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.

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1. First Name:

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2. Last Name:

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3. Gender:

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4. Date of birth (day/month/year)

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5. Email address:

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6. Telephone number (including area code):

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7. Mailing address (Street and number/city/province/state/postal code/country):

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8. Country of citizenship: (If Canadian, please email us directly at medglobal@uOttawa.ca to apply)

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9. Where do you currently study? (e.g. Faculty of Medicine, University of Ottawa)

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10. This program is designed for current medical students or pre-med students. Please indicate your education status:

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11. What year of study are you in?

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12. We recognize that medical programs around the world are structured differently. How long (in years) is your program?

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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)

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14. If you are applying from outside Canada, have you previously applied for any kind of Canadian visa?

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