Advocacy Intake Form | Toronto Metropolitan Association of Part-time Students

Student Information

First Name(Required)

Last Name(Required)

Student Number

Phone Number

Cell Number

Year in Program

Program

Email

Type of concern

Type of Concern if not listed above

How did you hear about the advocacy service?

How did you hear about the advocacy service? (Other)

Statistical Information

Gender (e.g., woman, man, spectrum, pan, etc.)

Sexual orientation (e.g., lesbian, gay, bi-sexual, queer, straight, etc.)

What is your first language?

Please note that statistics collected will NOT identify individuals and will be used for analysis of the Continuing Education Students' Association of Ryerson (CESAR).

Brief Description of Issue

Brief description of issue

After clicking submit you should receive a success message on screen after 10-20 seconds, as well as a success email. There have been a few situations where no success message has been received but the form is processed. If this happens, please contact studentrights@mycesax.ca if you did not receive a confirmation email.

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