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Recommendation Form: Humanities 101 Trent University Durham
Please send completed forms to Amber Ashton, Manager, Academic Programs and Campus Operations, Trent University Durham at HYPERLINK "mailto:alashton@trentu.ca" alashton@trentu.ca
HYPERLINK "https://www.trentu.ca/durham/academics/humanities-101" https://www.trentu.ca/durham/academics/humanities-101
About the Student
Student Name
Student Age
( 17-25 ( 26-35 ( 36-45 ( 46 or moreStudent contact information
(mail, telephone and email if applicable)Mailing address (if available):
Telephone (if available):
Email (if available):
Can this student read a newspaper?
( Yes ( NoDoes the student have accessibility needs?(Please include needs such as mobility, hearing impairment, visual impairment, or any needs that we should be aware of in a classroom setting?)( Yes (please explain) ( NoAbout the Service ProviderService agency that referred this student to the Humanities 101 course:
Name of service provider who referred this student to the Humanities 101 course:
Contact information for service provider who referred this student to the Humanities 101 course
(mail, telephone, and email if applicable)Mailing address
Telephone
Email (if available)
Barriers to attending classWill this student need child care or adult care expense allowance in order to attend class?
( Yes ( No
Will this student need a transportation expense allowance in order to travel to the university? (e.g., bus tickets)
( Yes, bus tickets
( Yes, parking pass
( No
Does this student have special dietary needs? (e.g., allergies)( Yes ( No
If yes, please list here
Please note that reading materials and school supplies are provided to students (free of charge).
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