UNIVERSITY OF WINDSOR - ENROLMENT FORM
INSTRUCTIONS:
Please complete all sections of this enrolment form.
  • This form will be used to obtain an Employee Number, your Office Space, your Phone Extension, your Email Account, your Parking Permit, your Library Card, a password for the Student Information System, and useful information via email for different departments on campus regarding your relocation to Windsor.
  • Once you have completed the form, click on the submit button located at the bottom of the page.
  • The form will be forwarded to the Office of the Provost and Vice-President Academic.
  • If you have problems sending this form electronically contact the Office of the Provost and VP, Academic at 519-561-1432 or toll free at 877-665-6608 or by email at recruit@uwindsor.ca.

Note: The information you provide below will be CONFIDENTIAL AND IS SECURE.
FIRST NAME
SURNAME
PREFERRED NAME
(Enter only if different from the First Name)
SECOND
NAME
TITLE
SOCIAL
INSURANCE
NUMBER (SIN)
FACULTY
DEPARTMENT
POSITION RANK/TERM
Rank

Term
POSITION
TYPE
START DATE
Month

Day

Year
EXPECTED DATE OF RELOCATION TO WINDSOR
Month

Day

Year
DATE OF BIRTH
Month

Day

Year
PERMANENT RESIDENT (LANDED) OF CANADA DATE
Month

Day

Year
SEX
COUNTRY OF CITIZENSHIP
MARITAL STATUS
COUNTRY OF
BIRTH
CURRENT PHONE NO. (INCL. AREA CODE)
DO YOU REQUIRE A WORK PERMIT TO WORK IN CANADA?

Work Permit No.
CURRENT FAX NO. (INCL. AREA CODE)
LISTED/
UNLISTED
HOME ADDRESS
CURRENT EMAIL ADDRESS
CITY
PROVINCE
POSTAL CODE
COUNTRY
HAVE YOU PREVIOUSLY BEEN EMPLOYED BY THE UNIVERSITY OF WINDSOR?
IF YES, WHAT YEAR
IF YES, WHAT SURNAME WAS USED?
HEALTH CARD NUMBER
EMERGENCY CONTACT PERSON'S NAME
RELATIONSHIP
EMERGENCY CONTACT PHONE NUMBER (WORK OR HOME) (INCL. AREA CODE)
IF APPLICABLE, UNIV. OF WINDSOR
STUDENT I.D. #
DEPENDANT INFO.
NAME
(enter Lastname, Firstname & relationship)
e.g. LN, FN (spouse)
DATE OF BIRTH
NAME (1)
DOB (1)
(mm/dd/yy)
NAME (2)
DOB (2)
(mm/dd/yy)
NAME (3)
DOB (3)
(mm/dd/yy)
NAME (4)
DOB (4)
(mm/dd/yy)
NAME (5)
DOB (5)
(mm/dd/yy)
NAME (6)
DOB (6)
(mm/dd/yy)
PREVIOUS EMPLOYMENT AND EDUCATION DETAILS (SELECT FROM THE DROP DOWN LISTS):
PREVIOUS EMPLOYMENT
WHERE WAS YOUR LAST PLACE OF EMPLOYMENT?
LOCATION OF PREVIOUS EMPLOYMENT
YEAR OF FIRST DEGREE
LOCATION OF FIRST DEGREE
WHAT UNIVERSITY DID YOU OBTAIN YOUR BACHELOR'S DEGREE AT?
University

Degree (e.g. B.Sc.)

Date (yyyy/mm/dd)
WHAT UNIVERSITY DID YOU OBTAIN YOUR MASTER'S DEGREE AT?
University

Degree (e.g. M.Sc.)

Date (yyyy/mm/dd)
YEAR OF HIGHEST DEGREE
LOCATION OF HIGHEST DEGREE
LEVEL OF HIGHEST DEGREE
NAME OF HIGHEST DEGREE
WHAT UNIVERSITY DID YOU OBTAIN YOUR PhD or HIGHEST DEGREE AT?
University

Degree (e.g. Ph.D.)

PhD Received Date (yyyy/mm/dd)

PhD Expected Date (yyyy/mm/dd) If PhD in progress, when will it be expected?
PRINCIPAL SUBJECT

IF APPLICABLE, WHAT WAS YOUR
PhD THESIS TITLE?

Enter "N/A" if this does not apply to you.
PUBLICATIONS: IF APPLICABLE, HOW MANY HAVE YOU WRITTEN? ENTER A NUMBER BESIDE THE ITEMS
BOOKS: Enter "0" if none published

ARTICLES/JOURNALS: Enter "0" if none published

CHAPTERS: Enter "0" if none published
IF APPLICABLE, WHAT ARE YOUR CURRENT RESEARCH INTERESTS?

Enter "N/A" if this does not apply to you.
IF APPLICABLE, WHAT ARE YOUR CURRENT RESEARCH GRANTS

Enter "N/A" if this does not apply to you.

IF YOU HAVE ANY COMMENTS ABOUT COMPLETING THE ABOVE FORM, PLEASE USE THE SPACE PROVIDED BELOW:






It is the University’s philosophy that every person is free and equal in dignity and rights regardless of race, creed, age, colour, sex, marital status, ancestry, place of origin, ethnic origin, citizenship, record of offences, family status or handicap.

Click the submit button to forward a copy of the form to Office of Provost and VP Academic




Faculty of Law does not give their faculty members access to SIS. They can contact the office in law for any class lists they may need.