Change of Student Information Request Form

Your personal information on your student record needs to be updated throughout your studies at Ambrose. All information entered into this form will be used to update your student record. This information includes: contact information, mailing address, emergency contact and offical name.

If you have any questions, please email registrar@ambrose.edu.

Student Information

First

Last

Student ID

Student Contact Information

I acknowledge that this address will become the official address on my student record.

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Phone number

Email address

Change of Name Information

I acknowledge that my former name shall remain a part of my official academic record and may be reported on official documentation such as transcripts.

Current Name on Record

Desired Name on Record

I certify that the information provided is true and complete in all respects and understand that failure to provide complete and true information may result in penalties. I understand that I will be bound by the regulations of Ambrose University as listed in the Academic Calendar.

PRIVACY STATEMENT

Ambrose University is committed to safeguarding the personal information entrusted to us. We manage your personal information in accordance with Alberta’s Personal Information Protection Act and other applicable laws. Information collected in this form may 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. All 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 privacy@ambrose.edu).

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Change of Student Information Request Form

PRIVACY STATEMENT

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