Online Training Request Form

Please use the form below to register for any of the HSE Online UR Course. Be sure to register using an e-mail address that you check often as HSE will be contacting you with details of your registration and course specific instructions.

The University of Regina collects information under the authority of The University of Regina Act and in accordance with the Local Authority Freedom of Information and Protection of Privacy Act and the Personal Information Protection and Electronic Documents Act for purposes of the administration of the University and its programs and services. By responding to this form, you are consenting to the University of Regina using your personal information (to/for ...describe specific purpose of information gathering on this form).

Items indicated with an (*) are required.

* First Name

* Last Name

* E-mail Address

* Re-enter your E-mail Address

* Subject

* Message

* Student or Employee Number:

* URegina Novell (Login Name):

* Name of Supervisor: