Missing Time List

Please fill out the form below to provide a list of work, school, or other activities since graduating from high school, with dates included. This information is required to assist in the overall assessment of your application materials, and to ensure that any coursework since high school graduation is reflected in your application file.

Fields with an * are required

U of M Student ID# (if known)

Personal Information:

First Name*Last or Family Name*
Former Name (if applicable)
Date of Birth* (MM/DD/YYYY)
Permanent Address in your home country:
Street*
City*State/ProvinceZip/Postal Code
Country
Contact Info:
Email Address*
Telephone Number (###-###-####)

Missing Time:

Starting with the date you graduated high school, please include all activities, work, events, and school with dates (month/year). All time must be accounted for. Please list in chronological order.

Applications with missing time will remain incomplete until a Missing Time List is received and can account for all of the time since a student has graduated high school.

Example:

Date (MM/YYYY) Location Activity Full Time/ Part Time
Graduated high school
FT    PT
FT    PT

Missing Time List:

Date (MM/YYYY) Location Activity Full Time / Part Time*
Graduated high school
FT    PT
FT    PT
FT    PT
FT    PT
FT    PT
FT    PT
FT    PT
FT    PT
FT    PT

* Full time (20 – 40 hours per week), Part time (less than 20 hours per week).

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