Please enter your personal information:
Indicate your names as they appear on the passport:
For applicants who are not citizens of Canada or the United States:
Please enter your Academic History
List all universities attended – including current studies. For high school students, state the name of the high school, along with the expected date of graduation.
Indicate all high schools attended in the space provided above. Have your official GED scores as well as transcripts from last high school sent directly to us.
*NOTE: An official transcript must be sent from each college attended, including summer credits. Failure to list all schools, colleges and universities may make you ineligible for admission. A decision cannot be made until all transcripts have been received. Begin with most recent institution attended, and be sure to complete all requested information. Attach a separate sheet if necessary.
Please enter other information
*** Your personal statement should inform our Admissions Department of your capability in academia and medicine. Create a rounded description of yourself and your abilities. Explain the reasons for your interest in medicine and describe any distinguishing achievements, talents, or experiences.
You may provide your personal statement in the area below. Alternatively you can e-mail your personal statement separately to firstname.lastname@example.org ***
Please enter acknowledgements
How do you plan to finance your education? (list values in % of total cost)
By signing this form you confirm that all information provided is correct and true and complete to the best of your knowledge.