Become an ACT Student

Thank you for your interest in the Accessible Career Transitions program. Please complete the following registration form which will be sent to an ACT staff member for review. Alternatively, please feel free to email act@carleton.ca or phone (613) 520-6611 and provide your name and student number. Once reviewed, an ACT staff member will contact you to book an intake appointment to provide information about the ACT program and to discuss your interests, skills and any accommodations needs related to employment!
Name*
First Last
Student Number*
Hidden
Student Number (currently not visible)*
Preferred Phone Number*
Carleton Email Address*
Student Status*
- I am a student
- I am an alumnus
Please select one of the two options above.
How did you hear about ACT?*
From the following list, please select the day(s) of the week that would work best for your intake appointment*
- Tuesday
- Thursday
Note: Intake appointments are currently scheduled Tuesday and Thursday from 9 am-11 am.

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