Student Information Request Form

Do you have a question that needs answering? KPU Indigenous Services for Students is here to help!

To be contacted by us, please complete the form below:

Your Contact Information

Future or Current Student *

Future

Current

Please indicate whether you are a future student looking to attend or a student currently attending KPU.

Program and Faculty (Optional)

What is your current program and faculty?

Student Name *

Student ID (Optional)

Please provide your KPU student ID number.

Phone Number *

Please provide a number at which we can contact you.

Email Address *

How should we contact you? *

Phone

Please let us know your preferred method(s) of contact.

Request Details

Reason *

Please provide your primary reason for contacting Aboriginal Services.

Request Details *

Please let us know what kind of support you are looking for.

Supporting Documents

Please upload any documents you feel would be helpful to share.
More information

Additional Information

Please let us know of any other information you think would be helpful in facilitating your request.

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