Last Name (Surname/Family Name) First Name
Street Address/PO Box/Rural Route/Lot#
City Province/State Postal Code Country
Saint Mary’s University graduate?
Previous Surname (if applicable)
PARENT/GUARDIAN INFORMATION (FOR EMERGENCY CONTACT PURPOSES)
Students with Disabilities
Saint Mary’s University provides support services to students with disabilities. Applicants are invited to complete the Centre’s online registration form at
smu.ca/campus-life/fred-smithers-centre-apply-online.html or by contacting 902.420.5452. Students should forward relevant documentation regarding their
particular disability directly to the Fred Smithers Centre for Students with Disabilities. Staff at the Fred Smithers Centre will review the documentation and arrange an
interview with the applicant.
PERMISSION TO RELEASE PERSONAL INFORMATION
Your written permission is required before any personal information, including admissions decisions, can be released to a third party, for example a parent or a
guidance counsellor. If you would like to grant a third party access to your application information, you must indicate so below. Access to your personal information will
be granted only during the evaluation of your application.
I hereby consent to the release of information concerning my application for admission during the application evaluation period to:
Name of Representative Relationship
FOR INTERNATIONAL STUDENTS
Saint Mary’s University will collect, use, and disclose personal information to Citizenship and Immigration Canada and Canada Border Services Agency only to the
extent that such disclosure is necessary for the operation, implementation and administration of the program for which the information has been originally collected.
FREEDOM OF INFORMATION AND PROTECTION OF PRIVACY
Saint Mary’s University gathers and maintains information used for the purposes of admission, registration and other fundamental activities related to being a
member of the university community, and a public post-secondary institution in the Province of Nova Scotia; such as contact information regarding university
programs, services, university advancement and development. Applications, documents and transcripts, will form part of the student record and may be disclosed
to faculty or members of the university staff or contracted recruitment representatives for officially recognized and legitimate use. In signing an application for
admission, any information placed into your student record will be protected and used in compliance with Nova Scotia’s Freedom of information and Protection of
Privacy Act 1993, c5,s.1. Regulations relating to all academic matters and student conduct on campus are made by the Board of Governors and the Senate of the
university. In making this application, the student agrees to abide by all regulations, from time to time promulgated by the university. Attendance refers to both full-
time and part-time and even applies in cases of withdrawal before completion of an academic year or program.
Saint Mary’s University, 923 Robie St.,
Halifax, Nova Scotia, Canada B3H 3C3
Forward your completed application form, fee, and supporting documents (e.g. transcripts, score reports) to the following address (via fax or regular mail):
All submitted documents become the property of Saint Mary’s University and will not be returned. Your
application must be complete to be processed and a decision made. Possession of minimum requirements
does not guarantee admission.