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Moyse Application Form

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Identification

First Name *

Last Name *

McGill student ID *

McGill email Address *

Major Program *

Expected date of Graduation *

Month

Day

Year

Location of Studies Abroad

Proposed University/Institution *

Have you applied to this University? *

Yes

No

Have you already been accepted? *

Yes

Not Yet

Name and Title of Research Supervisor

Your proposed field of study *

Degree to be obtained *

Please list the names and titles of maximum of two referees who have provided letters of recommendation.
Name*	Title and Department*	Email Address *
Name *	Title and Department *	Email Address *
Name	Title and Department	Email Address

Please provide letters of recommendation from two referees who are familiar with your work. Referees should send letters in PDF format to: ac.science@mcgill.ca

Statement of proposed course of study *

Please describe your academic interests, the program of study you intend to pursue, your motivation for choosing this program, and outline your plans for career. If any, please indicate publications relevant to your field of study. Maximum 1000 words.

Leave this field blank

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Moyse Application Form

Department and University Information