Academic Planning Registration FormPlease complete this form to register. First Name Last Name Email Address Home Phone Cell Phone Country Please select...CanadaUnited States----------------------------AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos ( Keeling ) IslandsColombiaComorosCongoCook IslandsCosta RicaCôte d ' IvoireCroatia ( Hrvatska )CubaCyprusCzech RepublicCongo ( DRC )DenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands ( Islas Malvinas )Faroe IslandsFiji IslandsFinlandFranceFrench GuianaFrench PolynesiaFrench Southern and Antarctic LandsGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong Kong SARHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SARMacedonia, Former Yugoslav Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSamoaSan MarinoSão Tomé and PrìncipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSpainSri LankaSt. HelenaSt. Kitts and NevisSt. LuciaSt. Pierre and MiquelonSt. Vincent and the GrenadinesSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaViet NamVirgin Islands ( British )Virgin IslandsWallis and FutunaYemenZambiaZimbabweCountry where you are currently living. Street Address Address Line 2 City Province/TerritoryPlease select...AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundlandNorthwest TerritorNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon StatePlease select...AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingPuerto RicoVirgin IslandNorthern Mariana Is.GuamAmerican SamoaPalau State/Province Postal Code/Zip Code Career Path / Career Interest:Please select...Undergraduate ProgramsGraduate School ProgramsApplied Health SciencesBusiness (Undergrad / MBA)DentistryLaw / OCI / ArticlingMedicine / CaRMSMidwiferyNursingOccupational TherapyOptometryPharmacyPhysician AssistantPhysiotherapyVeterinary MedicineOther Undergraduate Path: Applying to:Please select...Undergraduate Business SchoolUndergraduate Programs - Other Business Path: Applying to:Please select...Undergraduate Business SchoolMBA AdmissionSecuring Employment Dentistry Path: Applying to:Please select...Dental School AdmissionResidency (Dentistry) Law Path: Applying to:Please select...Law School AdmissionOCI (On-Campus Interviews)Securing Articling Position Medicine Path: Applying to:Please select...Medical School AdmissionCaRMS Nursing Path: Applying to:Please select...Nursing School AdmissionSecuring Employment Optometry Path: Applying to:Please select...Optometry School AdmissionSecuring Employment Pharmacy Path: Applying to:Please select...Pharmacy School AdmissionSecuring Employment Physiotherapy Path: Applying to:Please select...Physiotherapy Program AdmissionSecuring Employment Other (Please Describe): Current Academic Level (as of 2017-2018):Please select...High School Student/CEGEPUndergraduate StudentAttending Professional School (i.e., Medicine, Law, Dentistry)Attending Graduate SchoolGraduatedOther Graduation YearPlease select...20202019201820172016201520142013201220112010 or prior Name of High School High School - Graduation YearPlease select...20202019201820172016201520142013201220112010 or priorUndergraduate Program Undergraduate Program - Where is the University/College you are currently attending located?Please select...CanadaUnited States----------------------------AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos ( Keeling ) IslandsColombiaComorosCongoCook IslandsCosta RicaCôte d ' IvoireCroatia ( Hrvatska )CubaCyprusCzech RepublicCongo ( DRC )DenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands ( Islas Malvinas )Faroe IslandsFiji IslandsFinlandFranceFrench GuianaFrench PolynesiaFrench Southern and Antarctic LandsGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong Kong SARHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SARMacedonia, Former Yugoslav Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSamoaSan MarinoSão Tomé and PrìncipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSpainSri LankaSt. HelenaSt. Kitts and NevisSt. LuciaSt. Pierre and MiquelonSt. Vincent and the GrenadinesSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaViet NamVirgin Islands ( British )Virgin IslandsWallis and FutunaYemenZambiaZimbabwe Undergraduate Program - In which province/territory?Please select...AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Undergraduate Program - In which state?Please select...AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingPuerto RicoVirgin IslandNorthern Mariana IslandsGuamAmerican SamoaPalau Undergrad - Name of Current University/College - Saskatchewan Please select...First Nations University of CanadaUniversity of ReginaUniversity of SaskatchewanOther Undergrad - Name of Current University/College - QuebecPlease select...Bishop's UniversityConcordia UniversityÉcole Polytechnique de MontréalHEC MontréalMcGill UniversityUniversité de MontréalUniversité de SherbrookeUniversité du QuébecUniversité LavalOther Undergrad - Name of Current University/College - ManitobaPlease select...Brandon UniversityUniversity of ManitobaUniversity of WinnipegOther Undergrad - Name of Current University/College - Prince Edward IslandPlease select...University of Prince Edward IslandOther Undergrad - Name of Current University/College - British ColumbiaPlease select...British Columbia Open UniversityMalaspina University CollegeOkanagan University CollegeRoyal Roads UniversitySimon Fraser UniversityTrinity Western UniversityUniversity College of the CaribooUniversity College of the Fraser ValleyUniversity of British ColumbiaUniversity of Northern British ColumbiaUniversity of VictoriaOther Undergrad - Name of Current University/College - OntarioPlease select...Algoma University CollegeBrock UniversityCarleton UniversityLakehead UniversityLaurentian UniversityMcMaster UniversityNipissing UniversityQueen's UniversityRedeemer University CollegeRyerson UniversitySaint Paul UniversityTrent UniversityUniversity of GuelphUniversity of OttawaUniversity of SudburyUniversity of TorontoUniversity of WaterlooUniversity of WindsorWestern UniversityWilfrid Laurier UniversityYork UniversityOther Undergrad - Name of Current University/College - Nova ScotiaPlease select...Acadia UniversityDalhousie UniversityMount Saint Vincent UniversitySaint Mary's UniversitySt. Francis Xavier UniversityUniversity of King's CollegeOther Undergrad - Name of Current University/College - NewfoundlandPlease select...Memorial University of NewfoundlandOther Undergrad - Name of Current University/College - New BrunswickPlease select...Mount Allison UniversitySt. Thomas UniversityUniversité de MonctonUniversity of New BrunswickOther Undergrad - Name of Current University/College - AlbertaPlease select...Athabasca UniversityAugustana University CollegeConcordia University College of AlbertaThe King's University CollegeUniversity of AlbertaUniversity of CalgaryUniversity of LethbridgeOther Undergrad - Please state the university/college you are attending: Undergraduate - Faculty and Major Undergraduate Program - Graduation YearPlease select...20202019201820172016201520142013201220112010 or priorGraduate School Graduate School (GS) - Where is the University/College you are currently attending located?Please select...CanadaUnited States----------------------------AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos ( Keeling ) IslandsColombiaComorosCongoCook IslandsCosta RicaCôte d ' IvoireCroatia ( Hrvatska )CubaCyprusCzech RepublicCongo ( DRC )DenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands ( Islas Malvinas )Faroe IslandsFiji IslandsFinlandFranceFrench GuianaFrench PolynesiaFrench Southern and Antarctic LandsGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong Kong SARHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SARMacedonia, Former Yugoslav Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSamoaSan MarinoSão Tomé and PrìncipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSpainSri LankaSt. HelenaSt. Kitts and NevisSt. LuciaSt. Pierre and MiquelonSt. Vincent and the GrenadinesSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaViet NamVirgin Islands ( British )Virgin IslandsWallis and FutunaYemenZambiaZimbabwe Graduate School (GS) - In which province / territory?Please select...AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Graduate Program - In which state?Please select...AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingPuerto RicoVirgin IslandNorthern Mariana IslandsGuamAmerican SamoaPalau GS - Name of Current University/College - Saskatchewan Please select...First Nations University of CanadaUniversity of ReginaUniversity of SaskatchewanOther GS - Name of Current University/College - QuebecPlease select...Bishop's UniversityConcordia UniversityÉcole Polytechnique de MontréalHEC MontréalMcGill UniversityUniversité de MontréalUniversité de SherbrookeUniversité du QuébecUniversité LavalOther GS - Name of Current University/College - ManitobaPlease select...Brandon UniversityUniversity of ManitobaUniversity of WinnipegOther GS - Name of Current University/College - Prince Edward IslandPlease select...University of Prince Edward IslandOther GS - Name of Current University/College - British ColumbiaPlease select...British Columbia Open UniversityMalaspina University CollegeOkanagan University CollegeRoyal Roads UniversitySimon Fraser UniversityTrinity Western UniversityUniversity College of the CaribooUniversity College of the Fraser ValleyUniversity of British ColumbiaUniversity of Northern British ColumbiaUniversity of VictoriaOther GS - Name of Current University/College - OntarioPlease select...Algoma University CollegeBrock UniversityCarleton UniversityLakehead UniversityLaurentian UniversityMcMaster UniversityNipissing UniversityQueen's UniversityRedeemer University CollegeRyerson UniversitySaint Paul UniversityTrent UniversityUniversity of GuelphUniversity of OttawaUniversity of SudburyUniversity of TorontoUniversity of WaterlooUniversity of WindsorWestern UniversityWilfrid Laurier UniversityYork UniversityOther GS - Name of Current University/College - Nova ScotiaPlease select...Acadia UniversityDalhousie UniversityMount Saint Vincent UniversitySaint Mary's UniversitySt. Francis Xavier UniversityUniversity of King's CollegeOther GS - Name of Current University/College - NewfoundlandPlease select...Memorial University of NewfoundlandOther GS - Name of Current University/College - New BrunswickPlease select...Mount Allison UniversitySt. Thomas UniversityUniversité de MonctonUniversity of New BrunswickOther GS - Name of Current University/College - AlbertaPlease select...Athabasca UniversityAugustana University CollegeConcordia University College of AlbertaThe King's University CollegeUniversity of AlbertaUniversity of CalgaryUniversity of LethbridgeOther GS - Please state the university/college you are attending: Graduate Program - Faculty and Major Graduate Program - Graduation YearPlease select...20202019201820172016201520142013201220112010 or priorProfessional School Professional School (PS) - Where is the University/College you are currently attending located?Please select...CanadaUnited States----------------------------AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos ( Keeling ) IslandsColombiaComorosCongoCook IslandsCosta RicaCôte d ' IvoireCroatia ( Hrvatska )CubaCyprusCzech RepublicCongo ( DRC )DenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands ( Islas Malvinas )Faroe IslandsFiji IslandsFinlandFranceFrench GuianaFrench PolynesiaFrench Southern and Antarctic LandsGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong Kong SARHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SARMacedonia, Former Yugoslav Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSamoaSan MarinoSão Tomé and PrìncipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSpainSri LankaSt. HelenaSt. Kitts and NevisSt. LuciaSt. Pierre and MiquelonSt. Vincent and the GrenadinesSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaViet NamVirgin Islands ( British )Virgin IslandsWallis and FutunaYemenZambiaZimbabwe Professional School (PS) - In which province / territory?Please select...AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon PS - In which state?Please select...AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingPuerto RicoVirgin IslandNorthern Mariana IslandsGuamAmerican SamoaPalau PS - Name of Current University/College - Saskatchewan Please select...First Nations University of CanadaUniversity of ReginaUniversity of SaskatchewanOther PS - Name of Current University/College - QuebecPlease select...Bishop's UniversityConcordia UniversityÉcole Polytechnique de MontréalHEC MontréalMcGill UniversityUniversité de MontréalUniversité de SherbrookeUniversité du QuébecUniversité LavalOther PS - Name of Current University/College - ManitobaPlease select...Brandon UniversityUniversity of ManitobaUniversity of WinnipegOther PS - Name of Current University/College - Prince Edward IslandPlease select...University of Prince Edward IslandOther PS - Name of Current University/College - British ColumbiaPlease select...British Columbia Open UniversityMalaspina University CollegeOkanagan University CollegeRoyal Roads UniversitySimon Fraser UniversityTrinity Western UniversityUniversity College of the CaribooUniversity College of the Fraser ValleyUniversity of British ColumbiaUniversity of Northern British ColumbiaUniversity of VictoriaOther PS - Name of Current University/College - OntarioPlease select...Algoma University CollegeBrock UniversityCarleton UniversityLakehead UniversityLaurentian UniversityMcMaster UniversityNipissing UniversityNorthern Ontario School of MedicineQueen's UniversityRedeemer University CollegeRyerson UniversitySaint Paul UniversityTrent UniversityUniversity of GuelphUniversity of OttawaUniversity of SudburyUniversity of TorontoUniversity of WaterlooUniversity of WindsorWestern UniversityWilfrid Laurier UniversityYork UniversityOther PS - Name of Current University/College - Nova ScotiaPlease select...Acadia UniversityDalhousie UniversityMount Saint Vincent UniversitySaint Mary's UniversitySt. Francis Xavier UniversityUniversity of King's CollegeOther PS - Name of Current University/College - NewfoundlandPlease select...Memorial University of NewfoundlandOther PS - Name of Current University/College - New BrunswickPlease select...Mount Allison UniversitySt. Thomas UniversityUniversité de MonctonUniversity of New BrunswickOther PS - Name of Current University/College - AlbertaPlease select...Athabasca UniversityAugustana University CollegeConcordia University College of AlbertaThe King's University CollegeUniversity of AlbertaUniversity of CalgaryUniversity of LethbridgeOther PS - Please state the university/college you are attending: Professional School Program - Graduation YearPlease select...20202019201820172016201520142013201220112010 or prior I am interested in booking an:Academic Planning Session - $200 + tax I am interested in discussing (check all that apply):Profile-Building StrategiesUniversity SelectionExtracurricular, Volunteer, Work ActivitiesGuidance on Course Selection If applicable, please list the schools/organization(s) that are of interest to you at this time:Please indicate how you wish to have your academic planning session conducted. Please choose only one option for each of first choice and second choice: Face-to-face at our Toronto office (located at Yonge and St. Clair)Please select...First ChoiceSecond Choice By Phone/Video ConferencePlease select...First ChoiceSecond Choice When you would like to schedule your Academic Planning Session? Please provide us with several blocks of time/dates that work for you. Please be as specific as you can in terms of your availability. If you want to request a particular date(s), please indicate this as well. Please also ensure that the phone number field above has been completed so that we can call you.Additional Information: Are there are any documents that you would like to discuss during your academic planning session? You will have a chance to upload your document(s) once you submit this form. Once you press "Submit", a link to "Upload Document" will be provided. Examples of documents you may wish to include are: Current Draft of Your Résumé, Transcript, etc. Do you have documents that you would like to discuss with us?Please select...I will upload my document(s) once I submit this form.I want to speak to you to answer my questions before I submit my document(s).Other If you have any concerns or comments for Astroff Consultants (e.g., specific questions at this time), please feel free to use the space below to provide details: How did you hear about us?Please select...NewspaperInternet SearchUniversity Student ClubReferralI am a previous clientOther What is the name of the university student club? Name of referrer: If you have a coupon, gift certificate or are entitled to a promotional discount, please provide details (including your voucher number if applicable): Astroff takes confidentiality seriously and we respect the confidentiality of our clients. By submitting your e-mail address, you acknowledge that you have read our privacy policy and you consent to our processing the data in accordance with that privacy policy. If you change your mind at any time, please send an email message. Please note: Evaluation of application files and admission decisions are made solely by the universities/organizations. We are not affiliated with any university. While we will endeavor to assist you to gain admission, we bear no responsibility for the final decision that each university/organization makes. You have the ultimate responsibility for all matters related to achieving your academic and professional objectives. Although we will provide recommendations to you, the final decision of accepting and implementing our suggestions will always be yours. It is your responsibility to ensure that you meet all deadlines and criteria set by each institution. You also agree to our terms and conditions including refunds and cancelled/missed appointments.I understand and agree to the above terms. Need assistance with this form? ▲ Back to Top