Published on Brock University (http://brocku.ca)

Inform us about an official visitor to campus

Your Contact Information

Name: *

Department/Unit: *

Email: *

Phone Extension:

Official Visitor Information

Name: *

Title: *

Details of Visit

Date of Visit: *

Time of Visit: *

Reason for Visit: *

Campus Location of Visit: *

Press Attending: *

Other Pertinent Information:

Collection Notice

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 [1], and in accordance with the Freedom of Information and Protection of Privacy Act (FIPPA) [2] for the administration of the University and its programs and services. Direct any questions about this collection to Government Relations [3] at govtrelations@brocku.ca [3]

Source URL: http://brocku.ca/government-relations/official-campus-visitor