Please Note: You will be contacted with your student ID and payment information once your registration has been started. Registration is not complete until payment has been received. Current Ambrose students need to register for this course using the student registration system. Student Information Name Given Given Middle name(s) Middle name(s) Family Family Previous/Maiden Name(s) (if applicable) Gender Male Female Date of Birth (mandatory) Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20162017201820192020 Alberta Student Number Student ID (if applicable): Mailing Address City/Town Province/State Postal Code/Zip Code Phone Number Email Address Registration Information Register in one or more courses for credit Once your submitted form has been processed you will be contacted with your student ID and payment information. Registration is not complete until your fee of $420 per course has been received. Fall 2018 Workshops LE 545-1 Vital Signs of Healthy Organizations, October 3 PR 545 Preaching as Performative Art, October 24 LE 545-2 The Challenge of Change, November 21 Winter 2019 Workshops PR 545 Preaching and Storytelling, Jan 30 LE 545 The Life of David, Feb 27 PR 545-2 Preaching the Year, Mar 20 Questions or Comments? 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. I agree I agree 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).