Demographic Information Name I Use This field is required. First Name This field is required. Last Name This field is required. Student # This field is required. Student Email This field is required. We only communicate via your official Nipissing University student email, please use your student email to communicate with us. Phone Number This field is required. Service(s) Request Please select the services relevant to your current needs. Multiple appointments may be booked based on your selection(s). Academic writing Academic skills and learning strategies (time management, study tips, note-taking, financial literacy, etc.) English as a second language / English language learning Mathematics Science Career services Transition support (mature / transfer students, etc.) Record of Student Development (RSD) support Mathematics Courses Please select any specific Mathematics course(s) you are requesting help with: MATH 1257 - Technical Statistics MATH 1911 - Finite Mathematics ADMN 1607 - Business Mathematics ADMN 2606 - Business Statistics ECON 1127 - Intro to Math for Economists Other… Enter other… Availability Please note that our team offer varying hours to best meet the needs of all NU students. As a result, we will do our best to meet your suggested appointment times; however, may need to offer alternatives to ensure timely and effective service. Appointments are booked between 9:00am - 4:00pm. Available Date/Time (1st choice) This field is required. Date This field is required. Time This field is required. Available Date/Time (2nd choice) This field is required. Date This field is required. Time This field is required. Available Date/Time (3rd choice) This field is required. Date This field is required. Time This field is required. Appointment Type In-Person Virtual No Preference Privacy Information Please read and agree to the following in order to continue I understand that this information will be provided to Student Learning and Transitions at Nipissing University and that if I haven't yet booked an appointment, a member of the team will be contacting me to arrange the first appointment. This field is required. Protection of Privacy The personal information on this form is collected under the authority of the Nipissing University Act, 1992. It is related directly to, and needed by the University to provide support services to students in the course of their studies while at Nipissing University. The information will be used only by Student Learning and Transitions employees and will not be disclosed to any third party without your consent. If you have any questions or concerns about the collection, use, and disclosure of this information, please contact Student Development and Services, Nipissing University, 100 College Drive, North Bay, ON, P1B 8L7, (705) 474-3450, ext. 4459.