International Publication Request Form

Yes, I would like a physical (hard) copy of Lakehead's International Viewbook sent to me by post.

Mandatory fields are marked with star (*)

Please include any applicable information such as suite number, floor number, PO Box, etc.

Email Address *

Confirm Email Address *

First Name *

Last Name *

Citizenship *

Mailing Address

Country

Address 1 *

Address 2

City *

State *

ZIP code *

Include any applicable information such as suite number, floor number, PO Box, etc.

Mobile Phone *

Please include your country code.

Publication Language *

Would you like an English Viewbook as well as your desired language selected above?

What level of study are you interested in? *

Program of Interest (Undergraduate)

Program of Interest (Graduate)

When would you like to start university? *

Do you have a question or comment?

Personal information on this form is collected under the general authority of "The Lakehead University Act, 1965" for the purposes of follow-up communications regarding the University. Any questions on this collection should be directed to: Manager, International Marketing & Communications, Lakehead University International Enrolment, 1294 Balmoral St, Suite 1003, Thunder Bay, Ontario, P7B 5Z5, or by emailing: marcom.international@lakeheadu.ca.