Occasional & Part Time Studies Application Occasional & Part Time Studies Application Form Name* First Middle Last Former (Maiden) NameIf applicable, enter former name. Birth Date*Provide your birth date (mm/dd/yyyy). MM slash DD slash YYYY Have you previously taken a course(s) at Redeemer University?* Yes No Indicate student ID number.If you remember your RU student id number, please provide it. Address*Provide current mailing address. Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email Address*Provide your email address, as communication will be directed to this account. Cell Number*Provide your cell number.Church Name*Provide the name of the church you are currently attending. Church Denomination/Affliation* Academic Standing*Please check all applicable levels. Ontario Secondary School Diploma (OSSD) University or College degree Community College Other Specify Other Course Code #1*Provide the course name or course code that you wish to take. For example, BUS-121. Course information can be found in Self Service. Year/Term #1*Enter the year and the term that the course is offered. For example, 2017 fall term or 2017/FA. Course type #1*Do you want to take the course for credit or audit? Credit - expected to complete all course work; receive a grade Credit (Letter of Permission) - permission from another insitution to take the course; expected to complete all course work; receive a grade Audit - learning by listening; not expected to complete course work; receive an AU grade Letter of Permission Host InstitutionPlease provide the name of the host institution. LOP ApprovalUpload your LOP approval letter from your host institutionMax. file size: 512 MB.Course Code #2Provide the course name or course code that you wish to take. For example, BUS-121. Course information can be found in Self Service. Year/Term #2Enter the year and the term that the course is offered. For example, 2017 fall term or 2017/FA. Course type #2Do you want to take the course for credit or audit? Credit - expected to complete all course work; receive a grade Credit (Letter of Permission) - permission from another insitution to take the course; expected to complete all course work; receive a grade Audit - learning by listening; not expected to complete course work; receive an AU grade Letter of Permission Host InstitutionPlease provide the name of the host institution. LOP ApprovalUpload your LOP approval letter from your host institutionMax. file size: 512 MB.Name/Signature*By providing your name, you acknowledge that the above information is correct to the best of your knowledge. You also agree to follow the policies and regulations of the university as outlined in the Academic Calendar and Student Handbook. First Last
