Enter to win!

You’ve met with Brock University.
Now enter your information below for a chance to win some amazing Brock swag!

Grab your Brock University giveaway card, and fill out the form below to be entered into our draws.

An example of the Brock giveaway card

If you participated in a Brock University school visit, you should have received a Brock University giveaway card.

Use the 7-digit number at the top of your card and fill in your information below to be entered into our draws.

What's your Brock giveaway card number?

What is your first/given name?

What is your last/family name?

What is your email?

What is your cell phone number?

What is your postal/zip code?

If you live outside of Canada, what is your country of citizenship?

What best describes you as a student/visitor?

Are you interested in undergraduate studies (e.g. Bachelor's degree) or graduate studies (e.g. Master's degree, Doctorate)?

What is the name of your school?
If you're not currently in school, what is the name of the last school you attended?

What is your primary program of interest?