Undergraduate Studies Application for Admission
Auditor
(Canadian citizens and permanent residents only)
Requested Session:
2025 Winter
2025 Spring
2025 Fall
*
Student Applicant Information
If you have applied to Brock University before, please provide your Brock Student Number:
Title
Br
Capt
Cpl
Dr
Fr
Lt
M
Maj
Miss
Mlle
Mme
Mr
Mrs
Ms
Mx
Prince
Princess
Prof
Rabb
Rev
Sr
Surname
*
Former Surname(s)
First/Given Name
*
Chosen Name
Middle Name(s)
Gender
Agender
Binary
Female
GndrqueerGNonBinary
TransgenderMan
Male
PreferNotToAnswer
AnotherGenderIdent
TransgenderPerson
TwoSpirit
Unreported
TransgenderWoman
*
Date Of Birth
(yyyy/mm/dd)
*
Ontario Education Number
First Generation Question
Have either of your parents/guardians attended college or university?
Yes
No
Undeclared/Not Reported
Student Citizenship & Language Information
Current Status in Canada
Canadian Citizen
Permanent Resident
Refugee
*
Date of Entry
(yyyy/mm)
/
01
02
03
04
05
06
07
08
09
10
11
12
First Language
English
French
Other
*
If "Other", please specify:
Afrikaans
Amharic
Arabic
American Sign Language
Bahasa (Indonesian)
Bengali
Burmese
Chinese (Cantonese)
Chinese (Other)
Chinese (Mandarin)
Cree
Chinese (Shanghai)
Czech
Danish
Dutch
English
Farsi (Persian)
Flemish
French
Finish
German
Greek
Hebrew
Hindi
Hungarian
Indian (Kannada)
Indian (Hindi)
Indian (Konkani)
Indian
Italian
Japanese
Kiswahili
Korean
Latvian
Lithuanian
Laotian
Latin
Malay
Marathi
Mohawk
Norwegian
Other Indigenous
Oji-Cree
Ojibway
Other Language
Punjabi
Polish
Portuguese
Rumanian
Russian
Swahili
Spanish
Serbo-Croatian
Swedish
Tagalog (Philippines)
Telugu
Thai
Tamil (India)
Tamil (Ceylon)
Turkish
Twi (Ghana)
Ukrainian
Unknown
Urdu (Pakistan)
Vietnamese
Welsh
Student Contact Information
Student E-mail Address
*
Country
AFGHANISTA
AFRICA (UNSPECI
AFRICA-NR
ALAND IS.
ALAND ISLANDS
ALBANIA
ALGERIA
AMER SAMOA
AMERICA-NR
ANDORRA
ANGOLA
ANGUILLA
ANTARCTICA
ANTARCTICA
ANTIG&BARB
ARGENTINA
ARMENIA
ARUBA
ASIA-N.R.
AUSTRALIA
AUSTRIA
AZERBAIJAN
AZORES
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BONAIRE,ST
BOSNIA
BOTSWANA
BOUVET ISL
BR. WEST I
BRAZIL
BRITISH IN
BRUNEI DAR
BULGARIA
BURKINA FA
BURMA (MY)
BURUNDI
CABO VERDE
CAMBODIA
CAMEROON
CANADA
CANAL ZONE
CANARY IS
CAYMAN ISL
CENTR AFRI
CEUTA
CHAD
CHANNEL IS
CHILE
CHINA
CHRISTMAS
COCOS IS
COLOMBIA
COMOROS
CONGO, DEM
CONGO, DEM
CONGO, REP
COOK ISLAN
COSTA RICA
COTE D'IVO
COUNTRY NA
COUNTRY NR
CROATIA
CUBA
CURACAO
CURAÇAO
CYPRUS
CZECHIA
CZECHOSLOV
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN
ECUADOR
EGYPT
EL SALVADO
ENGLAND
EQUATORIAL
ERITREA
ESTONIA
ESWATINI
ETHIOPIA
EUROPE-N.R
FALKLAND I
FAROE ISLA
FIJI
FINLAND
FR SOUTHER
FRANCE
FRENCH GUI
FRENCH POL
GABON
GAMBIA
GEORGIA
GERMANY
GERMANY,DE
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUERNSEY
GUINEA
GUINEA-BIS
GUYANA
HAITI
HEARD/MCDO
HOLY SEE
HONDURAS
HONG KONG
HUNGARY
ICELAND
IFNI
INDIA
INDONESIA
INVALID COUNTRY
IRAN
IRAQ
IRELAND
ISLE OF MA
ISRAEL
ITALY
JAMAICA
JAPAN
JERSEY
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOSOVO
KUWAIT
KYRGYZSTAN
LAOS
LATVIA
LEBANON
LEEWARD IS
LESOTHO
LIBERIA
LIBYA
LIECHTENST
LITHUANIA
LUXEMBOURG
MACAO
MACEDONIA
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL I
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MELILLA
MEXICO
MICRONESIA
MOLDOVA
MONACO
MONGOLIA
MONTENEGRO
MONTSERRAT
MOROCCO
MOZAMBIQUE
N IRELAND
NAMIBIA
NAURU
NEPAL
NETHER ANT
NETHERLAND
NEUTRAL ZO
NEW CALEDO
NEW ZEALAN
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK IS
NORTHERN M
NORWAY
NTH KOREA
OCEANIA-NR
OMAN
PACIFIC IS
PAKISTAN
PALAU
PANAMA
PAPUA NEW
PARAGUAY
PERU
PHILIPPINE
PITCAIRN
POLAND
PORTUGAL
PUERTO RIC
QATAR
REUNION
ROMANIA
RUSSIAN FE
RUSSIAN FE
RWANDA
RYUKYU ISL
S AMER-N.R
S GEORGIA
S SUDAN
S. YEMEN
SAINT BART
SAINT MART
SAMOA
SAN MARINO
SAO TOME
SARK
SAUDI ARAB
SCOTLAND
SENEGAL
SERBIA
SERBIA&MON
SEYCHELLES
SIERRA LEO
SIKKIM
SINGAPORE
SINT MAART
SINT MAARTEN
SLOVAKIA
SLOVENIA
SOLOMON IS
SOMALIA
SOUTH AFRI
SPAIN
SPN SAHARA
SRI LANKA
ST PIERRE
ST. HELENA
ST. LUCIA
ST.KITTS&N
ST.VINCENT
STATELESS
STATELESS
STATELESS - OLD
STH KOREA
SUDAN
SUDAN PRIO
SURINAME
SVAL JAN M
SWEDEN
SWITZERLAN
SYRIA
TAIWAN
TAJIKISTAN
TANZANIA
THAILAND
TIMOR-LEST
TOGO
TOKELAU
TONGA
TRINIDAD &
TUNISIA
TURKIYE
TURKMENIST
TURKS IS
TUVALU
UGANDA
UKRAINE
UNITE ARAB
UNITED KIN
UNKNOWN
URUGUAY
US ISLANDS
USA
UZBEKISTAN
VANUATU
VENEZUELA
VIET NAM
VIETNAM
VIETNAM RE
VIRGIN ISL
VIRGINISUS
W BANK GAZ
W SAHARA
WAKE & MID
WALES
WALLIS AND
WINDWARD I
YEMEN
YEMEN
ZAMBIA
ZIMBABWE
*
Address 1
*
Address 2
Address 3
City
*
State/Province
Postal Code or Zip Code
Fax Number
Ext
Cell Phone Number
Alternate Phone Number
Permanent Phone Number
Enter the code shown: