CLAYSTONE
| Application for Admission
Personal Information
Mr. Mrs. Ms. MissLast Name (Family Name)
First Name (Given Name)
Middle Name
Preferred First Name
Gender
Male
Female
Date of Birth
Previous Last Name(s)
Marital Status
(if applicable)
Married Not Married
Social Insurance Number First Language
Y
M
D
______/______/______
Country of Citizenship
*Optional
English
FrenchOther (specify) ___________________
Country of Current Residency If not Canada, indicate the status you will have while in Canada
Canada
Or ________ Permanent Resident
Student VisaOther (Specify) ______________
Current Address
Street Address
City/Town Province/State Country Postal/Zip Code
Telephone Numbers
Home
(
)
Cellular
(
Work
(
)
)
Email Address
I give permission to Crandall University to Contact me by email
Application for Session
Intended Status
Full-Time Studies
Part-Time Studies
Visiting Student (Letter of Permission)
Regular (Sept - Apr)
Winter (Jan - Apr)
Spring (May - June)
Year of Study: 20______
Intended Program of Study *please indicate track if applicable
B.A. in Biblical Studies
B.A. in Interdisciplinary Studies
B.A. in English
B.A. in History
B.A. in Communication Arts
B.A in Psychology B.A. in Religious Studies
B.A. in Sociology
B.Sc. in Biology
Minor in Kinesiology
Bachelor of Business Administration
Certificate Program of Interest
Accounting
Economics
Management
Marketing
Christian Foundations Certificate CrandalOxford Study Programme
Continuing Education (non degree)
TESL Certificate (teaching english as a second language)
Youth Leadership Certificate
Bachelor of Theology ClayStone (gap year)
Student Life Interests
Are you interested in living on campus Yes No Maybe
Men’s SoccerOther Interests:
Varsity Athletics:
W
omen’s Soccer
Men’s Basketball
W
omen’s Basketball
Cross Country
Men’s Baseball
Worship Teams (Chapel/Luminos Band)
Student Ambassador Team
Crandall Student Association
Club & Intramural Sports
Previous Academic Information
Name of School
City & Province
Country
Dates Attended
Degree/Cert. Obtained
High Schools
Universities, Colleges, or Cegeps
By checking this box, I give Crandall University permission to discuss my application with the Guidance Department/
Registrar’s Office of the institution(s) above.
Parent(s), Guardian(s), or Spouse Information
Name(s)
Last
Email Address
Home
(
)
First
Cellular
(
)
Relationship to Applicant
Middle
Work
(
)
By checking this box, I give Crandall University permission to discuss my application with the Parent, Guardian or Spouse
Intent of Study
We want to get to know you as best as possible through this application. Please respond to the following:
(attach additional pages as necessary)
1. Why do you want to study in a Christian liberal arts and science university such as Crandall University? _______________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
2. Have you attended a campus visit event? If so, when? _______________________________________________________
3. How did you first hear about Crandall?__________________________________________________________________
Personality Inventory – check all that you believe best describe you.
□ I look forward to spending time alone.
□ Group activities stimulate me and give me energy.
□ When I am in nature I love to be aware of my natural surroundings.
□ While I am in nature I like to think about things and ideas.
□ I am mainly interested in building relationships.
□ I am experimental and like to find new ways of doing things.
□ I prefer to not to share personal information.
□ I share personal information rather freely.
□ I am caring & compassionate.
□ I value logic, justice and fairness.
□ I value empathy, harmony and forgiving.
□ I prefer one-on-one conversations.
□ I enjoy being the life of the party.
□ In public places (gym/coffee shop), I look for places to be alone.
□ I am energized by meeting people in public places (gym/coffee shop).
□ I am rather private and difficult to “read”.
□ I am rather easy to “read” and know.
□ I talk more than I listen.
□ I listen more than I talk.
□ I have many meaningful relationships.
□ I have only a few deep, real personal relationships.
What are your hobbies or activities that you enjoy doing?
CLAYSTONE
Tell us about your experiences with volunteering.
Have you ever been outside of Canada (or your home country)? If so, where?
If you disagree with someone, are you more likely to work through the disagreement or ignore it until it goes
away?
What do you hope to accomplish as a ClayStone student?
What do you hope to accomplish in your life and how does ClayStone contribute to your aspirations?
A core objective of the ClayStone experience is the development of a discipleship relationship with Jesus
Christ. How does this objective complement your personal ambitions?
Are you able to obtain a valid passport for international travel? ___ Yes ___ No
CLAYSTONE
Have you ever been convicted of a crime? If “yes,” please provide us with some details (date, circumstance,
incident, etc.).
In addition to affirming the general mission of Crandall University and the expectations of community life
standards as outlined in the University’s Student Handbook, students successfully admitted into the ClayStone
experience are also asked to affirm the following statement:
As a ClayStone student I affirm my responsibility to be respectful and supportive of the Christian discipleship
objectives of the program as well as of its leadership and my fellow students. I understand that ClayStone is
an experiential program and I will need to show flexibility in my approaches to learning as some of the experiences, while safe in nature, may bring me to the edge of my zone of comfort. I also understand and commit
to extending the same respect I show to my program leaders and fellow students to the people of the various
cultures to which I will be exposed as I participate in the ClayStone experience.
__________________________________
(applicant’s signature)
_______________________
(date)
Community
Students at Crandall University are encouraged to make responsible decisions about their lifestyles and beliefs. At the same time, they are
part of a Christian community which includes certain expectations regarding the way in which we live our lives together – expectations which
are academic, social and personal. Students are required to attend chapel, two per week, and are encouraged to participate in community
activities aimed at promoting personal growth. Additional information on community life standards are available in Crandall University’s
Student Handbook or from the Student Development Department.
Agreement
I give permission to Crandall University and/or the media to take my photograph while a student. These photographs may be used in various communications on behalf of Crandall.
I do not give permission to Crandall University and/or the media to take my photograph while a student.
The personal information requested on this application will form part of my student record at the university where it may be disclosed to
faculty or members of the university staff for officially recognized and legitimate use. I certify that all of the above information in this
application is complete and accurate, and I authorize the university to verify any information provided as part of this application. I
understand that misrepresentation, falsification of documents, or withholding of requested information regarding this application are serious
offenses and may be grounds for non-admission or after admission, grounds for dismissal. I agree, if admitted, to respect the Christian ideals
and standards of Crandall University as outlined in the Student Handbook.
Signature of Applicant: __________________________________Date: _______________________
For Additional Information:
Crandall University Admissions Office
Box 6004,
Moncton, New Brunswick,
E1C 9L7
Toll Free: 1-888-968-6228
Office: (506) 858-8970
Fax: (506) 863-6460
www.crandallu.ca