Privacy Collection Notice

Brock University protects your privacy and your Personal Information. The Personal Information requested on this form is collected under the authority of The Brock University Act, 1964, section 3, and in accordance with the Freedom of Information and Protection of Privacy Act (“FIPPA”). The information will be used for the purpose of confirming your eligibility for the Work-Integrated Learning Bursary, administering, evaluating, and promoting the bursary program, and complying with funding requirements related to the program. Direct any questions about this collection to the Associate Director, Experiential Education of the Co-op, Career & Experiential Education department at Brock University at (905) 688-5550 ext: 5023 or see www.brocku.ca/ccee.