Student Registration
Email address *
First Name *
Last Name *
DOB *
MM
/
DD
/
YYYY
Cell Number *
Home Address *
City *
Country *
Province *
Postal Code *
Mailing Address (While at University) *Not required if same as above*
City
Province
Postal Code
Are you a Canadian citizen or do you otherwise have permanent resident status in Canada? *
Country of Citizenship *
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