PLEASE NOTE

  • You must submit the following form to the registrar's office by Feb. 15 to reactivate your admission and applicable scholarship.

 

Last name:
  

 First name:
  

 Middle name:
 

Mount A student ID:
 
 
Permanent address:
   

E-mail:
 

Permanent phone number (home):
 

Alternate phone number:
 


Academic term originally applied and accepted to:
 
Fall 20
Academic year you wish to reinstate:
 Fall 20  
  

Intended degree program:  

                     

Please list any activities/employment/volunteer initiatives you have been involved in during your gap year.

 


Have you attended any post-secondary institutions during your approved gap year? (If yes, please re-apply to Mount Allison via www.mta.ca/apply. Approved deferrals are only maintained if the student does not undertake any post-secondary studies.)

 

                     

The statements contained in this application are true and accurate to the best of my knowledge.