Undergraduate Application Form

1 - Name & Identity

Tool Tip navigation: Mouse over each tooltip graphic to read the information in each tip.

Maintenance schedule: The application will be unavailable from 11:30pm to 1:10am each night for system maintenance.

All fields marked with a red asterisk * are mandatory.

Title

Legal First Name

Legal Middle Name

Legal Surname (Family Name)

Common Name

Former Surname

Date of Birth

Gender Male

Female

Undeclared

E-mail address

E-mail address confirm

2 - Goal of Study

When do you wish to begin classes?

Goal of Study I wish to study toward a degree

I wish to study toward a certificate

I wish to enrol as a visiting student on letter of permission

I wish to enrol as a visiting student (I already have a degree from university OR I'm fulfilling requirements for professional designation)

3 - Citizenship & Language

Country of Citizenship

First Language

Language of Correspondence English

French

What is your official status in Canada? Canadian Citizen

Permanent Resident of Canada (Landed Immigrant)

Currently on, or will require, study permit to study in Canada

Diplomatic

Convention Refugee (Protected Person)

Visitor

No Status

Date of arrival in Canada

4 - Address & Contact

Country

Street Address

Street Address continued

City

Province/State

Postal Code/ZIP Code

Mailing address same as permanent? Yes

No

You must provide at least one current phone number.

Phone numbers

Home Phone Number

Business Phone Number Extension

Mobile Phone Number

5 - Previous Education

Ontario Education Number (OEN)

The OEN is a student identification number that will be assigned by the Ministry of Education to elementary and secondary students across the province. The OEN can be found on your Ontario Secondary School Transcript (OST).

Secondary Schools Attended (start with current or most recent)

Have you attended any secondary schools within the past five years? Yes

No

Pre-University/Bridging Courses

A bridging course is a university preparation course such as an academic upgrading course (mathematics, social science, English language), bridging for women or transition-year program.

Have you taken any pre-university or bridging courses? Yes

No

Postsecondary Institutions Attended (start with current or most recent, include York University if applicable)

Have you attended any accredited postsecondary institutions? Yes

No

Activity While Away from School (if applicable)

Have you spent the last two consecutive years or more away from school (not enrolled in any academic studies)? Yes

No

6 - Demographic Information

Do you identify as First Nations (Status or non-Status), Métis (Registered or Unregistered), or Inuit? Yes

No

Prefer not to respond

Responding “Yes” to the above question will direct your application to the York University Indigenous Council review committee. This will assist us in providing a culturally relevant review of your application. Additionally, we will provide you with information on dedicated awards, and connect you to the Indigenous community at York.

Have one of your parents/guardians attended a postsecondary institution (college, CÉGEP, university)? Yes

No

Prefer not to respond

Have you previously applied to York? Yes

No

7 - Declaration & Consent

I have read and agree to the following:

I certify that the information I have provided in this application is true, complete and accurate in all respects, including my declarations as to citizenship and immigration status in Canada, institutions attended and that all available information requested in this application has been disclosed.
All information I have provided in connection with this application is subject to verification and audit by York University.
I shall provide supporting documentation to York University to verify my eligibility upon request.
I consent to the disclosure by York University of personal information I have given in this application as follows:
1. to referees I have named and to other educational institutions when necessary to verify my statements.
I understand that any misrepresentation on this application or failure to provide my consent to authorize York University to verify my information on this application may result in cancellation of my admission or enrolment status.

I Agree

Protection of Privacy

York University gathers and maintains information for the purposes of admission, registration and other fundamental activities related to being a member of the University community and to attending a public postsecondary institution in the Province of Ontario. When signing an application for admission, you should know that the information you provide, and any other information placed into your student record, will be protected and used in compliance with Ontario’s Freedom of Information and Protection of Privacy Act. The information on this form is collected under the authority of The York University Act, 1965 and is needed for educational, administrative and statistical purposes and to process your application for admission. The information will be used to verify qualifications and decide your eligibility for admission. Upon admission and registration, this information will form part of your student record and will be used to document your progress in an academic program.

If you have any questions about the collection, use and disclosure of your personal information by York University, please contact the Manager, Information Service, Bennett Centre for Student Services, 99 Ian MacDonald Blvd., York University, 4700 Keele Street, Toronto, Ontario, Canada M3J 1P3, 416-736-5000. yorku.ca/ipo

Disposal of records

All documents must be originals. Replaceable documents become the property of York University and will not be returned. We keep supporting documents for one year, after which we destroy materials related to your application. If the request is made upon application, irreplaceable documents will be returned to the original document holder.