MACP Attestation Form

MACP Attestation Form for Work/Volunteer Experience

Name:

First

Last

Phone

Program Start Month

Program Start Year

Attestation

I attest that the following statement regarding the minimum 150 hours of relevant work and/or volunteer experience is true:

Yes, I meet the criteria at this time

Yes, I will meet the criteria before the term start

Admission Requirement Statement

Starting with the January 2027 intake, applicants for all pathways will be required to have completed one year of related experience or equivalent (at least 150 hours).

Examples Of Relevant Work or Volunteer Experience

Evidence of Experience

I confirm that I have completed at least one year or equivalent (at least 150 hours) of relevant work and volunteer experience to fulfill the admission requirements.

Yes, I have acquired at least one year or equivalent (at least 150 hours) relevant experience through my degree, and documentation of these hours appears on my official academic transcript.

Yes, I have acquired at least one year or equivalent (at least 150 hours) of relevant experience outside my degree program. And I will list it below.

No, I do not meet the criteria at this time, but I will complete one year or equivalent (at least 150 hours) of relevant experience before the start of the term.

Please provide references for the required experience in the section below

Workplace Name

Workplace Website

Hours Acquired

Supervisor First Name

Supervisor Last Name

Supervisor Work Email

Supervisor Phone Number

Add Remove

Total Hours Acquired:

(150 hours minimum)

Acknowledgement

I certify that the information provided regarding my completion of a minimum of one year or equivalent (at least 150 hours) of relevant work and/or volunteer experience is true, complete, and accurate to the best of my knowledge. I understand that Yorkville University reserves the right to verify this information, including contacting the references provided where applicable. I acknowledge that any false, misleading, or incomplete information may result in the cancellation of my application or other appropriate action.

Signature

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Date:

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MACP Attestation Form