University of Ottawa MedGlobal Application Form This application form is for individual international students applying from outside Canada.If you are an international student coming as part of a group, please contact your organizing institution for details on the application process.If you are a Canadian student, or do not fit into the above categories, please email us at medglobal.uottawa.ca for application information. Question Title * 1. First Name: Question Title * 2. Last Name: Question Title * 3. Gender: Question Title * 4. Date of birth (day/month/year) Question Title * 5. Email address: Question Title * 6. Telephone number (including area code): Question Title * 7. Mailing address (Street and number/city/province/state/postal code/country): Question Title * 8. Country of citizenship: (If Canadian, please email us directly at medglobal@uOttawa.ca to apply) Question Title * 9. Where do you currently study? (e.g. Faculty of Medicine, University of Ottawa) Question Title * 10. This program is designed for current medical students or pre-med students. Please indicate your education status: pre-med student medical student Other (please specify) Question Title * 11. What year of study are you in? Question Title * 12. We recognize that medical programs around the world are structured differently. How long (in years) is your program? Question Title * 13. Have you ever taken an English language proficiency test? (Recommended, but not required. If you would like to complete a free online assessment, please use the Canadian Language Benchmarks online tool - 60 minutes) If no, please check this box to confirm that you meet the criteria for level CLB 8 using the Canadian Language Benchmarks (CLB) self-assessment tool (CLB-8.pdf) in all language skill areas. Students who do not self-assess at level CLB 8 may struggle to participate effectively in the program, and are recommended not to register for the MedGlobal program before improving their language skills. If yes, indicate which test, test date and score (e.g. IELTS 2024, overall score 6.5). Students who have not met the uOttawa language requirements in IELTS, TOEFL, Duolingo, or other tests may struggle to participate effectively in the program, and are recommended not to register for the MedGlobal program before improving their language skills. English language test name, score and date: Question Title * 14. If you are applying from outside Canada, have you previously applied for any kind of Canadian visa? No If yes, please specify what kind of visa, when it was issued and when it expires. Done