Please Note: You will be contacted with your student ID and payment information once your registration has been processed. ** If you are a registered student at Ambrose, please use the student registration system to register for an individual course. Student Information Last Name: First Name Middle Name: Student ID (if applicable): Previous / Maiden Name(s) (if applicable): Date of Birth (mandatory) Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year1909191019111912191319141915191619171918191919201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017 Current Mailing Address: City: Province: Postal Code: Email Address Phone Number: Gender: - None -MaleFemale Citizenship: Denomination: Ethnicity: If you wish to declare you are an Aboriginal person, please specify: - None -InuitMetisStatus/First NationsNon-Status/First Nations This is my first course This is my first course at Ambrose University I am a visiting student I am a visiting student From: Visiting Letter of Permission Visiting Students wishing to receive transfer credit must supply the Office of the Ambrose Registrar with a Letter of Permission from their home institution. Please attach your letter of permission (PDF) here.Files must be less than 2 MB.Allowed file types: pdf. Level of Education Achieved - None -High SchoolPost-SecondaryBachelor's DegreeGraduate Degree Bachelor Degree Earned: Institution where you earned your Bachelor's degree? Graduate Degree Earned: Institution where you earned your Graduate degree? Note: Due to government reporting, ALL students taking undergraduate courses MUST have an ASN, even if they are out of province. You cannot register in a course without one. To set up or look up your ASN, please follow the link: https://extranetapp.learning.gov.ab.ca/learnerRegistry/forms/ Alberta Student Number (mandatory) Registration Information Semester: - None -FallWinterSpringSummer Location On Campus Off Campus Off campus location: Course 1 Course ID and #: Section Course Name Prerequisite? - None -YesNon/a Please attach an unofficial transcript to show proof of completed prerequisite Files must be less than 2 MB.Allowed file types: gif jpg jpeg png pdf. Course 2 Course ID and #: Section Course Name Prerequisite? - None -YesNon/a Please attach an unofficial transcript to show proof of completed prerequisite Files must be less than 2 MB.Allowed file types: gif jpg jpeg png pdf. Course 3 Course ID and #: Section Course Name Prerequisite? - None -YesNon/a Please attach an unofficial transcript to show proof of completed prerequisite Files must be less than 2 MB.Allowed file types: gif jpg jpeg png pdf. Declaration I certify that the information provided is true and complete in all respects and understand that failure to provide complete and true information may result in penalties. I understand that I will be bound by the regulations of Ambrose University as listed in the Academic Calendar. I agree I agree Privacy Statement Ambrose University is committed to safeguarding the personal information entrusted to us. We manage your personal information in accordance with Alberta’s Personal Information Protection Act and other applicable laws. Information collected in this form may be used to contact you regarding programs and services. It will form part of your record as an applicant, student, and alumnus and may be disclosed to academic and administrative units. All information is considered confidential and will be used and disclosed in accordance with privacy legislation. For more information regarding the collection or use of this information, please contact the Privacy Compliance Officer (403-410-2000 or e-mail firstname.lastname@example.org).