FITA Application Form

FITA application form

Step 1 of 8

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  • Gender * Required
    Please use the "Other" choice field if you prefer to self-describe.

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, 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 Vicki Thomas, FITA Coordinator, Student Wellness and Accessibility Services (905-688-5550 extension 5188).