EmailMe Form - First Generation Services Registration

Name: *

First Last

Preferred Name:

If applicable

Address: *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Student Number: *

Email: *

Campus: *

Program of Study: *

I would like to receive a monthly newsletter via email regarding events, activities, bursaries and additional information to help further my success at Canadore College.

Please check off any of the following that apply to you:

Indigenous

Francophone

Newcomer (An International student who has identified that Canadore College is their first experience in the Canadian postsecondary system)

Which year are you enrolled in? *

First

Second

Third

Student Signature *

Please accept this as my signature

Confidentiality Statement:

The information you have provided on this First Generation Services Registration form will be used only for the purpose of supporting the activities of the First Generation Advising Program at Canadore College, and reporting to the Ministry of Training, Colleges and Universities.

Today's Date *

MM / DD / YYYY