First Name*
 
 
Last Name*
 
 
 
Email*
 
 
 
 
Phone Number
 
 
 
 
Company/Agency*
 
 
 
 
Job Title
 
 
 
 
Do you have any accessibility needs?
 
 
 
 
Do you have any allergies?
 
 
 
 
 
 
 
 
Active Contact Type
 
 
 
 
Kwantlen Polytechnic University (“KPU”) collects your Personal Information in accordance with section 26 of the Freedom of Information and Protection of Privacy Act (“FIPPA”), R.S.B.C. 1996, c.165 for the purposes of registering and administering your participation in Breaking Barriers. If you have any questions about the processing of your Personal Information, please contact Future Students’ Office at study@kpu.ca.