JMSB LIFE

REGISTRATION FORM


Student Sessions

Thursday January 3rd, 2019

9:00 am - 6:00 pm


Student information
Title (Mr, Mrs or Ms):  
Surname/Family Name 
First name 
Concordia Student ID # 
Citzenship 
Primary language spoken 
Other languages spoken 
Program of study  
Major concentration: 

Buddy System
The JMSB offers you the possibility to be part of the JMSB Buddy system. You will be grouped with senior JMSB students (the Buddy) who will help make your transition to the JMSB a whole lot easier. Many new students are part of the Buddy system and we highly recommend that you be part of it too!

Would you like a Buddy to be assigned to you for one term (January - April)? 

Student contact information
    
Home phone no.(with country code/area code)     
Mobile (with country code/area code) 
Primary email 
Confirm primary email 
Will this be your first visit to Montreal? 
Will this be your first visit to Canada? 

Parents' and Guardians' Sessions

Thursday January 3rd, 2019

9:00 am - 6:00 pm


Will your parents/guardian be in Montreal on January 3? 
Will your Father / Guardian be attending the orientation? 
Will your Mother / Guardian be attending the orientation? 

Information - Father / Guardian (please complete if your father / guardian will be attending)
Father's surname 
Father's first name 
Father's primary email 

Languages spoken 

Information - Mother / Guardian (please complete if your mother / guardian will be attending)
Mother's surname 
Mother's first name 
Mother's primary email 

Languages spoken 

FUN LIFE FACT!
Who is your favorite Canadian? 

Please indicate any special dietary requirements 

TO RESERVE YOUR PLACE PLEASE COMPLETE THIS REGISTRATION FORM AND SUBMIT IT BY DECEMBER 22nd, 2018