Meet Virtually | Faculty of Engineering and Design

Title*

Name*

First Last

Email*

Date of Birth*

Where are you located?*

within Canada
International

Would you like a FED information package mailed to you? *no charge*

Yes
No

Country Location*

Home Address*

Street Address Address Line 2 City Province Postal Code

Is the Home Address above where you would like the information package mailed?*

Yes
No

Shipping Address*

Street Address Address Line 2 City Province Postal Code

Phone Number*

Academic Information

Are you currently enrolled in High School?*

Yes
No

High School*

Current Grade*

Please Specify*

Example: enrolled at ___ University/College, taking a gap year, working full-time etc.

Expected year/term entry to University*

Example: Fall 2020, Winter 2021 etc.

Program Preferences

Please rank your program choices from 1-3 below, 1 being your first preference.

First Choice*

Second Choice*

Third Choice*

Availability

Do you know the exact date(s) and time(s) you would like to request?*

Are you requesting specific date(s) and time(s), or would like us to let you know our availability based on days/times provided?

Yes, I know the exact date(s)
No, will provide availability instead

Preferred Date 1*

Program offered Monday-Friday

Preferred Date 2

Program offered Monday-Friday

Preferred Date 3

Program offered Monday-Friday

How soon would you like to attend this program?*

Within the next 2 weeks
Within the next month
This Academic Term (Sept-Dec or Jan-Apr)
This Academic Year (Sept-Apr)

Please select what days of the week you are available*

Select All
Monday
Tuesday
Wednesday
Thursday
Friday

Do you have any specific date or time restrictions?*

Example: only available 9am-12pm, not available Dec 1 etc.

Please select all time slots that would work for you*

Select All
10-11am
11am-12pm(noon)
1-2pm
2-3pm
3-4pm

Do you have an Ambassador preference?*

Who you would like to meet with virtually

Hannah (B.Eng Biomedical and Mechanical Engineering)
Uday (B.Eng Aerospace)
Connor (Electrical Engineering)
Kassidy (Aerospace)
Alvis (Interactive Multimedia and Design)
Devasri (Architecture)
Farah (Industrial Design)
Faith (Biomedical and Electrical)
Koralie (Biomedical and Electrical)

How did you hear about this program?*

Please select all that apply

Carleton Event (SEDS, Fall Open House, March Break Day etc.)
Google Search
Carleton Website
Word of Mouth (Friend/Family etc.)
High School Visit or Fair
Email
Phone Call
Other

Other Please Specify*

Please include here any questions you would like us to answer in our meeting

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