PERSONAL INFORMATION FORM
School of Business
The Personal Information Form is an important document intended to give the Selection Committee a broader picture of your accomplishments than is possible by marks alone. You should give careful attention to completing it
. Queen's School of Business seeks candidates who are well prepared academically and who, through their variety of interests, experience and leadership, can contribute to and benefit from a stimulating intellectual climate and can function effectively in business organizations after graduation.
DATE:
03/05/2002
EMAIL ADDRESS:
REFERENCE NUMBER:
20021075720
PROGRAM OF STUDY:
QC
List the two most significant academic distinctions you have won (e.g. scholarships, prize).
List up to three examples of your long-term commitment to an activity in school and/or the community (e.g., music, athletics, volunteer work etc.)
Include the average number of hours spent per week and the number of years you have been involved.
List up to three examples of activities in which you have been a leader and describe what you accomplished in at least one of your positions (e.g., extracurricular, volunteer activities etc.)
List any part- or full time employment you have had during the last two years and indicate the approximate number of hours worked each week.
List all senior-level courses (i.e., OAC - Ontario; grade 12 - other Provinces/Countries)
that you have repeated
. Please indicate how many times the course was repeated and give the mark obtained on each attempt.
Course Name
Repeated?
Y or N
Times repeated?
Mark obtained on each attempt (comma separated)
Y
N
Y
N
Y
N
Y
N
Y
N
If there are any factors that may have adversely affected your academic performance over the past two years, please provide a separate statement along with supporting documentation. Your reference number must be written on all correspondence.
In paragraph form, please answer each of the following questions in 100 words or less:
Why are you interested in pursuing a career in business?
What qualities do you think you have that will make you successful in the Commerce Program?
Tell us about a time when you were part of a team that was
not
successful in its endeavors and explain what you learned from this experience.
Please provide the name, address and telephone number of two referees who could, if contacted, discuss the information you have submitted. At least one must be familiar with your academic record. Please indicate the relationship each person has to you (e.g. principal, guidance counselor, music teacher, supervisor at work).
1
Name
Address
Telephone
Relationship
to applicant
E-mail
2
Name
Address
Telephone
Relationship
to applicant
E-mail
Release of Information
Queen's assumes it has permission to respond to enquiries from your immediate family (parents, siblings or guardians) and/or from school officials, about your application(s) for admission, scholarships and awards. If you do not wish this information to be released or would like only certain people to be able to collect information on your behalf, please select one of the following options:
NO, I do NOT authorize release of this information to anyone.
NO, I do NOT authorize release of this information to anyone except for the following:
BLANKLINE
Name
Relationship
to applicant
Name
Relationship
to applicant
I certify that the information given above is accurate in every respect.
Click here to certify your information.
Certify
We encourage you to keep a copy of your Personal Information Form.
Please press the "Print this Page" button on your browser now.
Once it has been printed, please press the "Submit" button. Thank you.