Mount A student ID: Permanent address:
Permanent phone number (home):
Alternate phone number:
Academic term originally applied and accepted to: Fall 20Academic 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.Yes