Meet Virtually | Faculty of Engineering and Design

Title*

Name*

First Last

Email*

Date of Birth*

DD

MM

YYYY

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

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