Calgary Info Session January 2013 Survey

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1. Please enter the following information

Please enter the following information Student First Name:
Student Last Name:
City/Town:
Prov/State:
Email Address:
Phone Number:

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2. What is the name of your High School?

What is the name of your High School?

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3. How many guests will be attending including yourself?

How many guests will be attending including yourself? 1

2

3

4

4. Please enter the names of your guests

Please enter the names of your guests Guest 1
Guest 2
Guest 3
Guest 4

5. Which program(s) at Queen's have you or are you interested in applying to? Choose up to three.


Programs:	Which program(s) at Queen's have you or are you interested in applying to? Choose up to three. Programs:

6. We welcome persons with disabilities or other special needs. Please let us know how we can serve you best.

We welcome persons with disabilities or other special needs. Please let us know how we can serve you best.

7. Please provide one question you hope to have answered during the information session. (optional)

Please provide one question you hope to have answered during the information session. (optional)