Your application has not yet been submitted. Please complete all steps and submit your application.

* = required

Personal Information

*Given Name(s): Please use your full legal name, including all given names.  This is helpful for matching your application with supporting documents.  If you are normally called by your middle name or a nickname, you can list that under Preferred Name.
*Last Name/Family Name:
Preferred First Name:
Former Given Name(s):
Former Last Name/Family Name:If your last name/family name has changed (adoption, marriage, legal name change), please let us know here.  It may be important to help us match documents to your application.
*Date of Birth: (yyyy/mm/dd)
*Gender:
*Email Address:
*Primary Telephone: Cell phone?
 Include Area Code + Phone Number (e.g. 9025551234)
and Country Code if outside of North America
Secondary Telephone: Cell phone?
*Country of Citizenship:
*Immigration Status:
*Mother Tongue:

Security Information Security Information is used for validating your login if you return to finish this application.

*Password:
*Confirm Password:
*Security Question:
*Security Answer:

Permanent Address Your permanent address should be your main place of residence.  For most people it could be where your parents live.  A temporary address is different from your permanent one and would have a date after which you will no longer be living there. If you are studying away from home, your temporary address would be the address you use at school, college or university.

*Mailing Address line 1:
Mailing Address line 2:
*Country:
*Province/State:
*City:
If the city is not in the list, please enter it here:
*Postal Code/Zipcode:

Emergency ContactEmergency contact information is used only if the knowledge of that information is required by Acadia University representatives to protect the health and safety of the student or other persons who are the responsibility of Acadia University.

*Relationship:
*Given Name(s):
*Last Name/Family Name:
  Same as Permanent Address
*Street Address:
*Country:
*Province:
*City:
If the city is not in the list, please enter it here:
*Postal Code:
*Telephone: Ext.
  Include Area Code + Phone Number (e.g. 9025551234)
and Country Code if outside of North America
Email:
I hereby authorize Acadia University to release application information, admission status, accommodation and registration information to the above emergency contact.