Webform Block Counselling Appointment Request Please note that information submitted through this form is monitored daily from Monday through Friday, 8:30 a.m. to 4:30 p.m. Student ID First Name Last Name Preferred Name Phone Email Address By submitting this form, you are giving us permission to contact you as needed. The personal information you provide on this form is collected under the authority of the Post-secondary Learning Act and in compliance with section 33(c) of the Alberta Freedom of Information and Protection of Privacy (FOIP) Act and will only be used for the purpose of recruitment, research, and processing of your request by NWP. In pressing Submit below, you consent to this use of your personal information. Questions about the collection or use of this information should be directed to the Information and Privacy Coordinator at @email or 780-539-2068. CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.