The personal information that you provide on this form is being collected under the authority of the Freedom of Information and Protection of Privacy Act of Alberta, section 33(c). It will be protected in compliance with the provisions of the Freedom of Information and Protection of Privacy Act of Alberta and will be retained in accordance with the Information Management policy and guidelines. This information will be used by the Student Connect Centre for the purpose of selecting recipients of emergency bursaries. This information may also be shared with the Canada Revenue Agency. If you have questions regarding this form, please contact the Student Connect Centre, room 1102, Red Deer Polytechnic, Box 5005, 100 College Blvd, Red Deer, Alberta, T4N 5H5, 403.342.3254.
Prior to completing this application, please note the following:
View our Faculty & Staff Biographies