characters. (e.g. 12345)
Phone:*	required. Home Work Cell
Phone 2:	Home Work Cell
Email:*	required.Invalid format.

Expression of Faith

* In 250-500 words, please describe your faith in Jesus Christ. This description can include how you practice and profess your faith, when you became aware of it, how it is expressed, how it impacts your everyday decisions and activities and why you continue in your faith. Feel free to include anything else you think is vital to how your faith is worked out.

characters left A value is required.Exceeded maximum number of characters.

Education Equity

Education Equity: Briercrest College and Seminary is committed to education equity. Applicants are asked to volunteer information related to their aboriginal ancestry as well as any disabilities they may have and wish to disclose. You will find definitions to clarify below. Briercrest College and Seminary collects the information for the purposes of our institution. The information provided will not be shared with any other party without the express permission of the applicant. Anything that is disclosed is subject to our institutional privacy policy. If the applicant has nothing to report related to either of these categories, this section can be left blank. Aboriginal Ancestry - is determined by reference to the Canadian Constitution Act of 1982 and includes Indian, Métis and Inuit persons of Canada as well as persons who are accepted by one of the Aboriginal peoples of Saskatchewan as a member of their community.
Ancestry:
Disability:	Briercrest College recognizes physical, intellectual, mental, psychiatric, sensory and learning disabilities as defined by the Saskatchewan Human Rights Code – Section 2 (2.1). Applicants with a disability who require special assistance to complete an application form should contact Admissions.
I have a Disability	(Formal documentation may be required)
Comments:	If you would like to give any specific information about your disability so that Briercrest College can serve you better please do so below. (Maximum characters: 2500 - approx. 250 words) You have characters left.

Family Information (fill out all fields that apply to you)

Parent/Guardian (1)	First Name: Last Name:
	Former Surname: (if any)
	Relationship: if Other please specify:
	Address is same as mine
	Address:
	Address 2:
	City:
	Country:
	State:
	Postal/Zip Code:	(e.g. A1B 2C3) Invalid format. (e.g. 12345) Invalid format.
	Email:	Invalid format.
	Phone:	Home Work Cell

Parent/Guardian (2)	First Name: Last Name:
	Former Surname: (if any)
	Relationship: if Other please specify:
	Address same as above
	Address:
	Address 2:
	City:
	Country:
	State:
	Postal/Zip Code:	(e.g. A1B 2C3) Invalid format. (e.g. 12345)Invalid format.
	Email:	Invalid format.
	Phone:	Home Work Cell

Church Information

What church do you attend? *	A value is required.
What is your church’s street address?
Town: *	A value is required.
Country:*	Please select an item.
Province/State:

Declaration for Admission

All Briercrest College students must adhere to the guidelines and rules expressed in the Undergraduate Student Responsibilities and Expectations (pdf). This document outlines expectations for attending classes, college chapel and a local church as well as for abstaining from activities such as sexual immorality, the use of alcohol, and/or use of tobacco products. Please read through the Undergraduate Student Responsibilities and Expectations (just click on the link above) and check the box below if you agree to follow the guidelines and rules outlined therein. If you have any questions or concerns about the expectations of student conduct please contact the Enrolment Services office at
1-800-667-5199 or enrolnow@briercrest.ca.

You must check this box to continue with the application.

* I, the applicant, hereby commit to complying with the standards outlined in the Undergraduate Student Responsibilities and Expectations document during the time I am a Briercrest College student.

You must check this box to continue with the application.

*I, the applicant, and my Parent/Guardian (if under 18), agree that all the information given on this form is accurate and truthful.

You must check this box to continue with the application.

*I, the applicant, and my Parent/Guardian (if under 18), waive any and all rights to review or amend any of the application forms or information submitted as part of my application to Briercrest College including all references and transcripts. I understand that the information provided will be used in compliance with Briercrest College and Seminary’s privacy policy for the purposes of determining my admission into the College and to support my success as a Briercrest student.

In the event that I, the applicant, am accepted into Briercrest College I give my permission to Briercrest College and Seminary to use my photograph in its promotional materials and publicity efforts. I understand that the photographs, both formal and candid, may be used in publications (such as Passport Magazine), print ads, direct-mail pieces, electronic media (e.g. video, CD-ROM, Internet), prayer cards, yearbooks, or any other form of promotion.

Submit Application & Fee

The application fee is; (Canadian dollars)

$50.00 for Canada and the United States
$100.00 for all other countries

Please choose your method of payment *, then click SUBMIT. If you choose the credit card option you will be taken to a payment page.

Credit Card
Cheque or money order (payable to Briercrest College and Seminary)
Not ready to pay at this time
Re-entry student, payment not required
Please make a selection.

What you preferred to be called, example - Tony instead of Anthony

Your proper first name, example Anthony, not Tony.

ONLY type numbers - the field auto formats for data requirements. Same for ALL phone fields

As appears on Government Issued ID

Box MUST be checked in order to submit your application.

Have you ever visited the Briercrest College campus*: Yes No Please make a selection.
If yes, when/what event?	25 words or less (Maximum characters: 250 - approx. 25 words) You have characters left.
How did you first hear about Briercrest?	check all that apply) Family Friend(s) Camp Camp Alumnus College/Career Fair Youth Quake Internet Search Facebook Twitter Teacher/Guidance Counselor TV/Radio Advertisement Pastor Refined Undignified Resonant Tour Awaken Tour Other Other
Who/What influenced you to apply to Briercrest College?	check all that apply) Family Friend(s) Camp Camp Alumnus College/Career Fair Youth Quake Internet Search Facebook Twitter Teacher/Guidance Counselor TV/Radio Advertisement Pastor Refined Undignified Resonant Tour Awaken Tour Other Other
Have you ever been in contact with a Briercrest staff member about coming to Briercrest College?*	Yes No Please make a selection.
If yes, who?


Will you be staying in Student Residence?* (If you are single, under the age of 23 and planning to study on campus you are required to live in Briercrest Student Residence)	Yes No
Do you have a dorm preference?

College Application Form A

Parent/Guardian (1)

Parent/Guardian (2)

Parent/Guardian
(1)

Parent/Guardian
(2)