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:  


Former 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: 

Date of birth (DD/MM/YY):

 


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:


References

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.