PLEASE NOTE  

  •  At this time, Mount Allison offers Master of Science degrees in biology and chemistry as well as in other Science disciplines on a case-by-case basis. Please refer to section 11.4 of the academic calendar for additional information.
  •  For further information, please contact the office of the dean of graduate studies at (506) 364-2302. Or e-mail gradstudies@mta.ca, fax (506) 364-2299, or mail 65 York Street, Sackville, NB E4L 1E4.
  • Find out more about graduate studies at Mount Allison on the graduate studies website.


Last name: 
 

 First name: 
 

 Middle name:  
 

Maiden name/previous surname (if applicable):
 
 

Student ID:
 

Current address:
 

Current address valid until (dd/mm/yy):
 
 

Mount A mailbox (if applicable):
 

Permanent address: 
   

Phone number: 
   

E-mail:
 


Citizenship:

 

Mother tongue:

                  

Status in Canada:
 
  — entry date (dd/mm/yy):
 
— entry date (dd/mm/yy):
 

 

Place of birth: 
 

Gender:
 

 

Emergency contact information

Name:

Phone number:
 

Relationship to applicant:
 


 Proposed field of study:

                   

Specially approved field:
 

 

Attendance at previous universities
Include all post-secondary institutions attended. 

1. Degree/diploma:
  

Year obtained:
  

Years attended:
  

Institution:
  

2. Degree/diploma:
 
 Year obtained:
 
 Years attended:
 
Institution:

3. Degree/diploma:
 
 Year obtained:
 
 Years attended:
 
 Institution:
 


Names and addresses of two references:

 
 
 


I hereby certify that all of the information is correct and I agree to follow and be bound by the regulations of the University, including any revisions, deletions, or additions made to them in the future. I agree to pay all fees associated with my registration and enrolment at the University.