Bachelor of Community Rehabilitation: Letter of Intent

BCR Form 1

NOTE: This form can only be submitted from an internal/on-campus University of Calgary computer. If you are NOT ON CAMPUS, you can download a MS Word version of this form to fill out and email to Sarah Hawley at sjhogan@ucalgary.ca or print out and fax to our office: 403.220.6494

Name:

Location: (Calgary or Online)

Admission Date:
(Please select from the following menu.)

UCID Number:

Address including postal code:

E-mail Address:

Telephone Number:
(Please include your area code)

PART A: Choose ONE of the FOUR routes below and fill in the appropriate information.

If you have:	Credential or Number of Units	Institution	Date Awarded
Approved Rehabilitation Diploma
First Degree
Another U of C program (COP)
Related diploma from another University

PART B: BCR Statement Form

List your related employment or volunteer experience (full and/or part-time) beginning with the most recent.

List your related education, such as training programs, workshops and/or short courses.

What factors have led to your decision to pursue a career in Community Rehabilitation and Disability Studies and what characteristics do you possess that make you think that you would do well in this field?

Describe the kind of settings you anticipate working in.

List three (3) references. Including name, address and daytime phone number and also indicate the capacity in which the reference knows you.

How did you hear about our program? (Website, Diploma Program, etc.)

BCR On-line Application Introduction

BCR Form 1: Application

This information is collected under the authority of the Freedom of Information and Protection of Privacy Act and the Universities Act. It is required for admission purposes and forms part of a student's record. If you have any questions about the collection or use of this information, please contact the Student Program's Office at (403) 220-5621.

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