Brock University protects your privacy and your personal information.
The personal information requested on this form is collected under the authority
of The Brock University Act, 1964, and in accordance with the Freedom of Information
and Protection of Privacy Act (FIPPA) for the administration of the University and its
programs and services. Direct any questions about this collection to the Learning Skills
Services Manager, of the Student Development Centre at Brock University at (905) 688-5550, ext. 
or see www.brocku.ca/learning-services