If you are interested in participating in any BUSU-led focus groups this year, please fill out the information requested below. We will, from time-to-time, be holding 1-2 hour long discussion sessions, and the information provided below will help us sort you into categories of students that we would like to speak to about various topics. If you fit the criteria for focus groups we need to talk to, you may receive periodic e-mails inviting you to participate. Individual focus group sessions may have different rewards offered, such as meals or snacks provided, or small cash renumerations. Please fill in EVERY field requested below.



Name:
E-mail:
Year of Study:
1
2
3
4
Other
Program:
Year of Birth:
Hometown:
Where do you live now?:
On Campus
Off Campus
How do you primarily get to Brock?: Live on campus
Bus
Car
Walk
Bicycle
Do you receive OSAP or the equivalent programs from other provinces?:
Yes
No
Do you believe that you should qualify for OSAP or equivalent programs from other provinces? Ie. Do you consider yourself to be in financial need? Yes
No
Have you ever used BUSU services before? Examples: Ombudsperson, Foot Patrol, Brock Aid, Emergency Loans, Food Vouchers, etc.: Yes
No
Have you ever used Student Health Services?: Yes
No
Have you ever used the Off Campus Living department?: Yes
No
Have you ever used the Student Awards and Financial Aid department? Yes
No
Other than the above three services, have you ever used University-provided services before? Examples: Career Services, Personal Counselling, Academic Advising, Human Rights and Equity, Student Development Centre, disABILITIES, Aboriginal Student Services, etc.?
Yes
No
Have you ever voted in BUSU elections before?: Yes
No


By clicking ‘submit’, you agree that BUSU may contact you about relevant focus group opportunities. Your e-mail address or other information will not be used for any other purpose, and will be kept confidential respecting all privacy regulations.

 
 

Contact:
Contact:

Daud Grewal
VPUA
vpua@busu.net
Ext. 4198