| First Name * |
|
| Middle Name(s) |
|
| Last Name * |
|
| Email * |
|
| Address * |
|
| City * |
|
| Province * |
|
| Postal Code * |
|
| Country * |
|
| Phone (daytime) * |
|
| Phone Number Type (Home, Work, Cell) * |
|
| Fax |
|
|
| Gender |
|
|
| Program of Interest * |
|
| Intended Start Date * |
|
|
| What industry do you work in? * |
|
| Current Employer * |
|
| Job Title * |
|
| Number of Years Experience * |
|
|
| Highest level of Education * |
|
| Provide a brief explanation stating why you are interested in applying to The University of Fredericton. * |
|
|
Where did you hear about University of Fredericton? *
Search Engine
University of Fredericton Alumni
Family/Friend
Advertisement
Chamber of Commerce
Social Media (Facebook, Twitter, LinkedIn, etc.)
Other
Other:
|
|
| Are you applying for credit transfer from another institution? |
|
If yes, please consult the Admission Requirements for this program on the website for credit transfer requirements and fees. |
|
Please review your form completely before you submit, and make sure all the fields are filled in correctly. You will NOT have a chance to change your form once it is submitted, except by contacting the admissions office directly |
| |
|
|
I have read University of Fredericton’s privacy policy and give authorization to store my personal information in compliance with the privacy policy. * |
| |
|
| |
|