IELP/Undergraduate Conditional Offer Response Form

Complete and submit this response form as soon as possible.

Your response form is due four (4) weeks before the session start date.

  • Full Name * Required
  • Found in offer letter
  • Found in offer letter
  • Current Address * Required
  • Email Address * Required
  • In submitting this IELP/Undergraduate Conditional Offer Response Form, I understand it must be returned to ESL Services (the Intensive English Language Program) office four (4) weeks before the session start date.

    Furthermore in submitting this form I also understand the following:

    While Brock University endeavours to maintain the privacy of student's information, all students acknowledge that by accepting this offer, they consent to the collection, use and disclosure of their personal information by the University in order to meet the University's administrative and academic needs. By accepting this offer you are agreeing to abide by all policies, procedures and regulations as outlined in the academic calendar, release of student's information, the code of student conduct, and the residence agreements and policies. Student who have not yet attained the age of majority are subject to the same policies, procedures and regulations.

  • By adding my name above, I am providing my electronic signature.
  • Brock University protects your privacy and your personal information. The personal information requested 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 Director of ESL Services at Brock University at (905) 688-5550, ext. 6008.