alumni-logos_0.jpg The Ambrose Alumni Committee wants to re-connect with you! Please take a minute to fill out the form below and let us start to get to know you again. You may complete as much or as little of the form as you want. What will we do with your information? Any information submitted to us via this form will be used solely by the Ambrose Alumni Committee to communicate with you about related alumni events, opportunities to connect and engage, Ambrose news, and Ambrose events taking place in your region. As a special thank you for signing up, you will receive a discount coupon to purchase Ambrose clothing from the bookstore. Your information will not be sold, given away, or used for any other purpose than what is mentioned above. Join the Ambrose Alumni Network Final Year of Attendance Degree/Diploma Earned Last Name Maiden Name First Name Address City/Town Province/State Postal Code/Zip Code Home Phone Mobile Phone E-mail Current Home Church Occupation Additional information you would like to share The personal information collected on or in conjunction with this form is collected under the authority of the Personal Information Protection Act (PIPA), the Statistics Act (Canada) and the Income Tax Act (Canada). It is required to determine your eligibility for admission and will be used to contact you regarding programs and services. It will form part of your record as an applicant, student, and alumnus and may be disclosed to academic and administrative units. Specific data elements may be disclosed to the Federal and Provincial Governments to meet reporting requirements. Since the Jason Lang Scholarship is a Student Aid Alberta Scholarship, this information will be given to Student Aid Alberta. If you have any questions about the collection, use or disclosure of this information, call the Student Aid Alberta Service Centre toll free at 1-855-606-2096 from anywhere in North America. You can also mail your questions to Student Aid Alberta, PO Box 28000 Station Main, Edmonton, AB T5J 4R4. All other information is considered confidential and will be used and disclosed in accordance with privacy legislation. For more information regarding the collection or use of this information, please contact the Privacy Compliance Officer (403-410-2000 or e-mail firstname.lastname@example.org).