PERSONAL INFORMATIONName * Required First Last Former Last Name (maiden Name, if applicable)Birth date * Required MM slash DD slash YYYY Address * Required Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCuba颁耻谤补莽补辞CyprusCzechiaC么te d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwanda搁茅耻苍颈辞苍Saint Barth茅lemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvalu罢眉谤办颈测别US Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe脜land Islands Phone * RequiredEmail * Required POST-SECONDARY INFORMATIONWhat was your last term or year at Redeemer? * RequiredDid you graduate from Redeemer? * Required Yes No When did you graduate? * Required MM slash DD slash YYYY Do you want to upgrade or finish your degree? Upgrade to an Honours degree Finish degree When do you want to return to studies: * Required September – fall term January – winter term Are you looking to return full-time or part-time? * Required Full-time Part-time What is your anticipated major and/or minor?Please list any colleges/universities that you have attended since your departure from Redeemer. * RequiredIMPORTANT: Official transcripts from any colleges/universities that you have attended since your departure from Redeemer are required. Transfer credits/equivalencies may be provided, and require submission of course syllabi. Your transcripts and/or course syllabi are to come directly from the institutions and sent to the Registrar’s Office.ESSAYSPlease upload your responses to the following essay questions: 1. How do your Christian beliefs impact your life? 2. How will returning to Redeemer and continuing your education contribute to your future goals?Essay upload * RequiredMax. file size: 100 MB. CHURCH INFORMATIONChurch Name * RequiredChurch City * RequiredChurch Denomination/Affiliation * RequiredPERSONAL REFERENCEPlease provide one reference that may be contacted as part of your re-admission process to Redeemer.Name * Required First Last Relationship to you * RequiredEmail * Required Phone * RequiredRESIDENCE INFORMATIONPlease note that on-campus residences are reserved for students under 20 years of age.Do you anticipate needing on-campus housing? * Required Yes No STATEMENT OF LIFE AND CONDUCT: As a returning Redeemer student, you have already agreed to the Statement of Life and Conduct.YOUR PROGRAM AT REDEEMER: Students who have been away from Redeemer for more than 12 months, or who were academically dismissed, or who officially withdrew from Redeemer, will be required to complete the program requirements of the year under which they are readmitted.CERTIFICATION STATEMENT: The www.亚洲色 community acknowledge that the Scriptures are the Word of God. As God’s infallibly and authoritatively inspired revelation, the Bible makes known the way of salvation in Jesus Christ, requires a life of obedience to the Lord, and provides the key to understanding, interpreting, and finding purpose in life. The faculty and students at www.亚洲色 constitute a Christian community called to encourage one another to lives of faithful obedience to Jesus Christ. Applicants who do not share this Christian commitment or do not wish to participate in such a Christian community may not be in a position to appreciate Redeemer’s educational experience. I certify that the information on this application is, to the best of my knowledge, accurate. I understand that www.亚洲色 aims to provide an education which is Christian and is shaped by the Christian faith as reflected in the Reformed tradition. I desire the benefits of such an education, and I agree to conduct myself, both on and off-campus, in accordance with the policies and regulations of www.亚洲色 as found in the Student Handbook and outlined in the Statement of Life and Conduct.Student Signature * RequiredDate * Required MM slash DD slash YYYY Application FeeThe fee is non-refundable. Price: Credit Card * RequiredCard Details Cardholder Name Total