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* 1. First name

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* 2. Last Name

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* 3. Date of Birth (MM/DD/YYYY)

Date

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* 4. Mailing address

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* 5. Citizenship

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* 6. Are you a Canadian Citizen or Permanent Resident 

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* 7. Home University Name

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* 8. Home University - Academic Department

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* 9. Home University City/ Country

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* 10. Current Degree Level at Home University

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* 11. Have you Attended TRU before. 

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* 12. TRU Research Supervisor Information

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* 13. Research Dates

Date
Date

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* 14. Are you receiving any funding for your visit?

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* 15. Visiting Research Student Form Upload

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