Supplemental Form MScOS Course-Stream 2024

1. 

Please enter your name in the fields below (last, first, middle initial).

Last NameFirst NameMiddle Initial

 

2. Please indicate if you are a Canadian citizen, permanent resident or international applicant. Check box:
Canadian citizen  
Permanent resident  
International applicant  
3. 
Permanent Home AddressCurrent Mailing Address
Phone NumberEmail Address

 

4. Do you plan to attend on a full-time or part-time basis? Check box:
Full-Time  
Part-Time  
5. List all degree(s) you hold, institution attended, dates and specify any majors if relevant (including degrees in progress).
 
Course Name and NumberUniversityTerm/Year
6. How did you learn about our program? Check box:
Dalhousie Marketing/Fairs  
Family/Friend/Work Site  
Online Search  
Other (Please Specify)   
7. Equitable Admissions (select if you want to be considered under policy). Check box:
Yes  
No  
8. If yes, please indicate which group(s) you identify as belonging to. Check box(es):
Person of Indigenous descent - Mi'kmaq  
Person of Indigenous descent - First Nations, Métis and/or Inuit  
Person of African Nova Scotian descent  
Person of African descent  
Member of racialized groups  
Person of Acadian descent  
Person with a dis/Ability  
Person belonging to a minority sexual orientation and/or gender identity (SOGI) group