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, and in accordance with the Freedom of Information and Protection of Privacy Act (“FIPPA”). The information will be used for the administration of the University and its programs and services. Direct any questions about this collection to the Faculty of Education Marketing and Communications Officer at Brock University at (905) 688-5550 x 5385 or see http://www.ed.brocku.ca/.