HECO Freedom Of Information Consent To The Release Of Personal Information

  • HECO Freedom of Information / Consent to release personal information:

    Pursuant to section 42(b)* of the Freedom of Information and Protection of Privacy Act, for the duration of my studies at Algonquin College Pembroke Waterfront Campus in the program indicated, I consent to: 1. The release of my telephone number to the faculty of the department, while I am a student at the College. 2. Notification of next of kin in the event that I am evacuated from the school to a hospital by ambulance, or some other person’s vehicle, and the school/office is notified, I authorize the school to notify by telephone, as soon as possible or any person who answers the telephone at that number, the fact of my evacuation. 3. The release of personal information about me in the custody of the College, including marks, teacher evaluations, attendance, etc. to potential employers for the purpose of reference as needed and on an ongoing basis. 4. Allow information to be shared/posted on the ACSAS online communication system which is used by your Academic Advisor, Program Coordinator, Dept. Chair and other relevant members of the academic student success team (i.e. Student Success Specialist).
  • The consents provided above are fully voluntary and may be withdrawn by a student at any time on giving a written notice to the College. Any questions relating to this form should be addressed to: Angela Rintoul, Chair, Health and Community Studies, Algonquin College Pembroke Waterfront Campus, 1 College Way, Pembroke, ON K8A 0C8 (613) 735-4700, extension 2713 * Section 42(b): 42. An institution shall not disclose personal information in its custody or under its control except, (b) where the person to whom the information relates has identified that information in particular and consented to its disclosure.
  • Select date MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.