INTERNATIONAL STUDENT ACTIVITY SIGN UP FORM
Movie Night @ Cineplex
From:
Tuesday, Dec 1, 2015 at 5:00 PM
To:
Tuesday, Dec 1, 2015 at 10:00 PM
Enter fields and click the SUBMIT Button.
Fields with (*) are manditory.
* Surname:
* Given Name(s):
* Gender:
-- Select your gender --
Female
Male
* Student Number:
* Campus:
-- Select your campus --
Buttonville
Jane
King
Markham
Newmarket
Newnham
York
Yorkgate
* Seneca Email:
@myseneca.ca
* Phone:
Alternate Phone:
Questions/Comments: