Human Performance Laboratory Contact Information Form

Name
Date of Birth:
Sex:
Ethnicity:
Address
Home Phone:
Cell Phone:
Work Phone:

 

 

Emergency Contact:

 

Name:
Relationship:
Primary Phone:
Interested in

 

 

Please answer the following questions:

 

Are you currently part-time or full-time employee of SFU?
Are you currently enrolled (≥ 6 credits) as an SFU Student