Student Profile Questionnaire

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Student Profile Questionnaire

Student Details

University of Regina ID Number * Full Legal Name * Alternate Name(s) or Alias(es) Date of Birth * Country of Citizenship * Email Address (UofR) * Alternate Email Address * Phone Number *

Canadian Address

Important: If the address you enter on this form is different than what appears in UR Self-Service, please update your information in UR Self-Service after submitting this form.

Suite or Apartment Number Building Number and Street Name * City * Province * Postal Code *

Emergency Contact Details

Why Do We Ask This Question?

We strive to ensure a seamless and stress-free transition to your new life in Regina. Having updated emergency contacts on file provides you reassurance that the University can contact a trusted support person in the event of a significant emergency or situation requiring immediate attention.

We recommend having two emergency contacts on file. If you have someone inside Canada who you trust, you can enter their details. Contact details of trusted persons who are outside Canada are also accepted.

Primary Emergency Contact

Full Legal Name * What is this individual's relationship to you? * Primary Phone Number * Alternate Phone Number Email Address *

Does this individual live inside or outside Canada? * Inside Canada Outside Canada

Does UR International have permission to contact this person in the event of an emergency? * Yes No

Secondary Emergency Contact

Full Legal Name * What is this individual's relationship to you? * Primary Phone Number * Alternate Phone Number Email Address *

Does this individual live inside or outside Canada? * Inside Canada Outside Canada

Does UR International have permission to contact this person in the event of an emergency? * Yes No

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 respond to your request.