{"id":2748,"date":"2019-02-06T13:58:31","date_gmt":"2019-02-06T18:58:31","guid":{"rendered":"https:\/\/carleton.ca\/bpapm\/?page_id=2748"},"modified":"2025-12-18T10:11:40","modified_gmt":"2025-12-18T15:11:40","slug":"alumni-form","status":"publish","type":"page","link":"https:\/\/carleton.ca\/bpapm\/alumni-form\/","title":{"rendered":"Alumni Form"},"content":{"rendered":"\n<section class=\"w-screen px-6 cu-section cu-section--white ml-offset-center md:px-8 lg:px-14\">\n    <div class=\"space-y-6 cu-max-w-child-5xl  md:space-y-10 cu-prose-first-last\">\n\n            <div class=\"cu-textmedia flex flex-col lg:flex-row mx-auto gap-6 md:gap-10 my-6 md:my-12 first:mt-0 max-w-5xl\">\n        <div class=\"justify-start cu-textmedia-content cu-prose-first-last\" style=\"flex: 0 0 100%;\">\n            <header class=\"font-light prose-xl cu-pageheader md:prose-2xl cu-component-updated cu-prose-first-last\">\n                                    <h1 class=\"cu-prose-first-last font-semibold !mt-2 mb-4 md:mb-6 relative after:absolute after:h-px after:bottom-0 after:bg-cu-red after:left-px text-3xl md:text-4xl lg:text-5xl lg:leading-[3.5rem] pb-5 after:w-10 text-cu-black-700 not-prose\">\n                        Alumni Form\n                    <\/h1>\n                \n                                \n                            <\/header>\n\n                    <\/div>\n\n            <\/div>\n\n    <\/div>\n<\/section>\n<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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validation_below'><div id=\"field_6_1\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_1'>First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_6_1' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_31\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_31'>Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_31' id='input_6_31' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_6_9\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Preferred Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_6_9_container'>\n                                <span id='input_6_9_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_9' id='input_6_9' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_6_9' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                <\/span>\n                                <span id='input_6_9_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_9_2' id='input_6_9_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_6_9_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><div id=\"field_6_42\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_42'>Student Number<\/label><div class='ginput_container ginput_container_text'><input name='input_42' id='input_6_42' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_43\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_43'>What year did you graduate from the BPAPM program?<\/label><div class='ginput_container ginput_container_text'><input name='input_43' id='input_6_43' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_22\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_22'>Present Employment or Academic Pursuits<\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_6_22' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_6_48\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >University Privacy Notice<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_6_48'><div class='gchoice gchoice_6_48_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_48.1' type='checkbox'  value='I consent to the uses and disclosures identified'  id='choice_6_48_1'   aria-describedby=\"gfield_description_6_48\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_6_48_1' id='label_6_48_1' class='gform-field-label gform-field-label--type-inline'>I consent to the uses and disclosures identified<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_6_48'>Personal information collected through this form will be used and disclosed by 杏吧原创 University under the authority of the 杏吧原创 University Act, and in accordance with sections 39, 41 and 42 of Ontario\u2019s Freedom of Information and Protection of Privacy Act. The purpose of this processing is for advancement activities and alumni development purposes. If you have any questions about the processing of personal information by 杏吧原创 University, please contact the Manager, Privacy &#038; Access to Information, by phone at 613-520-2600 ext. 2047 or by e-mail via University_Privacy_Office@carleton.ca. You may also visit carleton.ca\/privacy for additional information and notices.<\/div><\/fieldset><fieldset id=\"field_6_36\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Contact Consent<\/legend><div class='ginput_container ginput_container_consent'><input name='input_36.1' id='input_6_36_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_6_36\"  aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_6_36_1' >I consent to contact from the BPAPM program<\/label><input type='hidden' name='input_36.2' value='I consent to contact from the BPAPM program' class='gform_hidden' \/><input type='hidden' name='input_36.3' value='1' class='gform_hidden' \/><\/div><div class='gfield_description gfield_consent_description' id='gfield_consent_description_6_36' tabindex='0'>Our program would like to reach out to you from time to time to update you on any big news from the program or perhaps get an update on your biography. Please check the above box if you consent. <\/div><\/fieldset><div id=\"field_6_30\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Alumni Profile<\/h3><div class='gsection_description' id='gfield_description_6_30'>If you are interested in being profiled on our website please follow the steps below. <\/div><\/div><fieldset id=\"field_6_34\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Profile Consent<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_6_34'><div class='gchoice gchoice_6_34_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_34.1' type='checkbox'  value='I consent to being profiled on the BPAPM website'  id='choice_6_34_1'   aria-describedby=\"gfield_description_6_34\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_6_34_1' id='label_6_34_1' class='gform-field-label gform-field-label--type-inline'>I consent to being profiled on the BPAPM website<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_6_34'>We have some incredible alumni and we like to show then off by profiling them on our website. Are you interested in being profiled on our website? If so, please consent above. If not, that&#8217;s okay too, just skip ahead to the next section. <\/div><\/fieldset><div id=\"field_6_24\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_24'>If you would like to be profiled on our website, please post a short biography here.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_24' id='input_6_24' class='textarea medium'  aria-describedby=\"gfield_description_6_24\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_6_24'>This should include information about any other degrees you have obtained as well as information about your employment history and your current employment or educational pursuits. <\/div><\/div><div id=\"field_6_38\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_38'>Program Endorsement<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_38' id='input_6_38' class='textarea medium'  aria-describedby=\"gfield_description_6_38\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_6_38'>If you have a brief endorsement of the BPAPM program that you would be willing to add to your profile please add it here. <\/div><\/div><fieldset id=\"field_6_47\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Photo Consent<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_6_47'><div class='gchoice gchoice_6_47_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.1' type='checkbox'  value='I consent to the use of my photo for the website.'  id='choice_6_47_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_47_1' id='label_6_47_1' class='gform-field-label gform-field-label--type-inline'>I consent to the use of my photo for the website.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_47_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_47.2' type='checkbox'  value='Please don&#039;t use my photo'  id='choice_6_47_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_47_2' id='label_6_47_2' class='gform-field-label gform-field-label--type-inline'>Please don&#8217;t use my photo<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_6_12\" class=\"gfield gfield--type-post_image field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Please add a high-resolution head shot for your alumni profile.<\/legend><div class='ginput_complex ginput_container ginput_container_post_image gform-grid-row'><span class='ginput_full gform-grid-col'><input name='input_12' id='input_6_12' type='file' class='medium'   aria-invalid=\"false\" aria-describedby=\"extensions_message_6_12\" \/><span id='extensions_message_6_12' class='gfield_description gform_fileupload_rules'>Accepted file types: jpg, jpeg, png, gif.<\/span><\/span><\/div><\/fieldset><div id=\"field_6_40\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Social Media<\/h3><div class='gsection_description' id='gfield_description_6_40'>We would love to connect with you on social media so we can keep up with you. If you would like to share your social media handles below please do so. This information will not be shared. <\/div><\/div><div id=\"field_6_11\" class=\"gfield gfield--type-website field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_11'>LinkedIn<\/label><div class='ginput_container ginput_container_website'>\n                    <input name='input_11' id='input_6_11' type='url' value='' class='medium'    placeholder='http:\/\/'  aria-invalid=\"false\" \/>\n                <\/div><\/div><div id=\"field_6_35\" class=\"gfield gfield--type-website field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_35'>Twitter<\/label><div class='ginput_container ginput_container_website'>\n                    <input name='input_35' id='input_6_35' type='url' value='' class='medium'    placeholder='http:\/\/'  aria-invalid=\"false\" \/>\n                <\/div><\/div><div id=\"field_6_39\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_39'>Do you have any other other questions, concerns or comments? 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