Drugs Pro-rated

2024 Fall – Drugs ProRate

If you have an existing credit with the Lifelong Learning Program, please contact us by email: lifelonglearning@cunet.carleton.ca

Name(Required)

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Date of Birth

Date of Birth is not a required field. Please note that this information allows our team to identify a participant in the event of an emergency on campus. This information will not be shared or stored in accordance with The Freedom of Information and Protection of Privacy Act (FIPPA) and Carleton University Policy.

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Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Are you purchasing for yourself?(Required)

Yes

Name of person attending(Required)

First Last

Emergency Contact Information(Required)

First Last

Emergency Contact Phone Number(Required)

Please list any questions about accessibility, requests for accommodations, or allergy information below.

Are you a Carleton Alumni? Please let us know the year you graduated.

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