Doctoral Program at the Segal Graduate School

PhD Pre-qualification Assessment

First Name	*Required
Last Name	*Required
Preferred First Name
Gender
Birthdate	/ /
Address (Line1)
Address (Line2)
Address (Line3)
City
Province / State
Country
Postal / Zip Code
Phone Number
Email Address	*Required
Citizenship
Program / Area of Interest	*Required
Supervisor of Your Choice	Required To review the faculty members and their research areas please click here. Please DO NOT contact the faculty members directly.*
Statement of Intent	*Required

Resume	*Required (please copy and paste your CV here)

GMAT Score	*Required
GMAT Test Date	/ /
Universities / Colleges Attended #1 *Required
Name of Institution
Degree
Date Granted	/ /
GPA
Universities / Colleges Attended #2
Name of Institution
Degree
Date Granted	/ /
GPA
Universities / Colleges Attended #3
Name of Institution
Degree
Date Granted	/ /
GPA
	Important: Please review your information before pressing the submit button.

778.782.6796