Continuing Education Students' Association of Ryerson (Local 105 Canadian Federation of Students)

Ryerson Free Press

Course Evaluation Database

General Bursary Application

Student Rights & Academic Advocacy > Advocacy Appointment Request Form

Advocacy Intake Form

This information is used to better service your advocacy needs. All information will be kept confidential.

Please complete this form prior to seeing the Student Rights' Coordinator.

STUDENT INFORMATION

First Name: *

Last Name: *

Student Number:

Phone Number:

() -

Cell Number:

Email Address: *

Choose one:

Program:

Year in Program:

Student Status: *

Choose One: *

Current Academic Standing: *

Tell Us What You Need Help With: *

DESCRIPTION OF ISSUE

Brief Description of Issue: *

STATISTICAL INFORMATION

Statistics collected will NOT identify individuals and will be used for analysis of CESAR. This information is confidential.

Program of Study:

Nature of Appeal: *

Year in Program:

Do you identify as a person of colour?: *

Gender Self-Identification: *

Is English Your First Language?: *

If "no", what is your first language?:

Do You Identify As:

Are You A Person With a Disability?: *

HOW DID YOU HEAR ABOUT THE ADVOCACY SERVICE?

Please check all that apply:: *

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Local 105 - Continuing Education Students' Association of Ryerson
SCC301, 55 Gould Street, Toronto, ON, M5B 1E9
Tel: 416.979.5193 Email: admin@mycesar.ca