Returning Student Form

Contact Information
Funding Information
Academic Information
Disability Information
If Yes, please inform your Accessibility Consultant by email or by appointment.

If you are eligible for the below accommodations, please ensure you complete the following steps in a timely manner:

Additional Comments or Questions

Protection of Privacy

The 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 and to support disability-related accommodation requests for students with disabilities. The information will be used by employees of the Nipissing University and will not be disclosed to any third party without your written consent. If you have any questions about the collection, use, and disclosure of this information, please contact Student Accessibility Services, Nipissing University 100 College Drive, North Bay  ON P1B 8L7, (705) 474-3450, ext. 4362