Admission Form

Admission Form is also available as PDF

Personal Information
Last Name *
First Name *
Date of Birth (YYYY/MM/DD) *
Sex M     F   *
Mother Tongue English    French    Other (specify)*
Other Languages(s) English     French    Other  (specify) *
Citizenship Canadian Permanent Resident   International Student   Other *
City and Country of Birth *
Father’s Last Name and First Name *
Mother’s Maiden Name and First Name *
Permanent Address
Address *
Apartment or None *
City, Province *
Postal Code, Country *
Telephone Numbers
[(999) 999-9999]
(res.) *   (work) (cell)
E-mail Address *
Academic Background in Quebec:
High School Attended *
Last Institution Frequented *
Studies Outside of Canada *
I Am Applying For:
Title of Program *
* These fields are required.