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I hereby give my consent to the School of Linguistics and Language Studies to publish the following on the School website:

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my name

my submitted answers to the questions below

my program & year of graduation

my photograph

I understand this consent is given non-exclusively and copyright to my work and/or image is retained by me.

I do hereby release and forever discharge �Ӱ�ԭ�� University, its officers, Employees, representatives, and assigns from any and all demands, cause of action and/or judgments of whatsoever nature of character, past or future, known or unknown, whether in contract or in tort, whether for personal injuries, property damage, payments, fees, expenses, or damages of any kind or nature, and whether arising from common law or statute, arising out of, in any way, the use of my photograph or photographic image for official University business. This agreement does not include, or supersede other personal information agreements signed by me at �Ӱ�ԭ�� University and concerning my personal information.

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You must choose “I consent” if you wish to allow us to use your profile on our website.

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If you are comfortable doing so, we encourage you to upload a photo here that we can post online alongside your student profile.

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FIPPA

Got questions about the collection and use of information on this form?

The personal information requested on this form is collected in accordance with Section 38(2) and 42(R.S.O.) 1990, c.F.31 of the Freedom of Information and Protection of Privacy Act (FIPPA). The information provided will not be used for any other purposes than those stated upon this form unless you direct otherwise. Direct any questions about the collection and use of this material to slals@carleton.ca. �Ӱ�ԭ�� University is fully compliant with FIPPA and endeavours at all times to treat your personal information in accordance with this law.

This information will be retained and disposed in accordance with approved records retention and disposal schedules of the University.

By clicking submit, I acknowledge that I have read the university’s privacy notice and consent to the uses and disclosures identified.

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School of Linguistics and Language Studies

236 Paterson Hall // 358 St. Patrick's Building | �Ӱ�ԭ�� University

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