CLA Request Form

To request PLAR information, please complete and submit this form. Asterisked fields are required.

First Name:

Last Name

E-mail Address

Home Telephone Number

Work Telephone Number

AU Student ID #

Street Address

City/Town

Province/State

Postal/ZIP Code

Comments or Questions

Other - Indicate another way you heard about PLAR if applicable

Updated January 10, 2024 by Digital & Web Operations, University Relations (web_services@athabascau.ca)