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Registration Form

​The purpose of the following questions is to gather some basic information to inform our planning and practice in an effort to serve you better. Please note that required fields are marked with an asterisk (*). All of the answers you provide are protected under the confidentiality Terms and Agreement which can be found here.​
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Required fields are marked with an asterisk (*)

Academic Skills Success Program 2017-2018

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Must be a valid Nipissing University email address (you@community.nipissingu.ca)
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Nipissing University
100 College Drive, Box 5002, North Bay, ON, Canada  P1B 8L7
Tel: 705.474.3450 | Fax: 705.474.1947 | TTY: 877.688.5507
nuinfo@nipissingu.ca
Brantford Campus
50 Wellington St.
Brantford, ON, Canada N3T 2L6
Tel: 519.752.1524 | Fax: 519.752.8372

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