EmailMeForm
Authorization to Release Personal Information
First and Last Name:
*
Required
Student Number:
*
Required
Email Address:
*
Must match the email address currently on file
Program of Study:
*
Required
Call Back Number:
*
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I authorize the Admissions Office at Canadore College to release my information pertaining to my enrolment and records:
*
I confirm. Please accept this as my signature.
Required
Authorizing information to be released to:
*
Today's Date:
*
MM
/
DD
/
YYYY
Required