Predicted Caribbean Advanced Proficiency Examination (CAPE) Grades

Student Last Name or Surname: Student First name or Given Name:
Student Last Name or Surname is required.
Western Student Number: OUAC Reference Number:
OUAC reference number is required.

Students following the Caribbean Advanced Proficiency Examinations (CAPE) Diploma may qualify for admission based on their predicted results. If you think you may qualify for admission based on your CAPE results, please have your school counsellor or principal complete and submit this form.

Note: Final year 1 CAPE results and predicted or final year 2 CAPE results are necessary for evaluation.

Caribbean Advanced Proficiency Examinations (CAPE)

SubjectLevel
(Unit 1 or 2)
Predicted Grade
ONE - SEVEN
Final Grade Expected Month/Year
of Completion

Caribbean Secondary Education Certificate (CSEC) results

CSEC SUBJECT Final Grade Month/Year Taken


School:
Date:
Counsellor/Principal Name:
Telephone:
Fax:
Official School Email Address:


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The personal information on this form is collected under the authority of The University of Western Ontario Act 1982, as amended. To view the complete Personal Information Collection Notice visit the online Academic Calendar at: http://www.westerncalendar.uwo.ca.