Future Student Appointment Booking Form

This form is for undergraduate admissions and recruitment.
Name Name First Last
Email
Phone Number Phone Number - ### - ### ####
I would like to meet on behalf of someone else, and they have submitted the Authorization for Release of Information form. (If you are requesting info on behalf of someone else, please have them complete the authorization form and email it to admissions@uwinnipeg.ca before booking this appointment)

I would like to meet on behalf of someone else, and they have submitted the Authorization for Release of Information form. (If you are requesting info on behalf of someone else, please have them complete the authorization form and email it to admissions@uwinnipeg.ca before booking this appointment)
Yes No
Full Name on Application Full Name on Application First Last
Student Number (If applicant has not applied yet, please leave blank.)
Applicant has already applied for admission to The University of Winnipeg.

Applicant has already applied for admission to The University of Winnipeg. Yes No
Applicant is a

Applicant is a Domestic student International student
I would like to meet to do the following (check all that apply):

I would like to meet to do the following (check all that apply): Drop off or pick up documents Discuss required documents for an application Discuss admission decision Discuss transfer credits Discuss programs available at UWinnipeg Discuss admission requirements/how to apply Receive assistance with the application form Pay application fee Other (Please explain.) Other (Please explain.)
I would like to meet by (choose one):

I would like to meet by (choose one): Phone Zoom or virtual meeting In-person
Would you like to be added to our Future Student Newsletters, to receive monthly newsletters, event invitations, reminders about deadlines, etc.?

Would you like to be added to our Future Student Newsletters, to receive monthly newsletters, event invitations, reminders about deadlines, etc.? Yes No
Comments or Questions?
The personal information on this form is collected to arrange an appointment with you. It is collected under 36(1) of the Freedom of Information and Protection of Privacy Act. Questions regarding this collection can be directed to the Director of Admissions, 515 Portage Avenue, Winnipeg, MB R3B 2E9 or 204.789.1490.
Spam Protection. Please answer this question:
5, 6, 7, 8 : the 3rd number is?