* First Name
* Last Name
* Student Number
* E-mail Address
* Faculty Arts Business Administration Centre for Continuing Education Education Engineering MAP Graduate Studies Kinesiology & Health Studies Nursing Science Social Work
* Year of Study 1 2 3 4 5 ...more Grad Studies
If you were referred to the program by a friend, please provide us with their full name
* List 3 times during the week that you would be available to meet a URG Advisor
