Fillable FACULTY OF GRADUATE STUDIES Collaborative Graduate Program Application (Lakehead University)

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FACULTY OF GRADUATE STUDIES Collaborative Graduate Program Application (Lakehead University)

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FACULTY OF GRADUATE STUDIES
Collaborative Graduate Program
Application
Collaborative Graduate Program – Specialization in Gerontology
APPLICATION FORM
The Gerontology Program at Lakehead University offers a specialization in Gerontology to students accepted to
Graduate Programs the following:
• Education
• Health Sciences
• Kinesiology
• Psychology
• Public Health
• Social Work
• Sociology
Students must complete the requirements for the Masters Degree in their program of choice, in addition to
Gerontology 5710, Gerontology 5790, and a thesis or research project with a gerontological focus. For further
regulations, check the current Calendar. The Gerontology Graduate Committee will assess your application
based on the information you provide below. If you are interested in being considered for this specialization,
please complete this form and submit it with your Graduate Program Application to the Faculty of Graduate
Studies.
Personal Information
Family Name:
Given Name:
Street:
Student Number:
City:
Telephone (Local):
Postal Code:
Email:
Faculty Advisor (If Known):
Degree Sought (Please check one):
MA Sociology
MSW (Social Work)
MEd (Education)
MA Clinical Psychology
MSc Kinesiology
MSc Psychological Science
MPH
MPH Nursing
MHSc (Health Sciences)
Please provide the following information on a separate sheet(s) attached to this application:
1. Indicate the relevant course work and/or degrees you have acquired which apply directly to
Gerontology.
2. Indicate the work or volunteer experience you have which applies to the field of Gerontology.
3. Explain in some detail how your proposed research project or thesis would include a focus on
the field of Gerontology and why you want to study Gerontology.
Student Signature: Date:
For office use
only
Present Status:
Admission Declined:
■
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FACULTY OF GRADUATE STUDIES Collaborative Graduate Program Application (Lakehead University)

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Completed 2 December 2020

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