Returning ESP Student Application - Enriched Support Program

Name*

First Last

Pronouns

Please specify

Student number

Email*

Cell Phone*

If you don't have a cell phone, please enter an alternate phone number instead.

Alternate Phone Number*

If you don't have an alternate number, please enter "0".

Address

Please provide your address so we can ensure we have the most up-to-date contact information on file.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

What year were you enrolled in ESP?*

Which term did you start ESP?

Fall (September)
Winter (January)

Which term are you applying to?

Fall (September)
Winter (January)

Which stream of ESP were you enrolled in?*

Please note: ESP normally only has space for returning students in the Arts and Social Sciences stream.

Which stream of ESP do you wish to return to?*

What is your degree goal?*

Please let us know what degree/major you hope to qualify for.

Grades*

Please indicate your average from your ESP year. (You can estimate if you aren't certain).

Challenges during ESP year*

Briefly describe any challenges you faced this past year:

Plan for return to studies:*

Please let us know your plan for the upcoming year and how you hope to address any challenges moving forward.

Additional information:

If there's anything else you'd like us to know, please include it below. (Optional.)

Additional studies

If you took time off from Carleton and studied elsewhere, please upload a copy of your transcripts.

Drop files here or

Declaration*

I hereby certify that all statements on this application are correct and complete including my declaration of citizenship and immigration status. I understand that misrepresentation of this data may result in registration in the University being rescinded. I understand that it is my responsibility to be aware of the academic regulations outlined in the University Calendar and the financial regulations as outlined on the Student Accounts website. I understand that any future applications for admission to degree studies will require additional documentation as specified by the Admissions Regulations of the Undergraduate Calendar.

Consent*

I agree to the privacy policy. Personal information collected through this application will be used and disclosed by Carleton University under the authority of the Carleton University Act, 1952, and in accordance with sections 39, 41 and 42 of Ontario’s Freedom of Information and Protection of Privacy Act. The purpose of this processing is to administer the Enriched Support Program. We may share some of the information provided with the appropriate internal personnel to assist with program delivery. We may also follow up at a later date to obtain your feedback and opinions concerning the ESP, or to discuss enrolment opportunities into a post-secondary educational program offered by Carleton University. If you have any questions about the processing of personal information by Carleton University, please contact the Manager, Privacy & Access to Information, by phone at 613-520-2600 ext. 2047 or by e-mail via University_Privacy_Office@carleton.ca.

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