Thank you for your interest in the Spring English as an Additional Language program- Explore at the University of Prince Edward Island. Please read the enclosed information carefully and follow the instructions.
You will find one Application Form and three Code of Conduct forms, a Roommate Questionnaire, and a list of Optional Activities. Each form should be completed, signed, and returned to us May 1, 2017.
Your application must be accompanied by the $275 (CAD) registration fee. This fee i s non- refundable after May 8th, 2017 if you decide to withdraw from the program. If you decide to withdraw, the registration fees will only be refunded upon receipt of a written request prior to the dates above.
The program fees outlined on the following page include the cost of tuition, accommodation, most meals, and some evening and weekend activities. We also offer optional activities (including a trip out of province), at an additional charge. An Optional Activities list has been included in this package.
Students will be housed at Blanchard Hall, an apartment-style residence at the south end of campus. Most meals will be at the Wanda Wyatt Dining Hall. Some meals during the program take place off campus during the Program.
We ask that students arrive after 12 pm on Monday, May 29th. On Tuesday, May 30th students will write a placement test to be placed in the appropriate learning level.
To learn more about our program: what to bring, a daily schedule, information for early arrivals or late departures, a list of events, information on our beautiful island, and much more visit our website at : http://www.upei.ca/skillsdevelopmentandlearning/explore-eal
If you have any questions, please do not hesitate to contact us at 902-566-0529 or at explore@upei.ca.
Prince Edward Island is a wonderful province to visit during the spring. You will create lasting memories, learn about Island culture and improve your English. We look forward
to hearing from you.
University of Prince Edward Island Explore Program 2017
Application Form
Family name Given name
Date of birth: year/month /day Social Insurance Number (For accounting purposes only)
Mailing Address City
Province Postal Code Country
Area Code & Phone Number Fax Number Email
For successful completion, students must attend the full length of their program.
I’d like to register for (please choose one) Canadian Students
5 week program $2,640
May 29 – June 30 4 week program $2,430
May 29 – June 23
International Students
5 week program $4,257 (CDN)
May 29 – June 30 4 week program $3,324 (CDN)
May 29 – June 23
Signature of student Date
This application MUST be accompanied by a $275 (CDN) Registration Fee. Please enclose payment for your Optional activities. Please indicate on the Optional Activities
Checklist which activities you wish to sign-up for. If your method of payment is by cheque, please issue a separate cheque for the Optional Activities. Changes may be made
during the first week of the program.
Method of Payment:
(Please make payable to the University of Prince Edward Island)
American Express Name of Cardholder:
Card # Expiry Date:
Validation Code (3-digit code on back of card):
Signature:
I understand that this application will not be processed without the Registration Fee.
I understand that the Registration Fee is non-refundable after May 8th, 2017 if I wish to cancel my registration.
Signature of Student Date
THE DEADLINE TO PAY ALL PROGRAM FEES IS May 1nd, 2017.
Yes, I’d like to pay all program fees by credit card.
No, I wouldn’t like to pay all program fees by credit card. I’d like to pay by (circle one) : Cheque Money Order
I understand that this application must be accompanied by the $275 registration fee.
I understand that the registration fee is not refundable after May 8th, 2017 if I decide to withdraw my application.
University of Prince Edward Island Explore Program 2017
Student Code of Conduct – Page 1 of 3
The following rules ensure a quality program. They are for your protection and our peace of mind.
Residence
Quiet hours are in effect between 11:00pm and 7:00am, Sundays through Thursdays, and between midnight and 7:00am on Fridays and Saturdays.
There is no smoking in residence.
Pets are not permitted in university buildings, including the residences.
Cooking is permitted in residence rooms but meals will be provided at the Dining Hall.
The use of drugs during the program is prohibited. Students caught under the influence of and/or in possession of drugs will be automatically dismissed from the program. In addition, he/she may be subject to legal proceedings.
The University is not responsible for accidents, injuries to guests, loss of money, jewellery, or valuables of any kind by fire, theft or water damage.
The University of Prince Edward Island takes great pride in its buildings and grounds and it endeavours to provide its users with the highest possible standards of service. To maintain these standards, the University must hold groups responsible for the behaviour of their members and guests, and may hold groups accountable for charges relating to damage, theft, and excessive clean-up resulting from their occupation or use of its dining, accommodations and other facilities.
I have read and understood the above rules and regulations
Signature of Student Date
Signature of Student Date
University of Prince Edward Island Explore Program 2017
Student Code of Conduct – Page 2 of 3
Academic Regulations
Attendance at and participation in classes are mandatory. Students who miss five classes, or parts thereof, will be considered to have not completed the program, and will be asked to leave.
Due to the nature of the program, no reread will be available for marks. The final mark will be based on the following: 80% for actual academic work and 20% for participation in cultural and extracurricular activities as well as the constant use English.
Students are fully expected to arrive in class on time and wide awake. Teachers will be recording and reporting to the Academic Coordinator any occurrences of lateness and absenteeism. Repeated lateness and/or absenteeism are considered to be breaches of the contract.
Social Activities
Participation in social, cultural and recreational activities is required of all students and is compulsory. Any absence will result in an Incident Report, and habitual absences will result in a warning.
Language Regulations
The Explore Program is based upon the principle of total immersion. Therefore students are required to use English at all times.
Students who are found speaking a language other than English will receive an Incident Report, and possibly a warning, under the discipline system. Three warnings will result in dismissal from the program.
Administration
No refund of the registration fee ($275 CDN) will be made to students who fail to cancel their registration in writing before the final registration date of May 8th, 2017.
Students are responsible for any fees, etc. incurred during their stay at UPEI.
I have read and understood the above rules and regulations
Signature of Student Date
University of Prince Edward Island Explore Program 2017
Student Code of Conduct – Page 3 of 3
Discipline and Dismissal
Students with unsatisfactory attendance or those behaving in an unacceptable manner will be dismissed from the Explore Program.
When a student chooses not to abide by this code of conduct, staff will fill out an Incident Report.
After meeting with the Program Coordinator, the Incident Report will become a warning.
Infractions are classified as either major or minor. Major infractions include, but are not limited to, drug use, harassment or violence, unauthorized absence from the program, theft, any illegal activity and inappropriate behaviour. Minor infractions include, but are not limited to, speaking a language other than English, not respecting curfew, and absence from activities and classes.
For a first minor infraction, the student must meet with the Program Coordinator, plus any other individuals the Program Coordinator deems necessary, to discuss the incident.
For a second minor infraction, the student must meet with the Program Coordinator, plus any other individuals the Program Coordinator deems necessary, to discuss the incident.
Following a third minor infraction, the student must meet with the Program Coordinator, plus any other individuals the Program Coordinator deems necessary, to discuss the incident.
At this time, the decision may be made to dismiss the student from the program.
For any major infraction, the student must meet with the Program Coordinator, plus any other individuals the Program Coordinator deems necessary, to discuss the incident. At this time, the decision may be made to dismiss the student from the program.
Students will be informed of times to meet with the Program Coordinator. Any student who does not appear at an assigned meeting is considered to have forfeited his/her right to discuss the incident, and a decision will be made in his/her absence.
Following the dismissal meeting, the student has 24 hours in which to make travel
arrangements to return home at his/her own expense. After this 24-hour period, the student is no longer the responsibility of the Explore Program. The Explore Program reserves the right to provide alternate accommodation for the student during this 24-hour period.
I have read and understood the above rules and regulations
Signature of Student Date
University of Prince Edward Island Explore Program 2017
Medical Information Sheet
Please print clearly
Family name Given name
Date of Birth Social Insurance Number
Are you covered by a Provincial Health Care Plan? (ex. Medicare) Yes No
Province: Health Card #
Students must bring their health card with them to the program.
If you are not covered by a Provincial Health Care Plan or are an International Student, you are required to purchase equivalent coverage and show proof of that coverage before attending UPEI’s Explore Program.
Person to contact in case of emergency Relationship
Daytime telephone number Evening telephone number
Personal Physician Telephone number
Signature of Student Date Do you have any dietary allergies or needs? Please specify.
Do you have any other allergies? Please specify.
Are you diabetic? Yes No
Do you have asthma? Yes No
Are you under a doctor’s care for any other condition? Please specify.
Do you take medication regularly? Please specify.
I understand that the University is not responsible for accidents or injuries to guests.
I certify the above information to be true and complete.
University of Prince Edward Island Explore Program 2017
Roommate Questionnaire
The following information is used in assigning roommates.
Name: Date of Birth:
Please check one box per category.
I am:
❒
Male❒
FemaleNoise Level – I am:
❒
Noisy❒
Somewhat noisy❒
Quiet❒
Very Quiet Active – I am:❒
Active❒
Somewhat active❒
Seldom active❒
Not an active personCleanliness level – I am:
❒
Very tidy❒
Somewhat tidy❒
Somewhat messy❒
Very messy I normally go to bed:❒
Before 10 p.m.❒
Between 10 and 11 p.m.❒
Between 11 p.m. and 12 a.m.❒
It does not matterIndicate a name if you want to share your accommodation with a specific person:
______________________________________________
We will only grant roommate requests if both students have submitted a request.
Explore will be purchasing t-shirts for all participants. Please tell us your t-shirt size.
❒
Small❒
Medium❒
Large❒
X-LargeUniversity of Prince Edward Island Explore Program 2017
Optional Activities - Checklist
The following is a list of optional activities that the Explore Program offers. To assist the program in planning these activities, please circle “yes” if you will attend, and “no” if you will not attend.
Yes No Deep Sea Fishing $45
Yes No 4 Beach Trips $40
Yes No Musical-Anne of Green Gables $50
Yes No Halifax Trip $200
Yes No Cavendish Beach Camping $50
Yes No Lobster Supper $45
Yes No Paintball $30
Total Price = $460
Please enclose a SEPARATE payment for your Optional Activities.
Changes may be made during the first week of the program.
Method of Payment
□ Cheque or Money Order (Please make cheque payable to the University of Prince Edward Island)
□ Visa
□ Mastercard
□ American Express
Name of Cardholder:
Card # Expiry Date:
Validation Code (3-digit code on back of card):
Signature:
University of Prince Edward Island Explore Program 2017
Application Package Checklist
Have you returned the following items to us?
$275 (CDN) Registration Fee
Optional Activities Payment. Changes may be made during the first week of the program.
Email one recent photo as a ‘jpeg’ to explore@upei.ca which meets the following criteria:
passport size (5cm x 7cm)
face must be clearly visible and facing forward no sunglasses or hats
no graduation caps, gowns, or costumes your name printed on the file
Signed Application
Signed Code of Conduct (please keep a copy for your records)
Signed Medical Information Sheet (please keep a copy for your records) Roommate Questionnaire
Optional Activities - Checklist
Return your application to the address below:
Explore Program
Office of Skills Development and Learning
University of Prince Edward Island 550 University Avenue
Charlottetown, PE C1A 4P3 Canada
Telephone: (902) 566-0529 Fax: (902) 566-0451 Email: explore@upei.ca
