Capilano University Application

Personal Information
Legal Names
FIRST OR GIVEN NAME(S)
Alexandre

MIDDLE NAME(S)
(N/A)

LAST OR FAMILY NAME

Juste

Other Names
PREFERRED FIRST NAME
(N/A)

FORMER LAST OR FAMILY NAME

(N/A)

Other Details
DATE OF BIRTH
2001-02-15

Language/Citizenship
PRIMARY LANGUAGE SPOKEN AT HOME
French

COUNTRY OF CITIZENSHIP
Canada

VISA STATUS
(Not Specified)
Contact Information
Mailing Address
COUNTRY
Canada

STREET ADDRESS
7217 148 St

PROVINCE
British Columbia

CITY
Surrey

POSTAL CODE
V3S4S5

Telephone Numbers
PRIMARY PHONE
+1 (604) 354-2797

OTHER PHONE
(Not Specified)

Emergency Contact
DO YOU WANT TO PROVIDE AN EMERGENCY CONTACT
Yes

EMERGENCY CONTACT'S FULL NAME

Mantee Juste

EMERGENCY CONTACT'S EMAIL ADDRESS

(N/A)

Emergency Contact's Telephone Numbers

PRIMARY PHONE
+1 (604) 499-4110
OTHER PHONE
(Not Specified)

Academic History
High Schools
Ecole Gabrielle-Roy
LOCATION
British Columbia, Canada

DATES ATTENDED
2014-09-01 to 2015-09-28

CURRENT/COMPLETED GRADE
8

Lord Tweedsmuir Secondary

LOCATION
British Columbia, Canada

DATES ATTENDED
2015-09-08 to 2016-07-26

CURRENT/COMPLETED GRADE
9

Lord Tweedsmuir Secondary

LOCATION
British Columbia, Canada

DATES ATTENDED
2016-09-07 to 2017-07-28

CURRENT/COMPLETED GRADE
10

High School Student Numbers

PERSONAL EDUCATION NUMBER (PEN)
139065999
OUAC REFERENCE NUMBER
(N/A)

Post-Secondary Institutions

Application No. 52317

Program Selection
Term & Admission Category
WHICH TERM DO YOU WISH TO START?
Fall 2018

ARE YOU?
Current Student-Changing Program

First choice
FACULTY
Computing/Technology Programs

PROGRAM
3D Animation for Film and Games Diploma

Program Details
Questions
ADMISSION STATUS
Concurrent High School Applicant

ATTENDANCE
Full Time

Second choice
FACULTY
Fine and Applied Arts Programs

PROGRAM
Acting for Stage and Screen Diploma
Program Details
Additional Information
Aboriginal Identity
DO YOU IDENTIFY YOURSELF AS AN ABORIGINAL PERSON OF CANADA?
No

ARE YOU FIRST NATIONS?

(N/A)

ARE YOU MTIS?

(N/A)

ARE YOU INUIT?

(N/A)

Gender
SELECT YOUR GENDER
Male

Previous Affiliation
HAVE YOU BEEN PREVIOUSLY AFFILIATED WITH CAPILANO UNIVERSITY?
No

ID NUMBER:
(N/A)

MOST RECENT TERM ATTENDED OR APPLIED FOR:

(N/A)

Education History
HAS YOUR EDUCATION BEEN INTERRUPTED FOR LONGER THAN SIX MONTHS?
No

PROVIDE A BRIEF OUTLINE OF YOUR ACTIVITIES DURING THIS PERIOD.

(N/A)

HAVE YOU:
No
NAME OF INSTITUTION
(N/A)

DATE OF WITHDRAWAL/SUSPENSION/FAILURE
(N/A)

English Proficiency
ENGLISHREQ
(N/A)

IF YOU ARE NOT DIRECTLY ADMISSIBLE TO YOUR FIRST PROGRAM CHOICE DUE TO
A LACK OF ENGLISH, WOULD YOU LIKE TO BE CONSIDERED FOR ADMISSION TO OUR
ENGLISH FOR ACADEMIC PURPOSES PROGRAM?
Yes

Agent Information and Release for International Applicants

DO YOU HAVE AN EDUCATIONAL REPRESENTATIVE OR AGENT?
No

AGENT NAME
(N/A)

AGENCY
(N/A)

EMAIL ADDRESS
(N/A)

I HEREBY AUTHORIZE CAPILANO UNIVERSITY TO RELEASE ADMISSIONS,

REGISTRATION, AND TUITION INFORMATION TO THIS ORGANIZATION.
(N/A)

Scholarship Funding and Release for International Applicants

WILL YOU BE FUNDED BY A SCHOLARSHIP GRANTING ORGANIZATION?
No

CONTACT NAME
(N/A)
ORGANIZATION
(N/A)

I HEREBY AUTHORIZE CAPILANO UNIVERSITY TO RELEASE ADMISSIONS,

REGISTRATION, AND TUITION INFORMATION TO THIS ORGANIZATION.
(N/A)

Support Services
Application Fee
$0.00
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