Queen's University - School of Graduate Studies and Postdoctoral Affairs Application

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Queen's University's collection of personal information is authorized by its Royal Charter of 1841, as amended. Personal information in this application is collected for the purpose of evaluating your application(s) for admission to graduate studies here and/or consistent purposes. Personal information may be disclosed to and used by employees of the University who need the information in the performance of their duties. For more information regarding the use and disclosure of personal information, please go to this website: https://www.queensu.ca/accessandprivacy/privacy/notice-collection

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Account Security Information:

* Enter Password:

* Re-enter Password:

* Email Address:

* Confirm Email:

* Choose Security Question:

* Security Answer:

Biographical Information:

Legal Names, Date of Birth and Preferred Names cannot be changed once an application is submitted:

* Legal First Name:

* Legal Last Name:

Legal Middle Name(s):

Preferred First Name:

Preferred Last Name:

Pronouns:

he/him she/her they/them

* Date of Birth (YYYY-MM-DD):

Title:

* Gender:

Prior Last Name:

Social Insurance Number:

Queen's Student Number (if applicable):

Confirm Student Number:

Home Phone Number:

Cell Phone Number:

Work Phone Number:

Work Phone Extension:

Current Address:

* Address Line 1:

Address Line 2:

Address Line 3:

* City:

Province, Territory, Or State (Canada & US only):

* Country:

Other Province, Territory, or State:

Postal or Zip Code: (Required if Country is Canada or United States of America)

Address Valid Until (YYYY-MM-DD):

Permanent Address:

Is your Permanent Address the same as your Current Address?:

Yes

* Address Line 1:

Address Line 2:

Address Line 3:

* City:

Province, Territory, or State (Canada & US only):

* Country:

Other Province, Territory, or State:

Postal or Zip Code: (Required if Country is Canada or United States of America)

Citizenship Information:

* Country of Residence:

* Country of Citizenship:

* Visa Status in Canada:

Specify Other Visa Status:

Date Permanent Resident Status granted/expected (YYYY-MM-DD):

* Are you a Canadian Citizen/Permanent Resident of Canada?

Yes

* Is English your first language?

Yes

* Within the last 12 months, have you studied for at least two academic terms at a post-secondary institution where English is the official language of instruction?

Yes

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