Student Services Contact Information
Please submit form if you are requesting information or contact from an advisor.
First Name
Last Name
Street Address
Address Line 2
City
State/Province/Region
Zip/Postal Code
Phone Number
Alternate Phone Number
Country
Email Address
Are you a current VIU student?
No
Yes. Student Number (if known):
Educational Background:
Some Post Secondary
High School Graduate
Less Than Grade 12, please specify
Appointment Request?
Yes
No
Request Program Information
Adult Basic Education/Upgrading
ABE, goal
Health & Human Services
(please choose as many as apply)
School & Community Support Worker
Disability Studies Diploma
Home Support Resident Care Attendant
Practical Nursing
Other, please specify
Trades
(please choose as many as apply)
Applied Business Technology
Automotive
Carpentry
Culinary Arts
Other, please specify
University Studies
University Studies, goal
Other Program
Other program, please explain
Request Other Information
Assessment Info
(please choose as many as apply)
Assessment Info, specify program
Financial Aid
(please choose as many as apply)
Student Loan
Scholarships/Awards
Bursaries
Grants/Low Income
Other request, please explain