Participant's Information Degree Type: Undergraduate Seminary Email Address (Undergrad) Email Address (Seminary) First Name Last Name Student ID Cell Phone Dietary Restrictions Program Living Status In residence Off campus What is your T-Shirt size? Small Medium Large x-Large Emergency Contact Information First Name Last Name Relationship Phone number Medical Information Allergies Medical condition Health card number Medical Doctor Name Doctor's phone number 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 firstname.lastname@example.org).