SLST Student Contact Information

Please complete this form to update your contact information and student records with the SLST Program Office.

Name Name First Last
Student Number (SSID)
Must be 9 digits. Currently Entered: 0 digits.
York Email Address
Personal Email Address (non York ID)

(non York Email address)
LinkedIn Profile (Optional)
Cell Phone Number

This is required for RA and TA contracts
May the Program Office contact you by phone regarding urgent or time-sensitive matters?

May the Program Office contact you by phone regarding urgent or time-sensitive matters? Yes No
Date of Birth Date of Birth / MM / DD YYYY
Current / Local Address Current / Local Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Student Status

Student Status Domestic Student International Student Not Sure
Study Permit Expiry Date (International Students Only) Study Permit Expiry Date (International Students Only) / MM / DD YYYY

For International Students Only.

This information is mandatory for payments incase you take up RA or TA contracts
Degree Option

Degree Option MA PhD
Level of Study

Level of Study Year 1 Year 2 Year 3 Year 4 Year 5 Year 6+
Emergency Contact

This information is required for program records and may be needed for RA/TA appointments and emergency situations
Emergency Contact- Name Emergency Contact- Name First Last
Address of Emergency Contact Address of Emergency Contact
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Relationship to You

Examples: Parent, Spouse, Sibling, Friend, Guardian
Phone Phone - ### - ### ####
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7, 8, 9, 10 : the 3rd number is?

SLST Student Contact Information

SLST Student Contact Information

Emergency Contact