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Book Appointment

The purpose of the following questions is to gather basic information our planning and practice in an effort to serve you better. All answers you provide are protected under the confidentiality terms and agreement which can be found on the Nipissing University website.​​​​​

Required fields are marked with an asterisk (*)

Demographic Information

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Must be a valid Nipissing University email address (you@community.nipissingu.ca)

Current Concerns & Reasons for Seeking Support

Please rank the following areas (that apply) in order of most pressing/relevant (1) to least pressing/relevant (5). Please leave areas that are currently not of concern blank.












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.

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Select a date from the calendar.  
Select a date from the calendar.  
Select a date from the calendar.  
Privacy Information

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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 Services to students in the course of their studies while at Nipissing University. The information will be used only be employees of the Student Development and Services Office 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 Office at Nipissing University, 100 College Drive, North Bay ON, P1B 8L7, (705) 474-3450.​

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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