Name and Contact Information
First Name
Last Name
Email
Student Information
I am a:
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High School Student
Mature Learner
Transfer Student
Parent or Supporter of a Student
Guidance Counsellor
I am interested in
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Undergraduate Degree
Masters Degree
Are you an international student (or parent/counsellor of an international student)?
Yes
No
Where are you currently studying?
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Afghanistan
Albania
Algeria
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
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Brazil
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Chad
Chile
China
Colombia
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Croatia
Cuba
Cyprus
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Equatorial Guinea
Eritrea
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Ethiopia
Fiji
Finland
France
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Guinea-Bissau
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Honduras
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Hungary
Iceland
India
Indonesia
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Mali
Malta
Mauritania
Mauritius
Mexico
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
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Nauru
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New Zealand
Nicaragua
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Poland
Portugal
Puerto Rico
Qatar
Romania
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Surinam
Sweden
Switzerland
Tajikistan
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
Uruguay
Uzbekistan
Vanuatu
Viet Nam
Yemen
Zambia
Zimbabwe
Bahamas
Bolivia
Brunei
Cayman Islands
Central African Republic
Comoros
Congo, The Democratic Republic of The
Congo, Republic of the
Czechia
Dominican Republic
Gambia
Iran
Laos
Marshall Islands
Mayanmar (Burma)
Micronesia
Moldova
Netherlands
Niger
North Korea
North Macedonia
Palestine
Philippines
Russia
Sint Maarten
South Korea
Sudan
Syria
Taiwan
Tanzania
Turks and Caicos Islands
United Arab Emirates
United Kingdom
Unites States of America
Vatican City
Venezuela
Do you identify as Indigenous?
Yes
No
Anticipated Start Year
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2025
2026
2027
2028
Anticipated Start Term
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Fall
Winter
Spring
Anticipated Start Term
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September
January
May
Academic Areas of Interest (choose one):
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Arts and Media
Business
Computer Science
Education
Health
Law and Public Safety
Life Science
Music
Social Science
Social Work
Not sure yet!
Campus Information
Which Laurier campus are you interested in learning about (choose one):
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Brantford
Milton
Waterloo
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