Enrolment Counselling

First Name *

Last Name *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Email Address *

Current High School *

Current Grade *

Intended Start Date *

If you selected "other", please specify

Preferred Date & Time *

Second Choice Date & Time *

I would like to book *An enrolment counselling appointment (approx. 30 minutes)A tour of the Luther Residence, The Student Village at Luther College (approx. 20 minutes)A tour of the University of Regina campus (approx. 40 minutes)

I prefer to meet by *PhoneZoomIn person

How did you hear about us?

What are your learning goals and hopes and/or other special requests?

Personal information on this form is collected pursuant to the Personal Information Protection and Electronic Documents Act (“PIPEDA”) and The Local Authority Freedom of Information and Protection of Privacy Act (“LAFOIP”). Luther College at the University of Regina will use your information for all administrative and academic matters and your information may be shared with the University of Regina.

Your information will remain confidential, and will only be used or disclosed as authorized under PIPEDA/LAFOIP.

Should you have any questions about the collection of information, please contact Luther College at the University of Regina at communications@luthercollege.edu.

What is Enrolment Counselling?