SLST Student Contact Information

Please complete this form with your preferred contact information to be added to the SLST database for file updating purposes.

Name Name First Last
Student Number
Must be 9 digits. Currently Entered: 0 digits.
York Email Address
External Email Address

(non York Email address)
LinkedIn Profile
Cell Phone Number
Do you give the Program office permission to contact you on your cellphone number in case of time-sensitive matters?

Do you give the Program office permission to contact you on your cellphone number in case of 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
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 mandatory for payments incase you take up RA contracts
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
Relation
Phone Phone - ### - ### ####