Tell Me More

For additional information about UNB and the many undergraduate programs we offer, please complete the following form:

**To inquire about post-graduate programs (Masters and Ph.D. Level) please see: http://www.unb.ca/gradstudies**

(* indicates required information )

Family/LastName:

Given Name:

Middle Name:

Gender:

Male Female

Mailing Address:

City:

Postal Code/Zip Code:

Country:

Phone:

E-Mail:

Birthdate:
(yy/mm/dd)

First Language:

Highest Level Attained:

High School (Secondary School) year 11
High School (Secondary School) year 12
University or College

Currently Attending:

High School (Secondary School) year 11
High School (Secondary School) year 12
University or College

Name of School Currently Attending:

Have you written O Level tests?

yes no

Have you written A Level tests?

yes no

Have you written a TOEFL, IELTS or MELAB test?

yes no

If YES please record your score:

Would you like to receive information about:

Fredericton Saint John Both Campuses

Would you like to receive a tour of a UNB Campus?

Fredericton Saint John Both Campuses

Please select programs (faculties) of interest:
(Maximum 2 choices per campus)

UNB Fredericton

1st Choice:
2nd Choice:

UNB Saint John

1st Choice:
2nd Choice:

Do you require financial assistance?	Yes No
Are you interested in staying in residence?	Yes No
Interests:
Have you already received information about UNB?	Yes No
Where did you first find out about UNB?	UNB Recruiter Internet Embassy, CEC Office Guidance Counselor Parents, Family Educational Agent/Consultant Advertisement School Visit Friends Other:
Additional Information: