All fields (*) are required fields and must be completed
* First name
* Last name
* Official UofR email address
* Employee #
* How many employees do you supervise?*
Date/time requested:
* Faculty/Department
The University of Regina collects information under the authority of The University of Regina Act and in accordance with the Local Authority Freedom of Information and Protection of Privacy Act and the Personal Information Protection and Electronic Documents Act for purposes of the administration of the University and its programs and services. By responding to this form, you are consenting to the University of Regina using your personal information to complete this report.
