NEW Together@Dal registration

Thank you for your interest in the Together@Dal program. Please take a few minutes to fill out this registration form so we are able to place you in the appropriate group(s). Demographic information will be used for group placement purposes, creation of affinity groups, as well as program assessment. If you have any questions, please contact Kerrianne Ryan, Program Manager, at: kerri.ryan@dal.ca. For more information on the program, visit: www.dal.ca/together

Please note, if you are in a graduate/professional program, visit: https://surveys.dal.ca/opinio/s?s=57518 to register for the Grad version.

Together@Dal is only for new to Dal students. If you are already a current Dal student, please reach out to one of our many support services: https://www.dal.ca/campus_life/academic-support.html

1. First Name:
2. Last Name: 
3. 

B00#:

(This is your student ID. Please enter B00 and then your number.

4. Dal Email:
5. 

Net ID:

This is usually the first part of your email. Eg: ab12345@dal.ca. Ab12345 would be your Net ID.

6. 

Faculty Enrolled (please select):

Please note, if you are in a graduate/professional program, visit: https://surveys.dal.ca/opinio/s?s=57518 to register for the Grad version.

Together@Dal is only for new to Dal students.

7. If you are entering into the Faculty of Science, please indcate if you are a DISP or Med Sci student. If you are not, or not going into Science, choose "not applicable".
DISP  
Med Sci  
Not applicable  
8. Citizenship status:
Canadian citizen  
Canadian permanent resident   
International student  
Third culture (a Canadian citizen who has lived abroad for 5 years or more)  
Prefer not to answer  
9. Permanent address postal code (for residents of Canada only):
 
10. Choose the statement that reflects your experience:
Neither of my parents/guardians attended a college or university   
At least one of my parents/guardians attended a college or university  
Prefer not to answer  
11. Please indicate which racial/ethnic group you identify with. Check all that apply:
Aboriginal/Indigenous person from North America/Turtle Island (e.g. First Nation, Metis, Inuit)  
Mi'kmaq  
Aboriginal/Indigenous person from outside of North America/Turtle Island   
Person of African ancestry (Black)  
African Nova Scotian  
Person of European ancestry (White)  
East Asian (e.g. Chinese, Taiwanese, Japanese, Korean, etc.)  
South Asian (e.g. Bangladeshi, Pakistani, Indian, Sri Lankan, Punjabi)  
South East Asian (e.g. Vietnamese, Thai, Cambodian, Malaysian, Filipino/a, etc.)  
West Asian or Arab (e.g. Iranian, Afghani, Lebanese, Egyptian, Iraqi, Armenian, Israeli, etc.)  
Latin, South or Central American  
Prefer not to answer   
Not listed above. Specify    
12. What is your gender? Check all that apply:
Man  
Woman  
Trans/transgender  
Genderqueer  
Agender  
Butch/masc  
Femme  
Nonbinary  
Prefer not to answer   
Another gender not listed    
13. In September, will you be living:
On campus (residence)  
Off campus with friends/alone   
Off campus with family   
Other   
Off campus with friends/along -    
14. Do you anticipate any of these being barriers for you in the fall? Check all that apply:
Old/unreliable computer   
Slow/unreliable wifi  
No computer  
Lack of dedicated study space  
Lots of distractions in home environment   
Accessing certain websites in my home country  
Other   
15. Please indicate which times would work best for you (the majority of the time). All times are in ADT. Please check all that apply.
Tuesdays 8:30am  
Tuesdays 12pm  
Tuesdays 7pm  
Saturday 10am  
All of the above  
None of the above  
16. How did you hear about the Together@Dal program? Check all that apply:
Family/supporter  
Faculty  
University staff  
Social media   
University Email   
Other    
17. What is your reason(s) for wanting to participate in Together@Dal program?