Personal Information
First Name   Middle Name
Last Name Suffix  
Preferred First Name (if applicable) Former Last Name(s) (if applicable)
Permanent Home Address
Address   Address 2
City   Province/State   Postal/Zip Code  
Country   Telephone   Email Address  
Date of Birth (mm/dd/yyyy)       Gender 
Applicant Citizenship   Dual Citizenship(if applicable)
Primary Language Other Language
Activities / Hobbies
Please list your principal extracurricular, community and family activities and hobbies






How did you first hear about Quest?


Educational Background
High School
Name of School   City & Province/State   Telephone (include area code)  
Attended From: (mm/yyyy) To: (mm/yyyy)
   

Name of School
City & Province/State
Telephone (include area code)
Attended From: (mm/yyyy) To: (mm/yyyy)

Post Secondary Studies
Are you currently, or have you ever been, enrolled in coursework for university/college credit? If so please indicate the nature ofthe work and the institution(s) attended.


Disciplinary History
Have you ever been found responsible for a disciplinary violation at any educational institution you have attended from 9th grade (or the international equivalent) forward, whether related to academic misconduct or behavioural misconduct, that resulted in your probation, suspension, removal, dismissal, or expulsion from the institution?
Have you ever been convicted of a misdemeanour, felony, or other crime?
If you answered yes to either or both question, please attach a separate sheet of paper that gives the approximate date of each incident, explains the circumstances, and reflects on what you learned from the experience.
Academic Information
Indicate date (mm/yyyy) you plan to attend Quest     Check below if you have taken or will be taking any of the following:
 
Family Information
Parent/Guardian 1 (full name)  

Home Address if different from yours

Street Address
Province/State Postal/Zip Code
Country Telephone
Email Address  
Parent/Guardian 2 (full name)

Home Address if different from yours

Street Address
Province/State Postal/Zip Code
Country Telephone
Email Address  
Application Essay
Please give special attention to this writing sample, since both the content and your writing ability will be thoroughly reviewed and considered in the admission decision process. Please answer one of these questions in a separate Word document and send it as an attachment to the following address:

admissions@questu.ca

In the subject line of your email, please include your name and "essay attached." At the top of your writing sample, please put your name and address. Feel free to submit your essay now, or it can follow at a later date.

Please choose one of the topics below or submit a sample of writing that you feel demonstrates your ability to organize your thoughts and express yourself. Your selection should be personally written by you and consist of a minimum of 300 words.
  1. Quest University Canada provides students with a distinctive focus and flexibility through utilizing the Block Program wherein students take one course at a time. Please design your own three-and-a-half week intellectual adventure and describe what you would do.
  2. What influenced you to apply to Quest and why do you believe it will be a good choice for you?
  3. What is your greatest concern for the world in the 21st century and what do you plan to do about it?

Students wishing to apply for Quest scholarships and/or financial aid awards are encouraged to do so before our Priority Scholarship deadline of March 15, 2010. Learn more about Scholarships and Financial Aid.
Applicants Affidavit

I certify that the information I have given on this application is complete and correct to the best of my knowledge, and that I have attended no other institutions other than those listed. I understand that it is my responsibility to have forwarded to Quest University Canada all official school records and other application materials and these documents become the property of Quest University Canada and shall not be returned to me or duplicated for any reason. I also understand that my admission to Quest University Canada is subject to verification of all official records and that my admission may be rescinded should said records be materially different from other documentation on file.
Date (mm/dd/yyyy) Initials 


After you have completed the entire form, click the SUBMIT button. A Confirmation Page will appear with the information you entered. Print out the Confirmation Form to keep for your personal records. By electronically submitting this form, the applicant agrees to all of the provisions included in the Applicant's Affidavit section of this form.