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Student Application Form
Applicant Information
Family Name
Given Name
Initial(s)
Student's Academic Background
Degree Name
Discipline
University Name
Department
Month/Year of Degree Completion
At this time, are you presently enrolled in a post-graduate program?
At this time, are you presently enrolled in a post-graduate program?
Yes
No
If yes, are you enrolled?
If yes, are you enrolled?
Yes
No
If no, are you expecting to be enrolled?
If no, are you expecting to be enrolled?
Yes
No
Anticipated official length of program:
By the end of the academic year, how many academic terms do you expect to have completed towards your graduate program?
Interest/Intent of Research Project
Statement of research interests/intent
Scholarships and other Awards Received
Awards Received (Most Recent First)
Awards Received (Most Recent First)
Other Information
Citizenship
Citizenship
Canadian citizen
Permanent resident (indicate date of landing as per Form IMM 1000)
Foreign student with study permit
Preferred Language
Preferred Language
English
French
Address
Address
Contact Phone Number
Email address
Signature - I undertake to submit all interim and final reports required and will also be prepared to present my work to a TSSA audience at appropriate events. Please sign below.
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